DP19-1906: Multiple Approaches to Support Young Breast Cancer Survivors and Metastatic Breast Cancer Patients

Application Deadline

Tuesday, April 30, 2019 at 11:59 PM EDT on www.grants.govexternal icon

The proposed program’s purpose is to increase the availability of supportive services for young breast cancer survivors (YBCS), young women with metastatic breast cancer (mBC), and their caregivers and families by supporting organizations that serve this population. The recipients will address strategies relevant to the target audience. These include—

  • The establishment of a network of survivors and caregivers to facilitate policy, system, and environmental change (PSE) interventions that increase access to lifestyle programs, clinical preventive services, and cancer care among survivors;
  • Development and implementation of innovative technological educational opportunities for health care providers on topics relevant to the delivery of appropriate treatment and care of YBCS and mBC; and
  • Utilization of patient navigation (PN) and community health worker (CHW) program strategies to reach underserved populations to enhance their access to and utilization of YBCS services and programs.

To this end, activities funded by this Notice of Funding Opportunity (NOFO) are intended to support organizations in closing the disparity gap needed to support young breast cancer survivors. Specifically, organizations will implement strategies that aim to reduce disparities observed in survival and quality of life due to race, ethnicity, or other social determinants of health.

Questions from Informational Call

Created: March 25, 2019

Question 1: Can you clarify if all activities listed in the NOFO must be included in the proposal/work plan?
Response: Applicants are expected to include activities for all four core strategies in their applications, described in the NOFO.

Question 2: Will competitive applications address all four strategies, or can we select the strategies we want to focus on? Must we choose which strategies? Are we to choose one target population, or cover all of them?
Response: Applicants are expected to include activities for all four core strategies in their applications, described in the NOFO.
The target population for this cooperative agreement is young breast cancer survivors, women 15–44 years old diagnosed with breast cancer and their caregivers, when appropriate AND women with metastatic breast cancer. Special emphasis should be placed on reaching YBCS in underserved communities that would benefit from additional survivorship support. These include, but are not limited to, women in racial/ethnic groups (e.g. African American, Asian/Pacific Islander, American Indian, Alaska Native, Hispanic, American Indian/Alaska Native), Ashkenazi Jewish. LGBT communities, low socio-economic groups, or women with physical or mental/emotion disabilities.

Question 3: Under “Strategies and Activities”, iii 2b: It states, “Promote and coordinate existing provider education opportunities prescribed/approved by CDC.” Can you clarify what is meant by “prescribed/approved by CDC”? What is the process to determine if an educational opportunity is approved by CDC? Is there an existing list of approved opportunities or is the approval process something that happens after the cooperative agreement is awarded?
Response: Applicants should describe efforts to promote and coordinate existing provider education opportunities. If funded, CDC will provide additional guidance and technical assistance regarding existing provider education opportunities that align with the purpose of the cooperative agreement. All funded entities will have access to resources developed during the project period.

Question 4: Work Plan page limit is not included in the Program Narrative page limit. Correct?
Response: Yes, the work plan is included in the 20 page Project Narrative’s page limit.

Question 5: In the NOFO logic model, there are additional outcomes that are not bolded. Do we need to include them in the narrative and in the work plan?
Response: Applicants should focus on the bolded outcomes. The bolded outcomes indicate period of performance outcomes, which should be observed during the 5 years of the NOFO. Our expectation is that these outcomes reflect the intent of the program and its impact on the target population.

Question 6: For metastatic breast cancer survivors, is the proposed target population women under the age of 45 or all women with metastatic breast cancer?
Response: Women with metastatic breast cancer who were diagnosed under the age of 45; the qualifier is the program is very specific to young women with metastatic breast cancer. Please see page 5 for an overview of the proposed target population.

Question 7: Do we need to upload the Work Plan separately as a pdf as per page 15?
Response: Yes, this is correct.

Question 8: Can you clarify the difference in what is expected in the initial evaluation and performance plan versus the comprehensive 5-year evaluation plan?
Response: Applications must include an evaluation and performance plan (5 year evaluation plan and data management plan) that describes how an applicant will fulfill the requirements described in the Evaluation and Performance Measurement section. Once funded, program participants will be required to submit a more detailed, final version of the plan within six months.

Question 9: Can we add exhibits to illustrate and use as references for the narrative beyond the 20-page limit? Regarding evaluation, do we need to include a logic model?
Response: Applicants are strongly encouraged to include all relevant information about the proposed project within the 20-page Narrative. Refer to pages 42–43 regarding acceptable attachments applicants can upload as PDF files as part of their application.
Yes, as described on page 12, a logic model describing program design must be included in the evaluation plan.

Question 10: Can projects also target healthy women who are caregivers or family members? Are national or regionally targeted projects encouraged?
Response: The target population for this cooperative agreement are young breast cancer survivors and young women with metastatic breast cancer, their caregivers, and providers as described on page 9.
Regarding whether national or regionally targeted projects are encouraged, applicants should use data to define and describe the proposed target population in terms of demographic characteristics, health status, and geographic area(s).

Question 11: The link in the NOFO regarding the Paperwork Reduction Act is broken and states, “page not found.” Can you provide an updated link?
Response: https://www.opm.gov/about-us/open-government/digital-government-strategy/fitara/paperwork-reduction-act-guide.pdf pdf icon[PDF-1MB]external icon

Question 12: Can you further clarify the target population by explaining the following: are we required to focus on BOTH YBCS and MBC or can we select one? IN ADDITION, within those two categories, are we required to ONLY focus on the underserved populations, or all people in that group?
Response: See response to Question 2.

Question 13: When does the needs assessment need to be completed?
Response: The needs assessment must be completed in order to fully implement strategy 3. Refer to page 7.

Question 14: In the Risk Assessment Questionnaire, under the “Internal Controls” section, it says, “Does your organization have written project management policies, procedures and systems?” Can you provide additional information about what the CDC is asking for here? Is this specific to the Program Management systems for the projects under this cooperative agreement or for the entire organization?
Response: Questions regarding the Risk Assessment Questionnaire should be addressed to the CDC Grants Staff Contact listed on page 42 of the NOFO.

Question 15: Is the application and Letter of Support public? Someone is considering a Letter of support, but would like their name to remain confidential from the public.
Response: This response corrects information communicated on the March 22 Informational Call. CDC takes special care with funding applications; however, funded applications are releasable under FOIA requests.

Question 16: In the work plan section, it states that the “level of effort” and allocation of time for each performed activity should be included. Please clarify?
Response: This response corrects information communicated on the March 29 Informational Call. Applicants should include a description of the proposed activities, measures of effectiveness, timeframe for assessing progress, person(s) responsible and the amount of time they are expected to spend on each activity (i.e. 20 hours/quarter) for each work plan objective.

Question 17: The NOFO states that State governments can apply for this grant. Does this mean State Health Departments are eligible to apply for this grant?
Response: Yes.

Question 18: Can you provide more clarity on what you mean by environmental change?
Response: It is described in the NOFO. Applicants can also visit CDC’s National Center for Chronic Disease Prevention and Health Promotion website at www.cdc.gov/chronicdisease/center/nccdphp/how.htm to view ways in which programs work to prevent and control chronic disease. CDC supports a number of programs that focus on policy, systems, and environmental changes.

Question 19: Is there a prescribed/available CDC work plan template?
Response: No. Applicants are, however, encouraged to create a work plan that includes the elements described in the NOFO.

Question 20: Will there be further guidance around budget? What types of costs are allowable?
Response: No, the budget requirements are listed in the NOFO.

Question 21: The age group is 15–44, which includes college-aged women. Can activities also target at-risk women who are not necessarily diagnosed but serve as caregivers/friends of YBCS?
Response: Yes, as stated on page 9, caregivers are included as a member of the target population when appropriate.

Question 22: Will it be permissible to contract for lifestyle support programs for this target population?
Response: Yes, this is acceptable and aligns with the NOFO.

Question 23: Regarding defining the geographic focus of the target population: would projects with a geographically broad, national focus fulfill the need for a defined geographic proposed geographic area (page 9)?
Response: See Question 10.

Question 24: The NOFO mentions a Report on Programmatic Budgetary Commitment Overlap and “Documentation of Leveraging Other Resources and Related Ongoing Efforts to Promote Sustainability.” Are these required documents? If yes, are there specific forms available?
Response: The Report on Programmatic, Budgetary and Commitment Overlap is described in the “Other Information” section of the NOFO (page 43) as an example of “acceptable” attachments.
There is not a specific form for the documentation of leveraging other resources and related ongoing efforts to promote sustainability. However, applicants are expected to describe sustainability plans within the Program Infrastructure and Organizational Capacity portions of the application.

Question 25: Should the work plan include activities for the first year only?
Response: Yes, the work plan should provide a description of specific program strategies to be used during the first year of the period of performance.

Question 26: Is it anticipated that there will be an in-person kickoff meeting that we would need to budget for travel expenses? And where will the Q&A be located and how will we know when it is up?
Response: There are no plans to host an in-person kick-off meeting at this time. The Q&As will be posted at www.cdc.gov/cancer/ncccp/dp19-1906.htm.