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FAQs

This page lists and addresses questions that were anticipated or received related to the CDC-RFA-DP18-1813: Racial and Ethnic Approaches to Community Health (REACH) – Notice of Funding Opportunity (NOFO). Please view the question and answers (Q&As) below for responses to submitted questions.

Application Process

6/11/18

Q. Link to upload assurances did not work. Recommendations?

A. The problem has been corrected.

Q. Do we need to collaborate with organization(s) that got the latest REACH grant in our region?

A. No, there is no requirement that you collaborate with previous recipients of a REACH award.

Q. Do we need letters of support from all collaborative partners?

A. Letters of involvement from a minimum of two members of the community coalition are required for the application and must include a specific description of their role in support of the proposed work. See page 9 of the NOFO.

Q. What if the community being considered does not have a needs assessment?

A. The results from a community health needs assessment completed within the last 5 years are needed. This is part of demonstrating established experience and organizational capacity to ensure successful planning, implementation, and evaluation for this project in order to meet implementation readiness requirements. The community health needs assessment process must clearly describe the link to the geographic area(s) and the priority population(s) with whom the applicant proposes to work. See pages 15-16 of the NOFO.

Q. Can you repeat the information about the NOFO application requiring a letter of acknowledgement from the State of Chronic Disease____? I didn’t catch the position.

A. A letter of acknowledgement from the State Chronic Disease Director is required for the application. The letter should acknowledge: 1) the applicant is applying for this NOFO; 2) the proposed priority population(s); and 3) the geographic area in the state where work is proposed. See page 9 of the NOFO.

Q. If some activities under the strategies listed are already being done in our community, how do we address this in the work plan/application?

A. The applicant will describe how they will collaborate with partners to conduct or implement the activities listed under each strategy. If the activities overlap, this must be reported with your application as outlined on page 25 of the NOFO addressing Duplication of Efforts. If the activities do not duplicate, the applicant will describe how the activities will complement what is already being done in the community.

Q. Are we required to develop an independent work plan document in addition to the work plan in the narrative?

A. Only one work plan is required and it is included as part of the project narrative.

Q. Is the OFR Risk Assessment Questionnaire form, is this required? Can it be put on the FAQ section?

A. The OFR Risk Assessment Questionnaire form is no longer required.

Q. The OFR risk assessment questionnaire was not attached to the NOFO. Where is this document found?

A. The OFR Risk Assessment Questionnaire form is no longer required.

Q. Similar to the work plan section where Year 1 must be described in detail and the remaining years a summary, does this also apply to applicant evaluation and budget narrative sections?

A. Applicants will submit a budget for the first budget period covering year one. The evaluation plan will include intermediate and long term outcomes that cover the 5 year period.

Q. Can a state apply on behalf of local communities?

A. Yes, however, the applicant must have a key role in, or at a minimum, be an active member of the community coalition being proposed.

Q. Can we apply and also be listed as a collaborator by another organization submitting separately?

A. You may apply if you meet the eligibility requirements. Also, applicants should be responsive to addressing the duplication of efforts requirements, if applicable. See page 25 of the NOFO.

Q. Is there a budget narrative template available as there was for REACH 2014?

A. No specific template is outlined in the NOFO; however, applicants should follow instructions outlined on the grants.gov website. Applicants may use the budget preparation guidelines outlined by CDC’s Office of Financial Services in developing the proposed budget by visiting this link: https://www.cdc.gov/grants/documents/Budget-Preparation-Guidance.pdf. [PDF-415KB] Applicants are required to submit an itemized budget narrative. When developing the budget narrative, applicants must consider whether the proposed budget is reasonable and consistent with the purpose, outcomes, and program strategy outlined in the project narrative.

Q. Do the Letters of Involvement and Letter of Acknowledgement from the State Chronic Disease Director count toward the 20 page limit?

A. No, the Letters of Involvement and the Letter of Acknowledgement do not count toward the 20 page narrative limit.

Q. Does CDC have standard numbering format? 1, 2, 3… or 1 of 20, 2 of 20, etc.?

A. Page numbers are required, however, no specific format is specified.

Q. Is a resume or CV required for key personnel? What’s the page limit of the resume/CV?

A. Applicants may submit any combination of the optional attachments if the applicant deems it necessary to strengthen the application. When submitting resumes, include all resumes together as one PDF document. There is no page limit for resumes/CVs.

Q. Recipients are encouraged to collaborate with other CDC-funded programs in their geographic area. This will ensure proposed activities are complementary with other CDC funded programs operating in the same area and avoid duplications of efforts, like State- and/or local-level CDC funded programs for chronic diseases. Do we need to get letters of support from the agencies in this category for the grant submission?

A. Letters of involvement from a minimum of two members of the community coalition are required for the application. A letter of acknowledgement from the State Chronic Disease Director is also required. See page 9 of the NOFO.

Q. Is a budget file required, in addition to the budget narrative?

A. Applicants will submit one budget file as required by grants.gov. Applicants will name this file “Budget Narrative” and upload it as a PDF file in grants.gov as part of the whole application. You may refer to pages 28- 29 of the NOFO for further guidance.

Q. Are two letters of acknowledgement required when the applicant is within one state with an implementation partner (sub-contractor) from a different state?

A. The letter of acknowledgement will be from the state in which the applicant is proposing to work.

Q. Are citations/references counted in the 20 page limit?

A. No, citations and references included in an Appendix or Other document do not count toward the 20 page limit.

Q. Is the work plan required to be 12 point font?

A. No

Q. Project Narrative Format – Are we able to adjust the format of the Work Plan table (e.g., smaller font, narrower margins) so that the content is presented in a way that allows us to stay within the 20-page limit?

A. The work plan table is not required to be in 12 point font.

Q. Are figures, tables, graphs required to follow the 12 point font requirement?

A. No

Q. Can tables and charts use a 10 point font?

A. Yes

Q. Is there a page limit for budget narrative?

A. No

Q. Can two separate entities in separate states apply together?

A. Separate entities may submit a joint application provided the eligibility requirements are met and the proposed work meets the requirements described in this NOFO.

Q. On page 17 of the RFP, the work plan template is provided. Under Period of Performance, Outcome Measures, and Process Measures, in italics it says these should come from the Outcomes Section/Logic Model and the Evaluation and Performance Measurement Sections. Will you clarify whether these refer to the outcomes/logic model and evaluation and performance measurement sections of the RFP or to our own application?

A. The reference is to the performance measure section of the NOFO.

Q. Is Health Department involvement required? They may have a competing application.

A. No, however, a letter of acknowledgement from the State Chronic Disease Director is required for the application. The letter should acknowledge: 1) the applicant is applying for this NOFO; 2) the proposed priority population(s); and 3) the geographic area in the state where work is proposed.

Q. Since fillable budget and work plan templates will not be provided, does CDC have a preferred format (i.e., Microsoft Word versus Excel) for these documents?

A. While CDC does not have a preferred format, applicants may use the budget preparation guidelines outlined by CDC’s Office of Financial Services in developing the proposed budget by visiting this link: https://www.cdc.gov/grants/documents/Budget-Preparation-Guidance.pdf. [PDF-415KB]

6/4/18

Q. In the section regarding the applicant identifier and federal identifiers, do we need to request this information in order to submit the application? Can we use our EIN, or is a DUNS number required?

A. An organization must be registered at the three following locations before it can submit an application for funding at www.grants.gov:

  • 1. Data Universal Numbering System (DUNS);
  • 2. System for Award Management (SAM); and
  • 3. Be registered as a grants.gov user.

Additional information concerning these three submission procedures is found on pages 22-23 of the NOFO.

5/24/18

Q. Is there a limit of applications per institution?

A. Only one application per institution will be considered.

Q. Is there a limit to how many applications a state or institution can submit? Is there any rule/guideline about having multiple REACH grants in a state?

A. No more than 3 awards per state will be made (page 37 of NOFO)

Q. Page 46 of the RFA lists Optional Attachments. Are all of these required?

A. Applicants may submit any combination of the optional attachments if the applicant deems it necessary to strengthen the application. Applicants are required to submit two letters of involvement from coalition member and a letter of acknowledgement from the state chronic disease director.

The risk assessment is available on grants.gov as an amendment to this NOFO.

Q. How long has the required coalition had to be “active”?

A. There is no specific time period required for a coalition to be in existence. The community coalition proposed by the applicant should have the capacities and/or characteristics as listed on page 8 of the NOFO so the activities can be fully implemented.

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Coalitions

6/11/18

Q. The grant guidelines on page 8 suggests that the coalition has to be pre-existent to the application date?

A There is no specific time period required as to how long a coalition should have been in existence. The community coalition proposed by the applicant should have the capacities and/or characteristics as listed on page 8 of the NOFO.

Q. Does there need to be an existing coalition prior to applying, or could part of the work be to build a coalition that fits this work?

A. There is no specific time period required for a coalition to be in existence. The community coalition proposed by the applicant should have the capacities and/or characteristics as listed on page 8 of the NOFO.

Q. The NOFO uses the term “established coalition”. Does this mean a coalition that existed prior to the application (pre-existing coalition) or could this mean a coalition that is established by the applicant after the award?

A. There is no specific time period required for a coalition to be in existence. The community coalition proposed by the applicant should have the capacities and/or characteristics as listed on page 8 of the NOFO.

Q. Can a “coalition” be proposed OR does it have to be already established?

A. There is no specific time period required for a coalition to be in existence. The community coalition proposed by the applicant should have the capacities and/or characteristics as listed on page 8 of the NOFO.

Q. Is the coalition a funded or unfunded partner?

A. There is no requirement that the coalition be funded or unfunded. The coalition must meet the characteristics outlined on page 8 of the NOFO and have capacity to implement the selected activities.

Q. If our application is regional, can we have several county-level coalitions, rather than 1 coalition?

A. Yes. The applicant must propose an established community coalition to engage in executing activities under this NOFO throughout the entire award period. The applicant will describe the need for more than one coalition and how the coalitions will collaborate to achieve the selected outcomes.

Q. Can applicant work with more than one community coalition?

A. Yes. The applicant must propose an established community coalition to engage in executing activities under this NOFO throughout the entire award period. The applicant will describe the need for more than one coalition and how the coalitions will collaborate to achieve the selected outcomes.

Q. If we work with 2 populations, can we have 2 coalitions?

A. Yes. The applicant must propose an established community coalition to engage in executing activities under this NOFO throughout the entire award period. The applicant will describe the need for more than one coalition and how the coalitions will collaborate to achieve the selected outcomes.

Q. Can an applicant work with more than one coalition for this grant? For instance, if selecting Nutrition and Physical Activity, can we work with an Active Living coalition and a Gardens/Food Access coalition?

A. Yes. The applicant must propose an established community coalition to engage in executing activities under this NOFO throughout the entire award period. The applicant will describe the need for more than one coalition and how the coalitions will collaborate to achieve the selected outcomes

Q. Can only one community coalition be utilized?

A. Yes

Q. Must the community coalition leader be the PI?

A. The applicant must have a key role in or at a minimum, be an active member of the community coalition being proposed. The applicant will describe who is involved and in what capacity but it is not required to be the Principal Investigator.

Q. Should the coalition’s capacity and characteristics be described in the project narrative or could this be an appendix?

A. As part of the Applicant’s Organizational Capacity to Implement the Approach section in the Project Narrative, applicants will propose an established community coalition that meets the requirements identified in the Collaboration section and can support the recipient in executing and monitoring activities (page 20 of NOFO). Applicants can decide if additional information is necessary to strengthen their application and can be uploaded as Other documents via grants.gov.

Q. Can community coalition partners serve more than one role? Can an applicant also serve as the community based organization?

A. There is nothing in the NOFO that prohibits this. The community- based organization is eligible to apply. The community coalition proposed by the applicant should have the capacities and/or characteristics as listed on page 8 of the NOFO.

Q. If one of our proposed community coalition partners is currently publicly funded for some of the strategies, in our proposal do we need to emphasize an expansion of their current work (if they will be funded), or should this organization come on as a non-funded coalition partner – whose work we are leveraging?

A. The applicant will need to determine the role of the publicly funded community coalition and how their contribution fits into the proposed work plan.

Q. Can the coalition itself apply as the applicant if it is housed within a 501(c)(3)?

A. Yes, if the coalition meets the eligibility requirements, they can apply for this NOFO.

Q. We work with multiple coalitions and would like for all the coalitions to participate in this project. Does each coalition have to work on all 3 strategies and their accompanying activities? Or could each coalition take on a different strategy (1 of the 3) and their activities?

A. The applicant will determine the role of the coalition and how each will support implementation of the selected strategy and related activities.

Q. Do we need letters of involvement from a minimum of 2 members from each of the coalitions we partner with?

A. Yes

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Eligibility

6/11/18

Q. Can we serve counties/cities outside our state borders if we are in a tristate area?

A. Yes

Q. How big is the community? State? County?

A. The applicant will define the community in which they propose work. Applicant must use the results from a community health needs assessment completed within the last 5 years that provides specific information on disparities experienced by the proposed priority population(s) and a justification for the proposed geographical area.

Q. What do you define as a community? How large or small?

A. The applicant will define the community in which they propose work. Applicant must use the results from a community health needs assessment completed within the last 5 years that provides specific information on disparities experienced by the proposed priority population(s) and a justification for the proposed geographical area.

Q. Does the lead applicant need to rely on their own published community needs assessment? Is it ok to use those of the coalition/partners as well as recent publicly available reports?

A. The applicant must use the results from a community health needs assessment completed within the last 5 years that provides specific information on disparities experienced by the proposed priority population(s) and a justification for the proposed geographical area.

Q. Can a national organization apply on behalf of local communities?

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

Q. I am the inaugural Chief of Family Medicine at the new Dell UT Austin Medical School. This main mission of this school is to improve community health and diminish health disparities. Since I arrived I have been developing collaborations with the schools system, with Housing, and with the community clinic system to deliver a new model of care (Urgentwellness.com) to decrease health disparities and lower health care costs. I have been the PI of past successful CDC grants and of CMS innovation awards. I believe that we have the team and population to demonstrate an innovative program that will significantly impact targeted health outcomes, and that this grant is the perfect mechanism to speed innovation. However, I see that in eligibility this RFA is for past or current REACH programs. Given that we are a new Medical School in Austin TX would it be possible to apply for a new REACH award?

A. Institutions of higher education are eligible to apply for this NOFO (see page 20). There is no requirement that applicants must be previous REACH programs.

Q. Racine Kenosha Community Action Agency, Inc. provides services in Racine and Kenosha counties in Wisconsin. Our plan would be to implement the three strategies selected with our Kenosha Health Improvement Project (K-HIP) coalition. Because we also provide services in Racine County, would it be allowable to also implement the strategies on a smaller scale in Racine?

A. The intent of this NOFO is to improve health, prevent chronic diseases, and reduce health disparities among racial and ethnic populations with the highest risk, or burden, of chronic disease, specifically for African Americans/Blacks, Hispanic Americans, Asian Americans, Native Hawaiian/Other Pacific Islanders, American Indians, and Alaska Natives. Your proposed geographic area of work will be based on a needs assessment for that area and the burden in the particular racial population. Applicants are required to demonstrate that the selected strategies address the health disparities in the community based on that health needs assessment process. Applicant are not expected to propose work based solely on their service areas.

6/4/18

Q. Appalachia is not described as a health disparities population even though statistics show it suffers as much from health disparities as any racial group you mention in the NOFO. Was this an oversight?

A. This NOFO is intended to support the five priority populations listed: African Americans/Blacks, Hispanic Americans, Asian Americans, Native Hawaiian/Other Pacific Islanders, American Indians, and Alaska Natives (page 9 of NOFO). Appalachia as an entity is not a priority population group for this NOFO.

Q. Is previous REACH funding required to be eligible for the present REACH funding (CDC-RFA-DP18-1813)?

A. No, previous REACH funding is not required to be eligible. All organization that meet the eligibility requirements as listed on pages 20-21 of the NOFO are welcome to apply.

5/24/18

Q. In terms of target population, is there any restriction on using federal CDC grant funds to serve undocumented immigrants as part of the target population?

A. As stated in the NOFO, the purpose of REACH is to support communities in implementing population-wide solutions to improving health, preventing chronic disease, and reducing health disparities. In accordance with the NOFO, applicants select priority populations generally based on burden. REACH is a public health effort geared towards target populations based on burden and there is no specification as to immigration status within the target population.

Q. Would a for-profit hospital be eligible to apply? Would a minority-owned business be eligible to apply?

A. Small businesses are eligible.

Q. Would a community paramedicine program be a possibility for funding? (It is not really clinical care – our community health workers check in with patients after discharge who have an unhealthy co-dependence on the healthcare system-Indian Health Center, Makah Tribe)

A. Based on your description of your program as a community initiative and the utilization of community health workers, this would fall under the umbrella of the Community-Clinical linkage strategy. If your program meets the eligibility criteria and your priority population of focus is one of the five priority populations outlined by the NOFO, then your program might be a possibility for this funding opportunity. Please see the description for the Community-Clinical Linkages strategy:

“Linking community and clinical efforts to increase access to health care and preventive care programs at the community level. Collaborate with partners to increase referral and access to community-based health programs for the priority population(s).

Promote the use of appropriate and locally available programs for individuals in the priority population(s) (e.g., Diabetes Prevention Program, Chronic Disease Self- Management Program, tobacco cessation services, Food Nutrition Education Programs, Special Supplemental Nutrition Program for Women, Infants, and Children, access to food banks, and assistance with housing or job training).

Expand the use of health professionals such as Community Health Workers, patient navigators, and pharmacists, to increase referral of individuals in the priority population(s) to appropriate and locally available health and preventive care programs.”

Q. Is it a requirement that an applicant must currently be focused on tobacco control, as well as the other areas listed in the NOFO?

A. Applicants must have organizational capacity to implement locally tailored evidence-based and practice-based strategies in the strategies that they select.

Q. In our community, the fastest-growing population of color is Arab, or persons from the Middle East. This population is facing glaring health disparities. Our coalition focuses on obesity prevention strategies in the community. Would we be eligible to submit an application, or would we need to focus on one of the already-listed specific target population groups?

A. This NOFO is intended to support the five priority populations listed: African Americans/Blacks, Hispanic Americans, Asian Americans, Native Hawaiian/Other Pacific Islanders, American Indians, and Alaska Natives (page 9 of NOFO).

Q. In terms of a target population and their eligibility, do refugees fall anywhere in the definition of minority groups?

A. This NOFO is intended to support the five priority populations listed: African Americans/Blacks, Hispanic Americans, Asian Americans, Native Hawaiian/Other Pacific Islanders, American Indians, and Alaska Natives (page 9 of NOFO). Refugees are not a priority population group.

Q. Can an existing REACH grantee apply for this new REACH NOFO?

A. Yes. Existing REACH grantees can apply for this NOFO if they meet the eligibility requirements.

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Evaluation and Performance Management

6/11/18

Q. How much should we allocate for evaluation?

A. CDC recommends using the public health benchmark of a minimum of 10% of the annual award to support evaluation activities.

Q. Do we need to specify the # of people the proposed project will reach in our proposal?

A. Applicant will determine the target population numbers based on the needs assessment and the proposed work plan and should outline the proposed number to help justify the proposed work plan and budget proposing. The applicant must cite the data sources used to define and describe the priority population(s). The description should include demographic characteristics, health status, and geographic area. The geographic area must have at least 20% of the population with income below 100% federal poverty threshold (based on census tract or community health needs assessment data).

Q. Is there a minimum population or optimal population range we should target? I know 20% must be under FPT, but should that 20% represent 1,000 people, 10,000 people, 50,000 people, etc.?

A. Applicant will determine the target population numbers based on the needs assessment and the proposed work plan and should outline the proposed number to help justify the proposed work plan and budget proposing. The applicant must cite the data sources used to define and describe the priority population(s). The description should include demographic characteristics, health status, and geographic area. The geographic area must have at least 20% of the population with income below 100% federal poverty threshold (based on census tract or community health needs assessment data). Applicant will determine the target population numbers based on the needs assessment and the proposed work plan.

Q. If we choose 3 strategies, do we need to meet outcomes of all 3 for both pops?

A. Yes

Q. What are you looking for in terms of numbers reached?

A. The applicant must cite the data sources used to define and describe the priority population(s). The description should include demographic characteristics, health status, and geographic area. The geographic area must have at least 20% of the population with income below 100% federal poverty threshold (based on census tract or community health needs assessment data). Applicant will determine the target population numbers based on the needs assessment and the proposed work plan.

Q. Does CDC have a policy for evaluator, internal or external?

A. The applicant will decide how the evaluation will be conducted inclusive of staffing needs.

Q. Is a control group a requirement for the evaluation?

A. No

Q. Are recipients required to report on all measures listed if not working on strategies that impact those measures?

A. No, recipients will only report on the outcomes for the strategies selected.

Q. Is a cost-effective analysis allowable/considered evaluation or is it considered research?

A. Cost-effective analyses can be used for program evaluation, for example, collecting economic data to assess the efficiency of an intervention.

Q. Do we need to describe measures for strategies that do not have an intermediate measure required/described?

A. Applicants will be expected to only report on the intermediate outcomes that are bolded in the logic model for the strategies that the applicant selects.

6/4/18

Q. Do all the intermediate outcomes listed on the logic model on page 5 have to be met?

A. The applicant will select three of the four strategy areas in which to work and will be required to report on those intermediate measures that correspond with the selected strategies.

5/24/18

Q. Can 10% used on evaluation include expenses related to internal evaluation and epi staff, i.e. travel for site visits, personnel, etc.?

A. Yes. All expenses that support the capacity to implement the evaluation activities are acceptable.

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Funding and Budget

6/15/18

Q. What type of equipment can be purchased?

A. Recipients may use funds only for reasonable program purposes, including personnel, travel, supplies, and services. Equipment is not supported by this NOFO.

Q. With regards to the fulltime 1 FTE Program Manager requirement, can these funds be paid out of local PH agency dollars or do they have to come from REACH Grant funding?

A. Funding for the FTE Program Manager can be in-kind, and should be outlined accordingly in the proposed budget.

Q. Is paying salary for Community Health Workers an allowable cost?

A. Funding for staff such as Community Health Workers is permitted as long as the proposed staffing is aligned with the work plan and the proposed activities. Applicant will submit a detailed line item budget that describes the duties of each staff person.

Q. Are we allowed to purchase gift cards for evaluation?

A. The purchase of gift cards to support participation in evaluation activities may be allowed provided that the request is justified and reasonable as it relates to the evaluation and monitoring plan.

Q. A minimum of 10% of the annual award to support evaluation activities: does it allow gift cards or raffle ticket to increase response rate?

A. The purchase of gift cards to support participation in evaluation activities may be allowed provided the request is justified and reasonable as it relates to the evaluation and monitoring plan. Raffle tickets, defined as a means of raising money by selling numbered tickets, one or some of which are subsequently drawn at random, the holder or holders of such tickets winning a prize, are prohibited.

Q. Do we need to allocate a certain percentage of the budget to each of our three selected strategies (i.e., 33% of the budget to PA, 33% to Nutrition, etc.)?

A. There is no required allocation of funding across the selected strategies.

Q. Are there requirements of how much of the budget must be dedicated to each strategy area?

A. There is no required allocation of funding across the selected strategies.

Q. Are we allowed to spend funds on media activities (e.g., airtime)?

Yes. Funds can be used for communication support to collect, develop, and disseminate program messages and successes related to the communication activities that directly support the NOFO strategies.

Q. Can funds be used to set up a grant fund or a revolving loan fund as a financial incentive to cover start up and investment costs e.g. improving a refrigeration warehouse/capacity?

A. No.

Q. Is there a requirement for a certain % of budget to be spent on evaluation or communication?

A. CDC recommends a minimum of 10% of the annual award to support evaluation activities. This NOFO does not require a specific percentage of funds that must be dedicated to communication activities. The applicant will submit a budget that supports and aligns with the communication activities proposed in the work plan.

Q. Are we required to use 10% of budget for communication activities?

This NOFO does not require a specific percentage of funds that must be dedicated to communication activities. The applicant will submit a budget that supports and aligns with the communication activities proposed in the work plan.

Q. Are organizations allowed to take the 10% de minimis rate?

A. Does your organization have a negotiated rate agreement with a Federal Cognizant Agency? If so, please use the rate that has been established. Otherwise you can use the 10% de minimis rate, per the regulations in 45 CFR 75-414. “(f) In addition to the procedures outlined in the appendices in paragraph (e) of this section, any non-Federal entity that has never received a negotiated indirect cost rate, except for those non-Federal entities described in paragraphs (c)(1)(i) and (ii) and section (D)(1)(b) of appendix VII to this part, may elect to charge a de minimis rate of 10% of modified total direct costs (MTDC) which may be used indefinitely. As described in §75.403, costs must be consistently charged as either indirect or direct costs, but may not be double charged or inconsistently charged as both. If chosen, this methodology once elected must be used consistently for all Federal awards until such time as a non-Federal entity chooses to negotiate for a rate, which the non-Federal entity may apply to do at any time.”

Q. Do we have to apply for a minimum of $500,000 per year or can our application budget be less per year?

A. The NOFO doesn’t preclude the applicant from asking for less than the floor which is $500, 000 per year.

Q. Is it possible to use grant funds to purchase and implement a mobile clinic to support community-clinical linkages in very remote rural regions?

A. This NOFO does not support the purchase of equipment such as a mobile clinic/vehicle.

This NOFO does support collaboration with partners to increase referral and access to community-based health programs for the priority population(s).

Q. Are we able to purchase distance markers/signage with REACH funds?

A. The purchase of these types of supplies must be justified within the applicants’ proposed budget and demonstrate how these purchases are aligned with the required strategies and work plan. As outlined in the NOFO, funds should support reasonable program purposes, including personnel, travel, supplies, and services.

Q. Are we able to purchase outdoor exercise equipment, such as a children’s jungle gym set or adult outdoor exercise equipment, with REACH funds?

A. The purchase of these types of supplies or equipment must be justified within the applicants’ proposed budget and demonstrate how these purchases are aligned with the required strategies and work plan. As outlined in the NOFO, funds should support reasonable program purposes, including personnel, travel, supplies, and services.

6/11/18

Q. Can the funding be used to hire community health workers to help connect people with community programs?

A. Funding for staff such as community health workers is permitted as long as the proposed staffing is aligned with the work plan and the proposed activities. Applicant will submit a detailed line item budget that describes the duties of each staff person.

Q. Can grant funds be used to purchase healthy foods to distribute to priority population through prescriptions for produce?

A. No. In general, funds may not be used to purchase foods to distribute to a priority population through prescriptions for produce, however, recipients can partner with organizations to accomplish that activity provided the proposed activities align and support the overall strategies as listed in the NOFO on pages 12-15.

Q. Are planning costs allowable?

A. Planning may be a part of the implementation plan and should be justified in the line item budget.

Q. Is there a limit to the number of sub-contractors we can have and dollar amounts for those subcontracts?

A. Although there is no limit on the number of sub-contractors, applicants must submit a budget that supports the proposed work plan and is reasonable.

Q. Is it true that we do not need to submit a 5 year detailed budget? We are just outlining a detailed budget for year 1?

A. Correct, a detailed budget narrative is required for the first year of the project period.

Q. What type of equipment can be purchased?

A. Generally, recipients may not use funds to purchase equipment. Any such proposed spending must be clearly identified in the budget.

6/4/18

Q. Is it allowable to use funding on programmatic activities (i.e. providing physical activity programming)?

A. Funding from this NOFO can be used to improve community design by connecting safe and accessible places for physical activity in the priority population(s). Applicants who select the Physical Activity strategy will describe the accompanying activities that will result in an improved health outcome.

Q. Page 30 states that applicants should budget for up to five staff to participate for up to five days of training and up to two evaluation staff for two days of training. Does this have to be direct staff or can contractors (i.e. evaluation, communication) be included? If so, how should this be reflected in the budget?

A. Applicants will identify the appropriate personnel to attend the trainings and are not limited to direct staff. Contractual staff travel may be listed as part of the contract.

Q. How much of the proposed budget should be allocated to support communication activities?

A. This NOFO does not require a specific percentage of funds that must be dedicated to communication activities. The applicant will submit a budget that supports and aligns with the communication activities proposed in the work plan.

Q. The max for year 1 is $900,000, however, the remaining years (2-5) are based on the operating costs. Is there a maximum budget that they can request for the entire project period (years 1-5 total)?

A. Applicants should provide a detailed budget and justification for Year-01 and provide a general summary of proposed program activities for Years 2-5 in narrative form. 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.

5/24/18

Q. Should the budget submitted be a 1 year budget or a 5 year budget?

A. Applicants will submit a budget proposal for year one of the period of performance.

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Priority Populations

6/15/18

Q. Page 9 states, “Applicants will select up to two of the five priority populations”. Does this mean we can only work with one of the priority populations?

A. When selecting the target populations, applicants may select one or two of the priority populations outlined in the NOFO.

Q. We can choose UP TO 2 priority populations, but we can choose just 1, right?

A. It is acceptable to select only one priority populations with whom to work but no more than two priority populations.

Q. In previous REACH funding cycles, the population of focus was limited to adults. Are there specific age groups that are the focus for this NOFO?

A. There are no specified age groups for this NOFO.

Q. Regarding geographical location, please clarify if 20% poverty requirement. Is this 20% specific to the minority population of priority, or does this refer to ALL population residing in the targeted location?

A. The 20% refers to all the population residing in the target location.

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Recipient Strategies and Activities

6/15/18

Q. Must applicants fulfill all activities listed under each major Strategy (tobacco, nutrition, etc.)?

A. For the strategy that is chosen to be implemented, each of the accompanying bulleted set of activities must be addressed as well.

Q. Do we have to address all activities listed under a specific strategy?

A. For the strategy that is chosen to be implemented, each of the accompanying bulleted set of activities must be addressed as well.

Q. Can we choose other strategies than those listed on the rubric on page 5 of the NOFO? For example only one strategy is listed for Physical Activity.

A. Applicants will address the activities listed under each of the selected strategies.

Q. Are we allowed to work with previous REACH Grantees in our area to expand upon work that they have done in our target area/with our target population?

A. Applicants are expected to collaborate with other partners in their community to achieve the selected outcomes. Building upon other work in your community is allowed provided the proposed work does not duplicate work that will be executed at the same time or in the same geographic area.

Q. Are we allowed to focus on more than one health outcome (ex. diabetes and CVD)?

A. Yes, the NOFO provides communities the opportunity to improve health, prevent chronic diseases, and reduce health disparities among racial and ethnic populations with the highest risk, or burden, of chronic disease (i.e., hypertension, heart disease, Type 2 diabetes, and obesity).

Q. Can we build upon past efforts and expand the strategy interventions to a larger community within the same geographical location? For example, expand efforts conducted from Vietnamese to the larger Asian community in the same geographical location?

A. Applicant must use the results from a community health needs assessment completed within the last 5 years that provides specific information on disparities experienced by the proposed priority population(s) and a justification for the proposed geographical area. These efforts can build upon what has been implemented previously in the community.

Q. Do you fund a health impact assessment related to the project?

A. Health impact assessments are not specifically referenced in this NOFO. Health impact assessments may be part of the needs assessment that is used to define the priority populations and the geographic area in which the applicant proposes work.

Q. Can applicants propose work in all 4 strategies?

A. Funding from the NOFO will support three of the four strategies.

Q. Do you have to do all activities under a strategy? If not, is there a minimum number of the activities you have to do?

A. For any one of the strategies that is chosen, each of the accompanying bulleted set of activities must be addressed as well.

Q. Can we do other activities than those listed?

A. Funding from this NOFO will support the strategies and associated activities outlined in the NOFO.

Q. Clinical care is not allowed, I understand that. Are health screenings allowable?

A. Health Screenings might be plausible; the applicant has to provide the appropriate justification. The activity must be justified within the applicant’s proposed budget and demonstrate how it aligns with the required strategies and work plan. This activity would likely fall under the Clinical Community Linkage strategy which is to support collaboration with partners to increase referral and access to community-based health programs for the priority population(s).

Q. Do we have to address all activities listed under a specific strategy?

A. For any one of the strategies that is chosen, the applicant must address each of the accompanying activities listed in the NOFO for that strategy.

Q. For physical activity targets, the strategies provided as example are “Establish new or improved pedestrian, bicycle, or transit transportation systems (i.e., activity-friendly routes) that are combined with new or improved land use or environmental design (i.e., connecting everyday destinations).” QUESTION Since the construction costs/expenses will not be allowed, the outcomes may only not be actual implementation but limited to planning and designing. Is this appropriate?

A. The Physical Activity strategy supports the collaboration with partners to meet the intermediate outcomes. Applicants may utilize partnership development and coordination to leverage resources and maximize reach and impact of physical activity activities within the community.

Q. Is it appropriate to allocate at most one year to finalize the implementation strategy when developing the detailed work plan?

A. This NOFO is intended to fund implementation ready applicants who demonstrate the ability to readily implement requirements with minimal start up time (see page 36).

Q. Are all the bullet points required to be address under each strategy?

A. For the strategy that is chosen to be implemented, each of the accompanying bulleted set of activities must be addressed as well.

Q. For the nutrition strategy, the first bullet point is “Work with food vendors, distributors and producers to enhance healthier food procurement and sales; establish/support food hubs; establish a network of food sales outlets; establish a group purchasing collective; develop tools to match local producers with institutions; and explore innovative practices that can support this work.” Do we have to do all the activities listed here? Or are we able to select a couple of these interventions under this activity?

A. For any one of the strategies that is chosen, each of the accompanying bulleted set of activities must be addressed as well. For some of the bullets we have provided examples of how to implement the activity that may or may not be applicable to your proposed work plan.

6/4/18

Q. If the lead applicant ensures that all 4 strategies are being met within the grant, do sub awardees need to do all 4 strategies or can they address 1 or more of the identified strategies?

A. Per the NOFO the funded recipient is required to address 3 of the 4 outlined strategies; the lead recipient has the flexibility of developing a work plan that will best facilitate accomplishing this requirement. How the funded organization utilizes sub-recipients is at the discretion of the funded organization and should be outlined within the proposed work plan and budget.

Q. The NOFO states that applicant must select 2 of 5 priority populations listed for work on the award. Can we choose Hispanic Americans as a priority population and a second priority population comprised of both African Americans and Asian Americans?

A. When selecting the target populations, applicants will select up to two of the five priority populations listed below for work on this award. It is acceptable to select only one priority populations with whom to work and no more than two priority populations.

Q. Would the purchase of a van be and allowable cost?

A. No.

5/24/18

Q. In the NOFO it states that applicants must propose work in 3 of the 4 strategies and their accompanying activities. Does that mean if an applicant choses the nutrition strategy, they would have to address each of the four bullets listed on page 6 of 53 under the nutrition heading?

Does the awardee have to implement all of the strategies listed on pages 12-15 for the selected area? For instance, on page 12 – if the applicant selects `tobacco’ as a topic area, are they required to implement all 7 strategies listed for tobacco on pages 12 and 13, or can they choose from among these?

A. For any one of the strategies that is chosen, the applicant must address each of the accompanying activities listed in the NOFO for that strategy.

Q. On page 9 of 53 in the NOFO, applicants are asked to select up to 2 of the 5 priority populations. Could you clarify if the “up to” phrase means that we have to address 2 or does that mean we can select 1 priority population?

A. Applicants can select one or two priority populations.

Q. On page 2 of 53, under the heading entitled “funding will support recipients” #2 states “select strategies that address the health disparities in the community based on a health needs assessment process.” Are the proposed strategies alluded to in this statement the same as the strategies mentioned on page 3 of 53 in the second paragraph where it references best practices for comprehensive tobacco control, etc. Or can we propose other evidence based strategies?

A. Yes. They are the same strategies.

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Recipient Strategies and Activities - Tobacco

6/4/18

Q. For the tobacco strategy, there seems to be a strong focus on indoor (work places, multi-unit housing) environments. Will outdoor environments (i.e. parks other recreation areas) be considered as a strategy?

A. The applicant should provide tobacco-related activities as listed in the NOFO on page 6 to support the strategy to promote tobacco free living among priority population(s).

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Staffing

6/15/18

Q. What if our state’s Chronic Disease Director position is vacant? How should we proceed?

A. To meet the requirement of submitting a Letter of Acknowledgment from the state chronic disease director, it is acceptable to have the letter signed by the individual who is acting in that capacity.

Q. Does evaluator need to be external to the applicant or can we use internal evaluator?

A. The applicant will determine how to meet the evaluation require with either internal or external staff.

Q. Do we need to allocate staffing and activities equally across the selected strategies (e.g., PA strategy only has 1 activity compared to Tobacco, which has 7)?

A. There is no required allocation of funding across the selected strategies.

Q. Are the applicants allowed to have multiple Project Directors? If so, is there any limit on the total number of PDs?

A. CDC recommends a full time equivalent to serve as the program manager who will be responsible for the day to day management of the implementation of activities.

Q. I have a specific question regarding principle investigator eligibility for the CDC-RFA-DP18-1813 proposal. I am a recent M.P.H. graduate with program development and evaluation experience. Regarding eligibility, is there a certain credential or appointment that one must have to be a lead investigator on this proposal? I have experienced PhD faculty that would serve as co-investigators, but I would like to clarify if I could be lead PI?

A. Applicants must provide a staffing plan that is sufficient to achieve the project outcomes. The principal investigator’s role is to provide overall program oversight. There are no specified degree or credential requirements.

Q. Do we need to allocate staffing and activities equally across the selected strategies (e.g., PA strategy only has 1 activity compared to Tobacco, which has 7)?

A. There is no required allocation of funding across the selected strategies.

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Other

6/15/18

Q. How many awards will there be? Upper limit on dollars per award?

A. We expect approximately 32 awards. The upper limit is $900,000 per budget period.

Q. When does the implementation start?

A. The Year 1 of this award runs from 9/29/2018 through 9/28/2019.

Q. Does CDC anticipate working with ICF, or any other group, to provide TA to grantees?

CDC will ensure that recipients have access to appropriate technical assistance and subject matter experts. This may include technical assistance and expertise from within and outside of CDC.

Q. For future changes, can you please add a brief summary so we are not all searching to figure out what they were?

A. Thank you for the suggestion.

6/4/18

Q. The RFP does not list a project start date, but states that awards will occur on 9/29/18 (page 2) What do you suggest we use as the project start and end dates for the twelve-month period please? Is 10/1/18-9/30/19 acceptable? Can it start in 2020 instead?

A. Year 1 of this award runs from 9/29/2018 through 9/28/2019.

Q. Will there be basic and comprehensive awardee categories as in the REACH 2014 award? It is noted that applicants must select 3 out of the 4 strategies to include. If someone included all 4, would they be considered a comprehensive awardee?

A. This NOFO does not make a distinction between a basic and a comprehensive category. Applicants will describe their Implementation Readiness as listed on page 36 of the NOFO. Applicants should apply for three of the four strategies that are described on pages 12-14 of the NOFO.

5/29/18

Q. The logic model is difficult to read in the NOFO. Could you please post the logic model in a format we can enlarge?

A. Yes. Please find a PDF of the logic model here. [PDF-248KB]

5/24/18

Q. We weren’t sure whether the estimated floor award of $500,000 is a total cost or whether it refers to direct costs. Could you please clarify?

A. The estimated floor award of $500,000 is a total cost, that should include indirect costs (if applicable) as part of the proposed budget.

Q. Given that the grant is a 5-year project, is the award ceiling and award floor listed a one-year amount or a total for the 5-year grant period?

A. The estimated floor award of $500,000 and ceiling of $900,000 is the amount per budget period or per year (page 20 of NOFO).

Q. Are samples of successful prior grant proposals or synopses available to the public?

A. To gain a perspective on communities who have been funded in previous years, please visit our webpage at https://www.cdc.gov/nccdphp/dnpao/state-local-programs/reach/index.htm where you will find the currently funded awardees as well as past programs.

Q. Can the applicants get a standalone copy of the logic model? It is difficult to read in the NOFO.

A. Yes we will post a PDF of this. (See 5/29/18 for update)

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Return to the Information for the Notice of Funding Opportunity Announcement (NOFO): CDC-RFA-DP18-1813: Racial and Ethnic Approaches to Community Health (REACH.

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