and Human Services (HHS)
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Department of Health and Human Services
Participating Organizations
Centers for Disease Control and Prevention (CDC), at http://www.cdc.gov/
Components of Participating Organizations
National Immunization Program (NIP/CDC), at http://www.cdc.gov/nip/default.htm
Title: Support and Resources Needed For Universal Childhood Influenza Vaccination: Providers Perspective
The CDC policies, guidelines, terms, and conditions may be found at http://www.cdc.gov/od/pgo/funding/pubcommt.pdf
Authority: This program is authorized under section 317 (k) (1) [42 U.S.C. 247b (k) (1)] of the Public Health Service Act, as amended.
Announcement Type: New
Request For Applications (RFA) Number: RFA-IP-06-005
Catalog of Federal Domestic Assistance Number(s):
93.185
Immunization Research, Demonstration, Public Information and Education-Training
and Clinical Skills Improvement Projects
Key Dates
Release
Date: February 17, 2006
Letter of Intent Receipt Date: March 1, 2006
Application Receipt Date: April 10, 2006
Peer Review Date: TBD
Special Emphasis Panel Review Date: TBD
Earliest Anticipated Start Date: September 15,
2006
Expiration Date: April 11, 2006
Due Date for E.O. 12372
Due no later than 60 days after the
application receipt date
Additional
Overview Content
Executive Summary
Table of Contents
Section VII. Other Information Required Federal
Citations
Part II - Full Text
of Announcement
Section I. Funding Opportunity Description
The CDC and NIP are committed to achieving the health promotion and disease prevention objectives of "Healthy People 2010" and to measuring program performance as stipulated by the Government Performance and Review Act (GPRA). This RFA addresses Healthy People 2010 priority area(s) of Immunization and Infectious Diseases and is in alignment with NIP performance goal(s) to reduce the number of indigenous vaccine-preventable diseases. For more information, see www.health.gov/healthypeople and www.whitehouse.gov/omb/mgmt-gpra/.
Nature of research opportunity:
NIP is soliciting investigator-initiated research that will expand and advance our understanding of the feasibility of implementing a universal influenza vaccination recommendation for children in provider offices.
Background information that establishes the need for the research:
Recent research indicates that universally vaccinating children against influenza may stop disease transmission to adults, reduce influenza-related morbidity and mortality in the elderly, and save health care systems the cost of treating expensive sequelae such as pneumonia. Healthy children 6-23 months and high risk children ages 2-18 are currently recommended to receive influenza vaccine. Universal vaccination would expand this recommendation to healthy children ages 2-18, increasing the number of children vaccinated each year by approximately 39 million (CDC, unpublished data, 2005).
The addition of large numbers of seasonal patient visits for vaccination would magnify the trend of the last decade of increasing the proportion of medical practice resources devoted to vaccination as compared to all other services. This trend is partly due to expanding influenza vaccination to all healthy 6-23 month olds and the greater number of routinely recommended vaccines. Currently, there is little research about vaccination capacity in physician offices, whether or not physicians are willing to devote ever greater portions of their practice capacity to vaccination, and what office practices physicians would implement to accommodate seasonal spikes in vaccination demand. From a recent analysis of the Medical Expenditures Panel (MEP) database, it was found that additional patient burden would probably differ by type of medical practice specialty, as well as seasonality of office visits and children’s ages (Dr. Peter Szilagyi, unpublished data):
This information supports that new policies may be needed to account for the increased likelihood of seasonal spikes in office visits for vaccination and argues for comparisons of resources devoted to vaccination in both family practice and pediatric offices.
There are only a few published studies which examine resource use to vaccinate and none of these studies collect the entire denominator so that the proportion of resources devoted to vaccination in medical practices can be determined. For example, recent studies by Szilagyi et al.1 (children) and Fontanesi et al.2 (adults) observed clinical staff time to vaccinate, number of vaccination rooms, numbers of clinical staff, and patient time spent in waiting rooms or interacting with medical staff. However, neither study observed total resources used to vaccinate, nor did they place vaccination in the context of other services delivered. Total resources include, but are not limited to: office space (including examining rooms); share arrangements between multiple physicians; numbers of clinical and non-clinical office staff; numbers of patients that flow through the practice and seasonal variations; numbers of vaccinations given; numbers of office visits; machine and equipment costs; billing and financial recovery labor; office hours; storage space for vaccines and other pharmaceuticals; record keeping labor; etc. Without understanding the total numbers of children served and the amount of resources used to deliver their medical care, observed studies can only be used as parameters in estimation models to determine the proportion of resources used delivering vaccination, and those estimation models can not be verified with observed data. Without understanding the range of proportions of resources used for vaccination in different settings, we are unable to accurately forecast the amount of resources needed to vaccinate additional children on an annual basis in a short period of time. Finally, understanding resource use is key to determining whether or not physicians plans to accommodate seasonal spikes in vaccination are realistic and whether or not third party reimbursements are adequate to pay for additional resource use.
1. Szilagyi PG, Iwane MK, Humiston SE, Schaffer S, McInerny T, Shone L, Jennings J, Washington ML. Time spent by primary care practices on pediatric influenza vaccination visits: implications for universal influenza vaccination. Arch Ped and Adoles Med. 2003 Feb;157(2):191-5
2. Fontanesi JF, Shefer AM, Fishbein DB, Bennett NM, DeGuire M, Kopald D, Holcomb K, Stryker DW, Coleman MS. Operational conditions affecting the vaccination of older adults. AJPM. 2004:26(4)
Scientific knowledge to be achieved:
This RFA specifically seeks assistance to determine physicians support for a universal childhood influenza vaccination recommendation and what office policies medical practices would implement to handle seasonal spikes in vaccination, determine current resources used to vaccinate, and forecast the additional resources needed to implement a universal influenza recommendation for all children. No studies have determined the total resources currently used to vaccinate children. This study would include all resources used in medical practices (i.e., backoffice staff time, implementing reminder recall) and determine what portion of those resources are used to vaccinate current populations. This information would be used to forecast the resources needed to expand influenza vaccination from the current population of children for which it is recommended to all children age 2-18 years. Further, no studies have specifically asked physicians how they would anticipate handling the seasonal increase in patient load. Progress will be evidenced by increased knowledge of the feasibility of implementing a universal influenza vaccination recommendation for children in provider offices.
Objectives of this research program:
NIP is soliciting investigator-initiated research that will help expand and advance our understanding of the feasibility of implementing a universal influenza vaccination recommendation for children in provider offices. To assess the feasibility of implementing a universal influenza vaccination recommendation for all children, the following research objectives are the focus of this solicitation:
1. Determine physicians support for a universal childhood influenza vaccination recommendation (all 2-18 year olds)
2. Identify office policies physicians and medical practices would implement to handle seasonal spikes in vaccination
3. Measure current resources used to vaccinate in medical offices
4. Forecast the additional resources needed to implement a universal influenza recommendation.
Research and experimental approaches that are being sought:
1. Design, conduct, and analyze a state-wide, cross-sectional survey of family physicians and pediatricians who provide vaccination to children. Awardee will be responsible for: developing the sample frame of physicians; randomly selecting physicians for the survey (sample size should be of sufficient size and statistical power to detect significant differences between groups, such as between practice type, practice size, or geographic differences); developing a survey instrument including topics such as general practice characteristics, willingness to implement a universal vaccination policy, perceptions of resources needed to comply with a universal influenza vaccination recommendation, plans to accommodate seasonal vaccination spikes, reimbursement rates for vaccination and other childhood services; administering the survey to physicians incorporating appropriate follow-up activities to ensure a high response rate; and analyzing survey responses.
2. Design, conduct, and analyze a physician site visit protocol to a subset of physicians who completed the survey to observe work practices and collect information needed to measure resources used for vaccination. Awardee will be responsible for: recruiting physicians; developing data collection instruments and protocols; hiring, training, and supervising staff to conduct site visits; ensuring data quality; and analyzing data. Data collection instrument should include (but not limited to) key variables such as labor composition, practice characteristics, work time, numbers of vaccinations delivered, and patient flow.
3. Build a model to forecast the additional amount of capacity that will be needed to accommodate seasonal increases in patient load.
4. Collaboratively disseminate research findings in peer reviewed publications and for use in determining national policy. A plan for disseminating findings to collaborating immunization providers should also be specified in the application.
See Section VIII, Other Information - Required Federal Citations, for policies related to this announcement.
1. Mechanism(s) of Support
This funding opportunity will use the UO1 award mechanism(s).
Specifically, the assistance instrument will be a Research Project Cooperative Agreement.
The CDC U01 is a cooperative agreement award mechanism. In the cooperative agreement mechanism, the Principal Investigator retains the primary responsibility and dominant role for planning, directing, and executing the proposed project, with CDC staff being substantially involved as a partner with the Principal Investigator, as described under the Section VI. 2. Administrative Requirements, "Cooperative Agreement Terms and Conditions of Award".
2. Funds Available
The participating CIO, the National Immunization Program, intends to commit approximately $225,000 for both direct and indirect costs dollars in FY 2006 to fund one awardee. The average award amount will be $225,000 for both direct and indirect costs for the first 12-month budget period. An applicant may request a project period of up to two years. An applicant may request up to $225,000 for the first 12-month budget period. The approximate total project period funded amount is approximately $395,000. The anticipated start date for new awards is September 15, 2006.
All estimated funding amounts are subject to availability of funds.
If you request a funding amount greater than the ceiling of the award range, your application will be considered non-responsive, and will not be entered into the review process. You will be notified that your application did not meet the submission requirements.
Section III. Eligibility Information
You may submit (an) application(s) if your organization has any of the following characteristics:
For profit organizations are not eligible under section 317 (k) [42 U.S.C. 247b (k) (3)] of the Public Health Service Act, as amended.)
A Bona Fide Agent is an agency/organization identified by the state as eligible to submit an application under the state eligibility in lieu of a state application. If you are applying as a bona fide agent of a state or local government, you must provide a letter from the state or local government as documentation of your status. Place this documentation behind the first page of your application form.
1.B.
Eligible Individuals
Any
individual with the skills, knowledge, and resources necessary to carry out the
proposed research is invited to work with their institution to develop an
application for support. Individuals from underrepresented racial and ethnic
groups as well as individuals with disabilities are always encouraged to apply
for CDC programs.
To be eligible for this RFA, the researcher must be (or must have access to someone who is) knowledgeable and conversant in issues of economics, economic evaluation, resource use, how vaccines fit in to the larger economic picture of a practice, etc. This project calls for analysis that is more complex than most economic evaluations that have as their primary result a ratio of costs and benefits.
2. Cost Sharing or Matching
Cost sharing,
matching, and cost participation are not required.
The most current Grants Policy Statement can be found at: http://www.cdc.gov/od/pgo/funding/pubcommt.pdf
3. Other-Special Eligibility Criteria
Applications must demonstrate effective and well-defined working relationships within the performing organization and with outside entities which will ensure implementation of the proposed activities, as evidenced by letters of support from all relevant participating organizations. Place these letters in the appendix of your application. Applications must demonstrate an overall match between the applicant's proposed theme and research objectives and the program priorities as described under the heading, Research Objectives.
Principal Investigators are encouraged to submit only one grant application in response to this RFA. However, applicants may submit more than one application, provided they are scientifically distinct.
If your application is incomplete or non-responsive to the special requirements listed in this section, it will not be entered into the review process.
Note: Title 2 of the United States Code Section 1611 states that an organization described in Section 501(c)(4) of the Internal Revenue Code that engages in lobbying activities is not eligible to receive Federal funds constituting an award, grant, or loan.
Section IV. Application and Submission Information
1. Address to Request Application
Information
The PHS 398 application
instructions are available at http://grants.nih.gov/grants/funding/phs398/phs398.html in an interactive format. Applicants must use the currently approved version of
the PHS 398. For further assistance contact GrantsInfo, Telephone (301)
710-0267, Email: GrantsInfo@nih.gov.
CDC Telecommunications for the hearing
impaired: TTY 770-488-2783.
2. Content and Form of Application Submission
Applications must be prepared using the most current PHS
398 research grant application instructions and forms. Failure to comply with
PHS 398 requirements may result in a non-responsive determination. Applications
must have a Dun & Bradstreet (D&B) Data Universal Numbering System number
as the universal identifier when applying for Federal grants or cooperative
agreements. The D&B number can be obtained
by calling (866) 705-5711 or through the web site at http://www.dnb.com/us/. The D&B number
should be entered on line 11 of the face page of the PHS 398 form.
The title and number
of this funding opportunity must be typed on line 2 of the face page of the
application form and the YES box must be checked.
3. Submission Dates and Times
All requested information must be received in the CDC Procurement and Grants Office by 4:00 p.m. Eastern Time on the deadline date. If you submit your application by the United States Postal Service or commercial delivery service, you must ensure that the carrier will be able to guarantee delivery by the closing date and time. If CDC receives your submission after closing due to: (1) carrier error, when the carrier accepted the package with a guarantee for delivery by the closing date and time, or (2) significant weather delays or natural disasters, you will be given the opportunity to submit documentation of the carrier’s guarantee. If the documentation verifies a carrier problem, CDC will consider the submission as having been received by the deadline.
This announcement is the definitive guide on letter of intent and application content, submission address, and deadline. It supersedes information provided in the application instructions. If your application does not meet the deadline described in Section IV.3.A, it will not be eligible for review, and will be discarded. You will be notified that you did not meet the submission requirements.
Otherwise, CDC will not notify you upon receipt of your
submission. If you have a question about the receipt of your application,
first contact your courier. If you still have a question, contact the PGO-TIMS
staff at: 770-488-2700. Before calling, please wait two to three days after
the submission deadline. This will allow time for submissions to be processed
and logged.
3.A. Receipt, Review and Anticipated Start Dates
Letter
of Intent Receipt Date: March 1, 2006
Application Receipt Date(s): April 10, 2006
Peer
Review Date: TBD
Special
Emphasis Panel Review Date: TBD
Earliest
Anticipated Start Date: September 15, 2006
3.A.1.
Letter of Intent
Prospective applicants
are asked to submit a letter of intent that includes the following information:
Although a letter of intent is not required, is not binding, and does not enter into the review of a subsequent application, the information that it contains allows CIO staff to estimate the potential review workload and plan the review.
The letter of intent is to be sent by the date listed in Section IV.3.
The letter of intent should be sent to:
J. Felix Rogers, PHD, MPH
Scientific Program Administrator
Office of Science, NIP
Centers for Disease Control and Prevention
1600 Clifton Road, MS E-05
Atlanta, GA 30333
Telephone: (404) 639-6101
Fax: (404) 639-0801
Email: fxr3@cdc.gov
3.B. Sending an Application
Applications follow the PHS 398 application instructions for content and formatting of your applications. If the instructions in this announcement differ in any way from the PHS 398 instructions, follow the instructions in this announcement.
Applications must be prepared using the research grant applications found in the PHS 398 instructions for preparing a research grant application. Submit a signed, typewritten original of the application and all appendices, including the checklist, and one signed photocopy in one package to:
Technical
Information Management Section IP06-005
CDC, Procurements and Grants Office
2920 Brandywine Road
Atlanta, GA 30341
At the time of submission, two additional copies of the application, including the appendix material, must be sent to:
J. Felix Rogers, PHD, MPH
Scientific Program Administrator
Office of Science, NIP
Centers for Disease Control and Prevention
1600 Clifton Road, MS E-05
Atlanta, GA 30333
Telephone: (404) 639-6101
Fax: (404) 639-0801
Email: fxr3@cdc.gov
Using the RFA Label: The RFA label available in the PHS 398 application instructions must be affixed to the bottom of the face page of the application. Type the RFA number on the label. Failure to use this label could result in delayed processing of the application such that it may not reach the review committee in time for review. In addition, the RFA title and number must be typed on line 2 of the face page of the application form and the YES box must be marked. The RFA label is also available at: http://grants.nih.gov/grants/funding/phs398/labels.pdf.
3.C.
Application Processing
Applications
must be received on or before the application receipt date(s) described
above (Section IV.3.A.). If an application is received after that date, it will
be returned to the applicant without review. Upon receipt, applications will be
evaluated for completeness and responsiveness by NIP and PGO. Incomplete and non-responsive
applications will not be reviewed.
4. Intergovernmental Review
Your application is subject to Intergovernmental Review of Federal Programs, as governed by Executive Order (EO) 12372. This order sets up a system for state and local governmental review of proposed federal assistance applications. You should contact your state single point of contact (SPOC) as early as possible to alert the SPOC to prospective applications, and to receive instructions on your state’s process. Click on the following link to get the current SPOC list: http://www.whitehouse.gov/omb/grants/spoc.html
5. Funding Restrictions
All
CDC awards are subject to the terms and conditions, cost principles, and other
considerations described in the PHS Grants Policy Statement.
Additional guidance can be found at CDC Grants Policy Statement at http://www.cdc.gov/od/pgo/funding/pubcommt.pdf
Restrictions, which must be taken into account while writing your budget, are as follows:
6. Other Submission Requirements
Awardees must agree to the
"Cooperative Agreement Terms and Conditions of Award" in Section VI.
"Award Administration Information".
If you are requesting indirect costs in your budget, you must include a copy of your indirect cost rate agreement. If your indirect cost rate is a provisional rate, the agreement should be less than 12 months of age.
Your research plan should address activities to be conducted over the entire project period.
Plan for Sharing Research Data
The precise content of the data-sharing plan will vary, depending on the data being collected and how the investigator is planning to share the data. Applicants may wish to describe briefly the expected schedule for data sharing, the format of the final dataset, the documentation to be provided, whether or not any analytic tools also will be provided, whether or not a data-sharing agreement will be required and, if so, a brief description of such an agreement (including the criteria for deciding who can receive the data and whether or not any conditions will be placed on their use), and the mode of data sharing (e.g., under their own auspices by mailing a disk or posting data on their institutional or personal website, through a data archive or enclave). References to data sharing may also be appropriate in other sections of the application.
All applicants must include a plan for sharing research
data in their application. The data sharing policy is available at http://www.cdc.gov/od/pgo/funding/ARs.htm under Additional Requirements 25 Release and Sharing of Data. All investigators
responding to this funding opportunity should include a description of how
final research data will be shared, or explain why data sharing is not
possible.
The
reasonableness of the data sharing plan or the rationale for not sharing
research data will be assessed by the reviewers. However, reviewers will not
factor the proposed data sharing plan into the determination of scientific
merit or the priority score.
Sharing Research
Resources
PHS
policy requires that grant award recipients make unique research resources
readily available for research purposes to qualified individuals within the
scientific community after publication (PHS Grants Policy Statement http://grants.nih.gov/grants/policy/gps/8postnew.htm#phs.) Investigators responding to this
funding opportunity should include a plan for sharing research resources
addressing how unique research resources will be shared or explain why sharing
is not possible.
The
adequacy of the resources sharing plan and any related data sharing plans will
be considered by Program staff of the funding organization when making
recommendations about funding applications. The effectiveness of the resource
sharing will be evaluated as part of the administrative review of each
non-competing Grant Progress Report (PHS 2590, http://www.cdc.gov/od/pgo/forminfo.htm ). See Section VI.3. Reporting.
Section V. Application Review Information
1. Criteria
Only the review criteria described below
will be considered in the review process.
The following will be considered in making funding
decisions:
2. Review and Selection Process
Applications
that are complete and responsive to the RFA will be evaluated for scientific
and technical merit by an appropriate peer review group convened by
NIP in accordance with the review criteria stated below.
As
part of the initial merit review, all
applications will:
Undergo a peer review by a Special Emphasis Panel (SEP). The SEP will be selected from a pool of scientists outside the CDC or recommendations from the National Immunization Program to serve as reviewers on SEPs. Applications will be ranked for the secondary review according to scores submitted by the SEP. Only those applications deemed to have the highest scientific merit by the review group, generally the top half of the applications under review, will be discussed and assigned a priority score.
Receive a written critique.
Receive a second programmatic level review by the NIP.
The goals of CDC-supported research are to advance the understanding of health promotion and prevention of disease, injury, and disability, and enhance preparedness. In the written comments, reviewers will be asked to evaluate the application in order to judge the likelihood that the proposed research will have a substantial impact on the pursuit of these goals.
Significance: Does this
study address an important problem? If the aims of the application are
achieved, how will scientific knowledge or clinical practice be advanced? What will
be the effect of these studies on the concepts, methods, technologies,
treatments, services, or preventative interventions that drive this field?
Approach: Are the
conceptual or clinical framework, design, methods, and analyses adequately
developed, well integrated, well reasoned, and appropriate to the aims of the
project? Does the applicant acknowledge potential problem areas and consider
alternative tactics? Does the project include plans to
measure progress toward achieving the stated objectives? Is there an
appropriate work plan included?
Innovation: Is the
project original and innovative? For example: Does the project challenge
existing paradigms or clinical practice; address an innovative hypothesis or
critical barrier to progress in the field? Does the project develop or employ
novel concepts, approaches, methodologies, tools, or technologies for this
area?
Investigators: Are the
investigators appropriately trained and well suited to carry out this work? Is
the work proposed appropriate to the experience level of the Principal
Investigator and other researchers? Does the investigative team bring
complementary and integrated expertise to the project (if applicable)? Is there a prior history by the Principal
Investigator of conducting immunization-related research and
publishing the findings in peer-reviewed journals?
Environment: Does the
scientific environment in which the work will be done contribute to the
probability of success? Do the proposed studies benefit from unique features of
the scientific environment, or subject populations, or employ useful
collaborative arrangements? Is there evidence of institutional support? Is there an appropriate degree of
commitment and cooperation of other interested parties as evidenced by letters
of support detailing the nature and extent of the involvement?
2.A.
Additional Review Criteria:
In
addition to the above criteria, the following items will continue to be
considered in the determination of scientific merit and the priority score:
Protection of Human Subjects from Research Risk: The involvement of human subjects and protections from research risk relating to their participation in the proposed research will be assessed (see the Research Plan, Section E on Human Subjects in the PHS Form 398). http://www.hhs.gov/ohrp/humansubjects/guidance/45cfr46.htm. Additional CDC Requirements under AR-1 Human Subjects Requirements can be found on http://www.cdc.gov/od/pgo/funding/ARs.htm.
Inclusion of Women and Minorities in Research:
Does the application adequately address the CDC Policy requirements regarding the inclusion of women, ethnic, and racial groups in the proposed research? This includes: (1) The proposed plan for the inclusion of both sexes and racial and ethnic minority populations for appropriate representation; (2) The proposed justification when representation is limited or absent; (3) A statement as to whether the design of the study is adequate to measure differences when warranted; and (4) A statement as to whether the plans for recruitment and outreach for study participants include the process of establishing partnerships with community(ies) and recognition of mutual benefits.
2.B.
Additional Review Considerations
Budget: The reasonableness of the proposed
budget and the requested period of support in relation to the proposed
research. The priority score should not be affected by the evaluation of the
budget.
2.C. Sharing
Research Data
Data Sharing Plan: The reasonableness of the data
sharing plan or the rationale for not sharing research data will be assessed by
the reviewers. However, reviewers will not factor the proposed data sharing
plan into the determination of scientific merit or the priority score. The
presence of a data sharing plan will be part of the terms and conditions of the
award. The funding organization will be responsible for monitoring the data
sharing policy.
Program
staff will be responsible for the administrative review of the plan for sharing
research data.
2.D. Sharing
Research Resources
PHS
policy requires that grant award recipients make unique research resources
readily available for research purposes to qualified individuals within the
scientific community after publication. http://grants.nih.gov/grants/policy/gps/8postnew.htm#phs.
Investigators responding to this funding opportunity should include a sharing
research resources plan addressing how unique research resources will be shared
or explain why sharing is not possible.
Program
staff will be responsible for the administrative review of the plan for sharing
research resources.
The
adequacy of the resources sharing plan will be considered by Program staff of
the funding organization when making recommendations about funding
applications. Program staff may negotiate modifications of the data and
resource sharing plans with the awardee before recommending funding of an
application. The final version of the data and resource sharing plans
negotiated by both will become a condition of the award of the grant. The
effectiveness of the resource sharing will be evaluated as part of the administrative
review of each non-competing Grant Progress Report (PHS 2590 http://www.cdc.gov/od/pgo/forminfo.htm).
See Section VI.3. Reporting .
3. Anticipated Announcement and Award Dates
TBD
Section
VI. Award Administration Information
1. Award Notices
After
the peer review of the application is completed, the Principal Investigator
will also receive a written critique called a Summary Statement.
Those applicants
under consideration for funding will be contacted by CDC for additional
information.
A formal notification in the form of a Notice of Award (NoA) will be provided to the applicant organization. The NoA signed by the Grants Management Officer (GMO) is the authorizing document. This document will be mailed and/or emailed to the recipient fiscal officer identified in the application.
Selection of the application for award is not an authorization to begin performance. Any cost incurred before receipt of the NoA is at the recipient’s risk. These costs may be reimbursed only to the extent considered allowable pre-award costs. See also Section IV.5. Funding Restrictions.
2. Administrative and National Policy Requirements
The Code of Federal Regulations 45 CFR Part 74 and Part 92
have details about policy requirements. For more information on the Code of
Federal Regulations, see the National Archives and Records Administration at
the following Internet address: http://www.access.gpo.gov/nara/cfr/cfr-table-search.html.
Additional requirements can be found in Section VIII. Other Information of this
document or on the CDC website at the following Internet address: http://www.cdc.gov/od/pgo/funding/ARs.htm.
These will be incorporated into the NoA by reference.
2.A. Cooperative
Agreement Terms and Conditions of Award
The following special terms of award are in addition to,
and not in lieu of, otherwise applicable OMB administrative guidelines, HHS
grant administration regulations at 45 CFR Parts 74 and 92 (Part 92 is
applicable when State and local Governments are eligible to apply), and other
HHS, PHS, and CDC grant administration policies.
The administrative
and funding instrument used for this program will be the cooperative agreement
U01 an "assistance" mechanism (rather than an "acquisition"
mechanism), in which substantial CDC programmatic involvement with the awardees
is anticipated during the performance of the activities. Under the cooperative
agreement, the CDC purpose is to support and stimulate the recipients'
activities by involvement in and otherwise working jointly with the award
recipients in a partnership role; it is not to assume direction, prime
responsibility, or a dominant role in the activities. Consistent with this
concept, the dominant role and prime responsibility resides with the awardees
for the project as a whole, although specific tasks and activities may be
shared among the awardees and the CDC as defined above.
2.A.1. Principal Investigator Rights and
Responsibilities
The Principal Investigator will have the primary
responsibility for:
Planning, directing, and executing the proposed project
with CDC staff being substantially involved as a partner.
Awardees will retain custody of and have primary rights to
the data and software developed under these awards, subject to Government
rights of access consistent with current HHS, PHS, and CDC policies.
2.A.2. CDC Responsibilities
A
CDC Project Scientist will have substantial programmatic involvement that is
above and beyond the normal stewardship role in awards, as described below.
NIP activities for this program are as follows:
1. Monitor the cooperative agreement.
2. Participate in the development, implementation and evaluation of the research project.
3. Provide technical assistance on the selection and evaluation of data collection and data collection instruments.
4. Assist in the development of research protocols for Institutional Review Boards (IRB) review. The CDC IRB will review and approve the project protocol or will defer to outside IRB, and will do so on at least an annual basis until the research project is completed.
5. Contribute subject matter expertise in the areas of epidemiological methods, statistical analysis, and economic analysis.
6. Participate in the analysis and dissemination of information, data and findings from the project, facilitating dissemination of results.
7. Facilitate an annual meeting between awardee and CDC to coordinate planned efforts and review progress.
Additionally, an agency program official or CIO program director will be responsible for the normal scientific and programmatic stewardship of the award and will be named in the award notice.
2.A.3. Collaborative Responsibilities
Not Applicable
3. Reporting
You must provide CDC with an original, plus two hard
copies of the following reports:
1. Interim/Grant Progress Report, (use form PHS 2590, OMB Number 0925-0001, rev. 9/04 as posted on the CDC website) no less than 120 days prior to the end of the current budget period. The progress report will serve as your non-competing continuation application.
2. Annual Progress Report, due 90 days after the end of the budget period.
3. Financial status report, no more than 90 days after the end of the budget period.
4. Final financial and performance reports, no more than 90 days after the end of the project period.
These reports must be forward by U.S. Postal Service or Express Delivery to the Grants Management Specialist listed in the NoA.
Although the financial plans of the CIO(s) provide support for this program, awards pursuant to this funding opportunity are contingent upon the availability of funds, evidence of satisfactory progress by the recipient (as documented in required reports) and the determination that continued funding is in the best interest of the Federal government.
We encourage your inquiries concerning this funding
opportunity and welcome the opportunity to answer questions from potential
applicants. Inquiries may fall into three areas: scientific/research, peer
review, and financial or grants management issues:
1. Scientific/Research Contacts:
Felix Rogers, PhD, MPH
Scientific Program Administrator
Office of the Director, NIP
Centers for Disease Control and Prevention
1600 Clifton Road, MS E-05
Atlanta, GA 30333
Telephone: (404) 639-6101
Fax : (404) 639-0108
Email: fxr3@cdc.gov
2. Peer Review Contacts:
Dr.
M. Chris Langub
Scientific Review Administrator
Office of the Director/Office of Public Health Research
Centers for Disease Control and Prevention
1600 Clifton Road, MS D-72
Atlanta, GA 30333
Telephone: (404) 639-4903
Fax: (404) 639-4903
Email: eeo6@cdc.gov
3. Financial or Grants Management
Contacts:
Ann
Cole
Grants Management Specialist
Centers for Disease Control and Prevention
Procurement and Grants Office
2920 Brandywine Road
Atlanta, GA 30341
Telephone:
(770) 488-2686
Fax: (770) 488-2777
Email: jcole@cdc.gov
4. General Questions Contacts:
Sharron
Orum
Grants
Managements Specialist
Technical Information Management Section
CDC Procurement and Grants Office
2920 Brandywine Road
Atlanta, GA 30341
Telephone: 770-488-2700
Email: PGOTIM@cdc.gov
Section VIII. Other Information
Required Federal Citations
Human Subjects Protection:
Federal
regulations (45CFR46) require that applications and proposals involving human
subjects must be evaluated with reference to the risks to the subjects, the
adequacy of protection against these risks, the potential benefits of the
research to the subjects and others, and the importance of the knowledge gained
or to be gained (http://www.hhs.gov/ohrp/humansubjects/guidance/45cfr46.htm).
Additional CDC Requirements under AR-1 Human Subjects Requirements can be found
on http://www.cdc.gov/od/pgo/funding/ARs.htm.
Requirements for Inclusion of Women and Racial and Ethnic Minorities
in Research
It is the policy of the Centers for Disease Control and Prevention (CDC) and the Agency for Toxic Substances and Disease Registry (ATSDR) to ensure that individuals of both sexes and the various racial and ethnic groups will be included in CDC/ATSDR-supported research projects involving human subjects, whenever feasible and appropriate. Racial and ethnic groups are those defined in OMB Directive No. 15 and include American Indian or Alaska Native, Asian, Black or African American, Hispanic or Latino, Native Hawaiian or Other Pacific Islander. Applicants shall ensure that women, racial and ethnic minority populations are appropriately represented in applications for research involving human subjects. Where clear and compelling rationale exist that inclusion is inappropriate or not feasible, this situation must be explained as part of the application. This policy does not apply to research studies when the investigator cannot control the race, ethnicity, and/or sex of subjects. Further guidance to this policy is contained in the Federal Register, Vol. 60, No. 179, pages 47947-47951, and dated Friday, September 15, 1995.
Executive Order 12372 Review
Applications are subject to Intergovernmental Review of Federal Programs, as governed by Executive Order (E.O.) 12372. The order sets up a system for State and local governmental review of proposed Federal assistance applications. Applicants should contact their State single point of contact (SPOC) as early as possible to alert the SPOC to prospective applications and to receive instructions on the State process. For proposed projects serving more than one State, the applicant is advised to contact the SPOC for each State affected.
Click on the following link to get the current SPOC list http://www.whitehouse.gov/omb/grants/spoc.html
Indian tribes must request tribal government review of their applications.
SPOCs or tribal governments that have recommendations about an application submitted to CDC should send them, in a document bearing the program announcement number, no more than 60 days after the application deadline date, to:
Sharron Orum, Grants Management Specialist
Procurement and Grants Office
Announcement Number IP06-005
Centers for Disease Control and Prevention (CDC)
2920 Brandywine Road
Atlanta, Georgia 30341-4146
CDC does not guarantee to accept or justify its non-acceptance of recommendations that are received more than 60 days after the application deadline.
Public Health System Reporting Requirements
This program is subject to the Public Health System Reporting Requirements. Under these requirements, all community-based non-governmental organizations submitting health services applications must prepare and submit the items identified below to the head of the appropriate State and/or local health agency(s) in the program area(s) that may be impacted by the proposed project no later than the application deadline date of the Federal application. The appropriate State and/or local health agency is determined by the applicant. The following information must be provided:
A. A copy of the face page of the application (SF 424).
B. A summary of the project that should be titled "Public Health System Impact Statement" (PHSIS), not exceed one page, and include the following:
1. A description of the population to be served.
2. A summary of the services to be provided.
3. A description of the coordination plans with the appropriate state and/or local health agencies.
If the State and/or local health official should desire a copy of the entire application, it may be obtained from the State Single Point of Contact (SPOC) or directly from the applicant.
Paperwork Reduction Act Requirements
Under the Paperwork Reduction Act, projects that involve the collection of information from 10 or more individuals and funded by a grant or a cooperative agreement will be subject to review and approval by the Office of Management and Budget (OMB).
Smoke-Free Workplace Requirements
CDC strongly encourages all recipients to provide a smoke-free workplace and to promote abstinence from all tobacco products. Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking in certain facilities that receive Federal funds in which education, library, day care, health care, or early childhood development services are provided to children.
Healthy People 2010The Public Health Service (PHS) is
committed to achieving the health promotion and disease prevention objectives
of "Healthy People 2010," a PHS-led national activity for setting
priority areas. This PA is related to one or more of the priority areas.
Potential applicants may obtain a copy of "Healthy People 2010" at http://www.health.gov/healthypeople.
Lobbying
Restrictions
Applicants should be aware of restrictions on the use of HHS funds for lobbying of Federal or State legislative bodies. Under the provisions of 31 U.S.C. Section 1352, recipients (and their sub-tier contractors) are prohibited from using appropriated Federal funds (other than profits from a Federal contract) for lobbying congress or any Federal agency in connection with the award of a particular contract, grant, cooperative agreement, or loan. This includes grants/cooperative agreements that, in whole or in part, involve conferences for which Federal funds cannot be used directly or indirectly to encourage participants to lobby or to instruct participants on how to lobby.
In addition no part of CDC appropriated funds, shall be used, other than for normal and recognized executive-legislative relationships, for publicity or propaganda purposes, for the preparation, distribution, or use of any kit, pamphlet, booklet, publication, radio, television, or video presentation designed to support or defeat legislation pending before the Congress or any State or local legislature, except in presentation to the Congress or any State or local legislature itself. No part of the appropriated funds shall be used to pay the salary or expenses of any grant or contract recipient, or agent acting for such recipient, related to any activity designed to influence legislation or appropriations pending before the Congress or any State or local legislature.
Any activity designed to influence action in regard to a particular piece of pending legislation would be considered "lobbying." That is lobbying for or against pending legislation, as well as indirect or "grass roots" lobbying efforts by award recipients that are directed at inducing members of the public to contact their elected representatives at the Federal or State levels to urge support of, or opposition to, pending legislative proposals is prohibited. As a matter of policy, CDC extends the prohibitions to lobbying with respect to local legislation and local legislative bodies.
The provisions are not intended to prohibit all interaction with the legislative branch, or to prohibit educational efforts pertaining to public health. Clearly there are circumstances when it is advisable and permissible to provide information to the legislative branch in order to foster implementation of prevention strategies to promote public health. However, it would not be permissible to influence, directly or indirectly, a specific piece of pending legislation
It remains permissible to use CDC funds to engage in activity to enhance prevention; collect and analyze data; publish and disseminate results of research and surveillance data; implement prevention strategies; conduct community outreach services; provide leadership and training, and foster safe and healthful environments.
Recipients of CDC grants and cooperative agreements need to be careful to prevent CDC funds from being used to influence or promote pending legislation. With respect to conferences, public events, publications, and "grassroots" activities that relate to specific legislation, recipients of CDC funds should give close attention to isolating and separating the appropriate use of CDC funds from non-CDC funds. CDC also cautions recipients of CDC funds to be careful not to give the appearance that CDC funds are being used to carry out activities in a manner that is prohibited under Federal law.
Capability Assessment
It may be necessary to conduct an on-site evaluation of some applicant organization's financial management capabilities prior to or immediately following the award of the grant or cooperative agreement. Independent audit statements from a Certified Public Accountant (CPA) for the preceding two fiscal years may also be required.
Proof of Non-profit Status
Proof of nonprofit status must be submitted by private nonprofit organizations with the application. Any of the following is acceptable evidence of nonprofit status: (a) a reference to the applicant organization's listing in the Internal Revenue Service's (IRS) most recent list of tax-exempt organizations described in section 501(c)(3) of the IRS Code; (b) a copy of a currently valid IRS tax exemption certificate; (c) a statement from a State taxing body, State Attorney General, or other appropriate State Official certifying that the applicant organization has a nonprofit status and that none of the net earnings accrue to any private shareholders or individuals; (d) a certified copy of the organization's certificate of incorporation or similar document that clearly establishes nonprofit status; (e) any of the above proof for a State or national parent organization and a statement signed by the parent organization that the applicant organization is a local nonprofit affiliate.
Security Clearance Requirement
All individuals who will be performing work under a grant or cooperative agreement in a CDC-owned or leased facility (on-site facility) must receive a favorable security clearance, and meet all security requirements. This means that all awardee employees, fellows, visiting researchers, interns, etc., no matter the duration of their stay at CDC must undergo a security clearance process.
Conference Support
The purpose of conference support funding is to provide PARTIAL support for specific nonfederal conferences in the areas of health promotion and disease prevention information/education programs. Because conference support by CDC creates the appearance of CDC co-sponsorship, there will be active participation by CDC in the development and approval of those portions of the agenda supported by CDC funds. CDC funds will not be expended for non-approved portions of meetings. In addition, CDC will reserve the right to approve or reject the content of the full agenda, press events, promotional materials (including press releases), speaker selection, and site selection. Contingency awards will be made allowing usage of only 10% of the total amount to be awarded until a final full agenda is approved by CDC. This 10% portion will provide funds to support costs associated with preparation of the agenda. The remainder of funds will be released only upon approval of the final full agenda. CDC reserves the right to terminate co-sponsorship if it does not concur with the final agenda.
Any conference sponsored by CDC or ATSDR shall be held in facilities that are fully accessible to the public as required by the Americans with Disabilities Act Accessibility Guidelines (ADAAG). Accessibility as per ADAAG also addresses accommodations for persons with sensory impairments.
The conference organizer(s) may use CDC's name only in factual publicity for the conference, and they should understand that CDC involvement in the conference does not necessarily indicate support for the organizer's general policies, activities, products, or service.
Small, Minority, And Women-owned Business
It is a national policy to place a fair share of purchases with small, minority and women-owned business firms. The Department of Health and Human Services is strongly committed to the objective of this policy and encourages all recipients of its grants and cooperative agreements to take affirmative steps to ensure such fairness. In particular, recipients should:
1. Place small, minority, women-owned business firms on bidders mailing lists.
2. Solicit these firms whenever they are potential sources of supplies, equipment, construction, or services.
3. Where feasible, divide total requirements into smaller needs, and set delivery schedules that will encourage participation by these firms.
4. Use the assistance of the Minority Business Development Agency of the Department of Commerce, the Office of Small and Disadvantaged Business Utilization, DHHS, and similar state and local offices.
Research Integrity
The signature of the institution official on the face page of the application submitted under this Funding Opportunity Announcement is certifying compliance with the Department of Health and Human Services (DHHS) regulations in Title 42 Part 93, Subparts A-E, entitled PUBLIC HEALTH SERVICE POLICIES ON RESEARCH MISCONDUCT.
The regulation places requirements on institutions receiving or applying for funds under the PHS Act that are monitored by the DHHS Office of Research Integrity (http://ori.hhs.gov./policies/statutes.shtml).
For example:
Section 93.301 Institutional assurances.(a) General policy. An institution with PHS supported biomedical or behavioral research, research training or activities related to that research or research training must provide PHS with an assurance of compliance with this part, satisfactory to the Secretary. PHS funding components may authorize [[Page 28389]] funds for biomedical and behavioral research, research training, or activities related to that research or research training only to institutions that have approved assurances and required renewals on file with ORI. (b) Institutional Assurance. The responsible institutional official must assure on behalf of the institution that the institution-- (1) Has written policies and procedures in compliance with this part for inquiring into and investigating allegations of research misconduct; and (2) Complies with its own policies and procedures and the requirements of this part.
Compliance with Executive Order 13279
Faith-based organization are eligible to receive federal financial assistance, and their applications are evaluated in the same manner and using the same criteria as those for non-faith-based organizations in accordance with Executive Order 13279, Equal Protection of the Laws for Faith-Based and Community Organizations. All applicants should, however, be aware of restrictions on the use of direct financial assistance from the Department of Health and Human Services (DHHS) for inherently religious activities. Under the provisions of Title 45, Parts 74, 87, 92 and 96, organizations that receive direct financial assistance from DHHS under any DHHS program may not engage in inherently religious activities, such as worship, religious instruction, or proselytization as a part of the programs or services funded with direct financial assistance from DHHS. If an organization engages in such activities, it must offer them separately, in time or location, from the programs or services funded with direct DHHS assistance, and participation must be voluntary for the beneficiaries of the programs or services funded with such assistance. A religious organization that participates in the DHHS funded programs or services will retain its independence from Federal, State, and local governments, and may continue to carry out its mission, including the definition, practice, and expression of its religious beliefs, provided that it does not use direct financial assistance from DHHS to support inherently religious activities such as those activities described above. A faith-based organization may, however, use space in its facilities to provide programs or services funded with financial assistance from DHHS without removing religious art, icons, scriptures, or other religious symbols. In addition, a religious organization that receives financial assistance from DHHS retains its authority over its internal governance, and it may retain religious terms in its organization=s name, select its board members on a religious basis, and include religious references in its organization=s mission statements and other governing documents in accordance with all program requirements, statutes, and other applicable requirements governing the conduct of DHHS funded activities. For further guidance on the use of DHHS direct financial assistance see Title 45, Code of Federal Regulations, Part 87, Equal Treatment for Faith-Based Organizations, and visit the internet site: http://www.whitehouse.gov/government/fbci/
Health Insurance Portability and Accountability Act Requirements
Recipients of this grant award should note that pursuant to the Standards for Privacy of Individually Identifiable Health Information promulgated under the Health Insurance Portability and Accountability Act (HIPAA) (45 CFR Parts 160 and 164) covered entities may disclose protected health information to public health authorities authorized by law to collect or receive such information for the purpose of preventing or controlling disease, injury, or disability, including, but not limited to, the reporting of disease, injury, vital events such as birth or death, and the conduct of public health surveillance, public health investigations, and public health interventions. The definition of a public health authority includes a person or entity acting under a grant of authority from or contract with such public agency. CDC considers this project a public health activity consistent with the Standards for Privacy of Individually Identifiable Health Information and CDC will provide successful recipients a specific grant of public health authority for the purposes of this project.
Release and Sharing of Data
The Data Release Plan is the Grantee's assurance that the dissemination of any and all data collected under the CDC data sharing agreement will be released as follows:
a. In a timely manner.
b. Completely, and as accurately as possible.
c. To facilitate the broader community.
d. Developed in accordance with CDC policy on Releasing and Sharing Data.
April 16, 2003, http://www.cdc.gov/od/foia/policies/sharing.htm, and in full compliance with the 1996 Health Insurance Portability and Accountability Act (HIPPA), (where applicable), The Office of Management and Budget Circular A110, (2000) revised 2003, www.whitehouse.gov/omb/query.html?col=omb&qt=Releasing+and+Sharing+of+Data and Freedom of Information Act (FOIA) www.4.law.cornell.edu/uscode/5/5/552/html.
Applications must include a copy of the applicant's Data Release Plan. Applicants should provide CDC with appropriate documentation on the reliability of the data. Applications submitted without the required Plan may be ineligible for award. Award will be made when reviewing officials have approved an acceptable Plan. The successful applicant and the Program Manager will determine the documentation format. CDC recommends data is released in the form closest to micro data and one that will preserve confidentiality.
Weekly TOC for this Announcement
NIH Funding Opportunities and Notices
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