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Steps to a HealthierUS: Frequently Asked Questions Related to Application for Funding

Is it necessary to address the specific diseases or can we just address the risk factors poor nutrition, physical inactivity, and tobacco use?

Community action plans MUST address the three diseases/conditions:

  • Asthma
  • Diabetes
  • Obesity
  • AND the related risk factors:

  • Poor Nutrition
  • Physical Inactivity
  • Tobacco Use
  • How can these funds be used?

    Funds should be primarily devoted to community and school interventions. Program expenses such as personnel, supplies, contracts, travel, etc., are acceptable. Program expenses also include such areas as direct education, community education, assessments, planning, evaluation, communications, information technology, improved access to services, policy and environmental changes, and various wellness programs.

    Expenses such as direct patient care, diagnostic medical testing, patient rehabilitation, pharmaceutical purchases, facilities construction, lobbying, basic research or controlled trials are not allowed.

    Where are attachments A, B, and C referenced in the RFA located?

    The attachments A, B and C may be found at the following sites:

    http://www.healthierus.gov/steps/rfa/May2004RFA.htm

    http://www.cdc.gov/od/pgo/funding/04234.htm

    What types of entities are eligible to apply for funding?

    • Local health departments or their bona fide agents or equivalents, as designated by the mayor or chief executive officer, of the jurisdiction, can apply as a large city or urban community – a contiguous geographic area with a population of 400,000 or more. It is critical that only one application come from the jurisdiction as more than one application from the same jurisdiction may disqualify all of the applications from the jurisdiction. Within the jurisdiction, the applicant may choose to target a selected area, provided the target area has a population of at least 150,000, but no more than 500,000. This target area must be contiguous. If multiple jurisdictions are included in the designated community, the letter of transmittal must include approvals from the CEO’s of all jurisdictions.
       
    • Tribal governments, Regional Area Indian Health Boards, Urban Indian organizations, and Inter-Tribal Councils, as designated by the chief executive officer, can apply. The minimum population for the jurisdiction must be 10,000 American Indians/Alaskan Natives within the geographic area or set of areas--the areas do not need to be contiguous.
       
    • State Health Departments (and U.S. Territories) or their bona fide agents or equivalents, as designated by the Governor, can apply. State applicants must target 2-4 small cities or rural communities and provide 75% of their funds to these communities. The selected communities must have a minimum population of 10,000 each, but together must not exceed 800,000. Each of the selected communities must be a defined, contiguous area. Tribal entities or a large city may be included as part of the State application, but then cannot submit a second, independent application. Preference in scoring will be given to State applications that demonstrate diversity in size and location of communities.
    Eligible Applicants Definition
     
    Large Cities and Urban Communities
    • contiguous urban communities
    • population of 400,000+
    Tribal Entities
  • government
  • organizations
  • boards
  • councils
  • serving 10,000+
  • State/ Territory – coordinated small city and rural communities
  • 2-4 communities per state
  • contiguous geographic areas of 10,000-400,000 people each, not to exceed 800,000 total
  • What are the formatting requirements for the application narrative?

    The narrative should be formatted as follows:

  • double spaced
  • one inch margins
  • 12- point font
  • printed on one side
  • The page limits for the narrative section are:

    • Large cities and urban communities: 50-page limit
    • Tribal entities: 50-page limit
    • State-coordinated small cities and rural communities: 100 page limit

    *Page limits do not include the official transmittal letter, table of contents, executive summary, budget or appendices.

    **Please note that anything over the page limit will not be read.

    What are the funding levels for awarded grantees?

    Large city and Urban Communities:

  • a minimum of $750,000/year
  • a maximum of $1,250,000/year
  • Tribal Entities:

  • a minimum of $300,000/year
  • a maximum of $600,000/year
  • State-coordinated small cities and rural communities:

  • a minimum of $1,000,000/year
  • a maximum of $2,000,000/year
  • If my community is awarded the cooperative agreement, will we be funded for the full 5 years?

    The funding for the first two years is guaranteed. The funding for years 3 through 5 is based upon the performance during the first two years of the agreement.

    Why would an application be considered "non-responsive"?

    Applications will not be considered during the review process if:

  • The letter of intent (LOI) was not received or the letter was received after the due date, May 27, 4 p.m. (page 25809)
     
  • The community is not eligible to apply for the announcement (page 25808)
     
  • The matching requirement was not met (page 25808)
     
  • The budget submitted was above the maximum (ceiling) amount (page 25807)
     
  • The application did not address all of the required activities described in the announcement (page 25803)
  •  

    What are the required activities for all applications?

    All of the applicants must address the following areas:

    1) Fiduciary responsibilities: these responsibilities are related to how the funds awarded are handled and efforts to make the program sustainable over time.

    2) Community Consortium: these responsibilities relate to forming partnerships and coalitions.

    3) Leadership, Coordination, and Management: these responsibilitites relate to identifying leaders and staff for the program

    4) Community Action Plan: these responsibilities relate to interventions to be conducted in the community, schools and other areas in your community.

    5) Project Monitoring and Evaluation: these responsibilities relate to data collection and documenting your program.

    The state-coordinated small cities and rural community applicants need to address the above for each of the 2 to 4 selected communities, plus the state needs to provide the following state-level information:

  • Fiduciary
  • Leadership, Coordination and Management
  • Project Monitoring and Evaluation
  • Please clarify the Letter of Intent (LOI) requirement?

  • The letters of intent are due May 27, 2004 by 4pm Eastern time.
     
  • The letter should be addressed to "Technical Information Management"
     
  • The letters of intent should be mailed to the address below:
  • Technical Information Management-PA#04234
    CDC Procurement and Grants Office
    2920 Brandywine Road
    Atlanta, GA 30341

  • We strongly recommend that you do not fax or e-mail your letter of intent. We recommend that you mail your letter of intent with a service that guarantees delivery by the due date.
     
  • The letter must designate the lead agency for this cooperative agreement.
     
  • The letter of intent must be signed by the chief executive officer (ie: mayor, county executive, tribal chief, governor or other equivalent government official)
  • What are the requirements for the amount of matching funds?

  • The large city and urban community applicants are required to show a minimum 25% match of the federal funds awarded. That is, if one million dollars is requested , there must be $250,000 in matching funds.
     
  • The tribal applicants are not required to show matching funds, but are encouraged to do so.
     
  • The state-coordinated small cities and rural areas applicants are required to show
     
  • a minimum 50% match of federal funds that the state keeps (funds that are not allocated to the communities). That is, if a state requests one million dollars and allocates $750,000 of it to the communities, they must provide 50% matching funds for the $250,000 they retain—or $125,000.
     
  • The small cities and rural communities that are coordinated by the state are not required to provide matching funds.
  • What are considered matching funds?

    Matching funds can come from both private and public sources.

    Matching funds can be:

  • Cash
  • In-kind
  • Donated services
  • Matching Funds Cannot Be:

  • Patient treatment
  • Patient education (defined as education costs that would otherwise be billed to health insurance, Medicare, Medicaid, etc. This education would most usually be given during an office visit.)
  • Indirect costs
  • From other Federal programs even if the funds are funneled through another channel (e.g.: a salary of a local employee who is funded by the state where the state is using money from the federal government to support the salary.).
  • When is the application deadline for the Steps Community RFA? When can we expect to find out if we were funded?

    The 2004 Steps Community RFA key dates:

    May 7: RFA published in the Federal Register
    May 27: Letters of Intent Deadline
    June 21: Application Deadline
    July 29-30: Objective Review Panels
    September 22: Award date

    Does the requirement for a DUNS number apply only to state applicants?

    This requirement was inadvertently omitted from the application format sections for the Large City/Urban Community and Tribal Applicants. However, all applications must include a Dun and Bradstreet Data Universal Numbering System (DUNS) number to apply for a grant or cooperative agreement from the Federal government.

    The DUNS number is a nine-digit identification number, which uniquely identifies business entities. Obtaining a DUNS number is easy and there is no charge. To obtain a DUNS number, access www.dunandbradstreet.com or call 1-866- 705-5711. For more information, see the CDC web site at: http://www.cdc.gov/od/pgo/funding/pubcommt.htm

    If your application form does not have a DUNS number field, please write your DUNS number at the top of the first page of your application, and/or include your DUNS number in your application cover letter.

    Should letters of support be included in the application package or sent separately?

    Letters of support are a required component of the application and should be included in the application package. Please do not send letters of support separately to CDC.

    Can funds be used for walking trails, playgrounds or stairwells?

    No, construction of permanent fixtures is not allowed with funds from this RFA.

    What are steps of the review process?

    Once the application is received, it will be reviewed to determine eligibility.

    If the application is considered eligible, the following steps will be taken:

    • A technical review by experienced CDC program staff to assure the application meets the requirements. If the requirements are met, the application moves to the next step.
       
    • Objective review panel of Federal experts to judge the quality of the application according to the criteria published in the RFA. Each panel members votes on approval or disapproval of the application and provides a score. The scores are then averaged and a ranking is determined based on the average score.
       
    • The rankings are used to determine who is funded under this program announcement and applicants will be notified approximately September 22, 2004.

    In a state application, would an application with only 2 communities be viewed differently with one with 4 communities?

    No, the application should reflect what is best to serve the needs of your state.

    Can a state applicant include tribal communities in its target area?

    Yes, as long as those communities have agreed to participate and have visibly given support to the project (ie: a letter of support or a memorandum of understanding).

    Are there any criteria to define a small city or rural area?

    No, other than not meeting the criteria for large cities or urban communities, there are no specific population size or density requirements.

    Does each state-coordinated community have to have fiduciary responsibilities or can that be facilitated by the state?

    Yes, there must be a lead fiduciary agent in each coordinated community; the state can not assume that responsibility.

    If an application is not submitted this year, will that effect an applicant’s chances for next year?

    There are several components to this answer.

    First, submitting or not submitting an application this year will not affect future applications. However, if an application is submitted this year, a review will be given and a summary of comments will be sent to the applicant which could be used to improve future applications.

    Second, if there is funding available for new communities next year, the government may decide not to open a new competition, but rather go back to 2004 applicants and fund those that received high scores. In that case, communities that did not apply in 2004 would not be considered.

    Who needs to sign the letter of transmittal?

    The letter of transmittal needs to identify the lead agency and amount of funding requested.

    • Large cities and urban communities: The letter needs to be signed by the Chief Executive Officer (mayor, county executive).
       
    • Tribal entities: The letter needs to be signed by the Chief Executive Officer of the Tribe, Inter-Tribal Council, Urban Indian Organization, or Regional Area Indian Health Board.
       
    • State-coordinated small cities and rural communities: The letter needs to be signed by the Governor.
    *Note: The person that signs the letter of transmittal can NOT be from the lead agency.

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