Cooperative Agreements for Human Immunodeficiency Virus Prevention Projects for African American Faith-based Organizations; Notice of Availability of Funds

Federal RegisterJun 23, 1999

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Text

[Federal Register Volume 64, Number 120 (Wednesday, June 23, 1999)]

[Notices]

[Pages 33716-33734]

From the Federal Register Online via the Government Publishing Office [www.gpo.gov]

[FR Doc No: 99-15917]

[[Page 33715]]

_______________________________________________________________________

Part X

Department of Health and Human Services

_______________________________________________________________________

Centers for Disease Control and Prevention

_______________________________________________________________________

Availability of Funds for Cooperative Agreements for Human

Immunodeficiency Virus Prevention Projects for African American Faith-

Based Organizations; Notice

Federal Register / Vol. 64, No. 120 / Wednesday, June 23, 1999 /

Notices

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Program Announcement 99096]

Cooperative Agreements for Human Immunodeficiency Virus

Prevention Projects for African American Faith-based Organizations;

Notice of Availability of Funds

A. Purpose

The Centers for Disease Control and Prevention (CDC) announces the

availability of Fiscal Year (FY) 1999 funds for cooperative agreements

to support comprehensive HIV/AIDS education and prevention programs

within African American faith, religious, and spiritual communities in

three categories:

Category I--Community-Based HIV Prevention Services, to support

faith, spiritual, and religious-based community-based organizations

(faith-based CBOs) to develop and implement effective community-based

HIV prevention programs for African Americans;

Category II--Capacity Building Assistance Program, to support

nongovernmental minority organizations (including faith-based

organizations) to develop and implement regionally structured and

focused capacity building assistance for CDC-funded and other faith-

based CBOs providing HIV prevention services to African Americans and

for African American faith community leaders and other African American

community stakeholders; and

Category III--Curriculum Development and Training Program, to

support the development and implementation of a comprehensive HIV and

substance abuse prevention curriculum and training program for use by

Divinity Schools associated with Historically Black Colleges and

Universities (HBCU's), other theological schools, and other faith

leader training venues.

This program addresses the ``Healthy People 2000'' priority areas

for Educational and Community-Based Programs, Human Immuno-deficiency

Virus (HIV) Infection, and Sexually Transmitted Diseases (STDs).

1. The goals for Category I (Community-Based HIV Prevention

Services) are to:

a. Provide financial and technical assistance to faith-based CBOs

so they can provide HIV prevention services to African American

populations for which gaps in services are demonstrated;

b. Support HIV prevention programs that are consistent with the HIV

prevention priorities outlined in the jurisdiction's comprehensive HIV

prevention plan or adequately justify addressing other priorities; and

c. Promote collaboration and coordination of HIV prevention efforts

among faith-based CBOs; HIV prevention community planning groups; and

other local, State, Federally, and privately funded programs.

2. The goals for Category II (Capacity Building Assistance Program)

are to:

a. Improve the capacity of CDC-funded and other faith-based CBOs

serving African Americans to mobilize their communities to increase

their awareness, leadership, participation and support for HIV

prevention;

b. Enhance the capacity of CDC-funded and other faith-based CBOs

serving African Americans to effectively participate in, and improve

the responsiveness of the HIV prevention community planning process to

the HIV prevention needs of African Americans; and

c. Enhance the capacity of African American faith community leaders

to provide leadership and support for HIV prevention.

3. The goals for Category III (Curriculum Development and Training

Program) are to:

a. Provide comprehensive HIV and substance abuse prevention

education for faith-leaders using a core instructional curriculum that

can be easily adapted and modified to meet the needs of diverse faith

traditions;

b. Promote leadership and support for HIV and substance abuse

prevention among faith leaders serving disproportionately affected

African American populations; and

c. Engage faith leaders in identifying ways to provide effective

HIV and substance abuse prevention information and services to

disproportionately affected African American populations within their

congregations and outreach ministries.

Refer to Section P, ``Where to Obtain Additional Information'', for

dates and times of audio-conferences.

B. Eligible Applicants

Note: Applicants may apply for more than one category, if

eligible; however, a separate application must be submitted for each

category.

1. Category I--Community-Based HIV Prevention Services

Eligible applicants for Category I are faith-based CBOs that

provide services to African Americans and meet the following criteria

(also see proof of eligibility under Section E.

Application Content--Attachments):

a. Have a faith, spiritual, or religious focus or constituency, and

have access to local faith, spiritual, and religious leaders and

communities. Examples of faith-based CBOs include (1) individual

churches, mosques, temples, or other places of worship; (2) a network

or coalition of churches, mosques, temples, or other places of worship;

or (3) a CBO whose primary constituents are faith, spiritual, or

religious community organizations or leaders.

b. Have been granted tax-exempt status under section 501(c)(3), as

evidenced by an Internal Revenue Service (IRS) determination letter.

c. Have a board or governing body composed of greater than 50

percent African Americans.

d. African Americans must serve in greater than 50 percent of key

positions in the organization, including management, supervisory,

administrative, and service provision positions (for example, executive

director, program director, fiscal director, outreach worker,

prevention case manager, counselor, group facilitator, or trainer).

e. Documentation of an established record of services to the target

population is required. An established record is defined as a minimum

of two years serving the target population.

f. Two or more African American faith-based CBOs may apply as a

collaborative partnership. In a collaborative contractual partnership,

one CBO must be the legal applicant and will function as the lead

organization in the collaboration. The lead organization must meet

criteria

a-e specified above and the collaborating CBO(s) must meet criteria as

specified above.

Note: A Faith-based CBO can only submit one application under

this category; that is, it may apply as an individual organization

or as part of a collaboration, but not both.

g. Local affiliates, chapters, or programs of national and regional

organizations are eligible to apply. In this case, the local affiliate,

chapter, or program applying must meet criteria

a-f, above.

h. Governmental or municipal agencies, their affiliate

organizations or agencies (e.g., health departments, school boards,

public hospitals), and private or public universities and colleges are

not eligible for funding under this category.

i. CBOs currently funded under Program Announcement 704, titled,

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``Community-Based Human Immunodeficiency Virus (HIV) Prevention

Projects,'' are not eligible to apply.

2. Category II--Capacity Building Assistance Program

The Capacity Building Assistance Program (Category II) will serve

four regional groups as follows:

Northeast Region: CT, MA, ME, NH, NJ, NY, PA, RI, VT, PR, U.S. Virgin

Islands

Midwest Region: IA, IL, IN, KS, MI, MN, MO, ND, NE, OH, SD, WI

South Region: AL, AR, D.C., DE, FL, GA, KY, LA, MD, MS, NC, OK, SC, TN,

TX, VA, WV

West Region: AK, AZ, CA, CO, HI, ID, MT, NV, NM, OR, UT, WA, WY

Eligible applicants for Category II are: (1) A national minority

organization, including faith-based organizations, serving up to four

regions either independently or as the lead agency within a coalition;

or (2) a regional minority organization, including faith-based

organizations, serving at least one region either independently or as

the lead agency within a coalition; or (3) a local minority

organization, including faith-based organizations, as the lead agency

within a coalition serving one region. A coalition may consist of any

combination of national, regional or local minority organizations.

For the purpose of this program announcement, a national or

regional faith-based organization is a nonprofit organization (1) whose

constituency includes faith, spiritual, or religious communities,

organizations, or leaders and (2) which has a formal or informal

network of affiliates, constituent organizations, or offices

distributed nationally or regionally and involving multiple states.

The lead agency must be the legal applicant and all applicants must

meet the following criteria:

a. Have a copy of a currently valid IRS Determination letter

stating that the organization is a 501(c)(3).

b. Have a documented and established 3-year record of service to

community-based organizations serving African Americans and to African

American population(s). Acceptable documentation includes letters of

support, agency annual reports, client satisfaction survey summaries,

and memoranda of agreement.

c. Have a board or governing body composed of greater than 50

percent African Americans.

d. Have greater than 50 percent of key positions in the applicant

organization, including management, supervisory, administrative, and

service positions filled by African Americans (for example, executive

director, program director, fiscal director, trainer, technical

assistance provider, curricula development specialist, or group

facilitator).

e. Local affiliates, chapters, or programs of national and regional

organizations are eligible. In this case, the local affiliate, chapter,

or program applying must meet criteria a--d, above.

f. Organizations currently funded under CDC Program Announcement

#98043 (National Partnerships for Human Immunodeficiency Virus) are

eligible to apply; however, awards to these currently funded

organizations will not exceed $100,000 and no more than one such award

will be made in this category.

g. Governmental or municipal agencies, their affiliate

organizations or agencies (e.g., health departments, school boards,

public hospitals), and private or public universities and colleges are

not eligible for funding under this category.

Note: An organization may submit only one application under this

category; that is, it may apply as an individual organization or as

part of a coalition, but not both.

3. Category III--Curriculum Development and Training Program

Eligible applicants under this category:

a. Must be a Theological or Divinity School associated with a

Historically Black College or University. These Theological or Divinity

Schools include Hood, Howard, Interdenominational Theological Center,

Payne, Shaw, and Virginia Union.

b. Must have a documented and established 2-year record of

promoting leadership and support for health-based programs, including

HIV prevention or substance abuse prevention programs, within African

American populations disproportionately affected by HIV/AIDS.

4. Categories I, II, and III

Note: Public Law 104-65 states that an organization described in

section 501(c)(4) of the Internal Revenue Code of 1986 that engages

in lobbying activities is not eligible to receive Federal funds

constituting an award, grant, cooperative agreement, contract, loan

or any other form.

C. Availability of Funds

Awards will be made in three categories: (I) Community-based HIV

Prevention Services; (II) Capacity Building Assistance Program; and

(III) Curriculum Development and Training Program. Applicants may apply

for more than one category if eligible; however, separate applications

must be submitted for each category.

1. Category I--Community-Based HIV Prevention Services

Approximately $600,000 is available in FY 1999 to fund up to four

awards. It is expected that awards will begin on or about September 30,

1999 and will be made for a 12-month budget period within a project

period of up to 4 years. It is expected that the average award will be

approximately $200,000, ranging from $150,000 to $250,000. Applications

requesting more than $250,000, including indirect costs, will be deemed

ineligible.

Note: Funds to support CBOs to provide HIV prevention services

are also available under Program Announcement 99092--Community Based

Human Immunodeficiency Virus (HIV) Prevention Projects for African

Americans, Program Announcement 99091--Community-Based HIV

Prevention Services and Capacity Building Assistance to

Organizations Serving Gay Men of Color at Risk for HIV Infection,

and Program Announcement 99047--Human Immunodeficiency Virus

Community Based Prevention Projects for the Commonwealth of Puerto

Rico and the United States Virgin Islands. Eligible organizations

may apply for and receive funding under more than one of these

announcements; however, the total combined funding provided to any

organization under these four new announcements will not exceed

$300,000.

2. Category II--Capacity Building Assistance Program

Approximately $600,000 is available in FY 1999 to fund up to three

awards. It is expected that awards will begin on or about September 30,

1999 and will be made for a 12-month budget period within a project

period of up to 4 years. It is expected that the average award will be

approximately $200,000, ranging from $100,000 to $600,000. Applications

requesting more than $600,000, including indirect costs, will be deemed

ineligible.

3. Category III--Curriculum Development and Training Program

Approximately $300,000 is available in FY 1999 to fund one Divinity

School associated with a Historically Black College or University. It

is expected that awards will begin on or about September 30, 1999, and

will be made for a 12-month budget period within a project period of up

to 4 years. Applications requesting more than $300,000, including

indirect costs, will be deemed ineligible.

4. Categories I, II, and III

Funding estimates may change based on the availability of funds.

Continuation awards within an

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approved project period will be made on the basis of availability of

funds and the applicant's satisfactory progress toward achieving

objectives. Satisfactory progress toward achieving objectives will be

determined by progress reports submitted by the recipient and site

visits conducted by CDC representatives. Proof of continued eligibility

is required with noncompeting continuation applications.

Use of Funds

1. Category I--Community-Based HIV Prevention Services

Funds provided under this category shall support activities

directly related to primary HIV prevention. However, intervention

activities which involve preventing other STDs or substance abuse as a

means of reducing or eliminating the risk of HIV transmission may also

be supported.

2. Category II--Capacity Building Assistance Program

Funds provided under this category shall support assistance that

increases the capacity of faith-based CBOs to expand and sustain

effective HIV prevention activities for African Americans whose

behavior places them at high risk for HIV.

Note: If indirect costs are requested, you must provide a copy

of your organization's current negotiated indirect rate agreement.

In the absence of an indirect cost rate agreement, the recipient may

request, with detailed justification, a maximum of ten percent for

the executive director. If the organization has an indirect rate

that includes the executive director's salary, no additional funds

will be provided. Funds will not be provided for the salary of an

executive director that is also a member of the organization's Board

of Directors.

3. Category III--Curriculum Development and Training Program

Funds provided under this category shall support the development,

implementation, and evaluation of a comprehensive HIV and substance

abuse prevention curriculum and training program. The curriculum shall

be adaptable and contain modules or units easily modified to meet the

education and training needs of diverse faith traditions.

The curriculum and training program shall be developed for use by

Divinity Schools associated with Historically Black Colleges and

Universities, other theological schools, and other faith leader

training venues and settings. Faith leaders and members of affected

populations shall be afforded the opportunity to provide input into its

development through needs assessments, surveys, focus groups, and other

appropriate mechanisms.

4. Categories I, II, and III

Applicants are encouraged to develop coalitions and may contract

with other organizations under these cooperative agreements; however,

applicants must perform a substantial portion of the activities

(including program management and operations and delivery of services)

for which funds are requested. Applications requesting funds to support

only administrative and managerial functions will not be accepted.

No funds will be provided for direct patient medical care

(including substance abuse treatment, medical treatment, or

medications) or research.

These funds may not be used to supplant or duplicate existing

funding. Funds awarded should be used to enhance or expand existing

activities.

Funding Priorities

1. Category I--Community-Based HIV Prevention Services

In making awards under Category I--Community-Based HIV Prevention

Services, priority for funding will be given to ensuring a geographical

distribution of faith-based CBO awards based on AIDS morbidity among

African Americans.

2. Category II--Capacity Building Assistance Program

In making awards under Category II (Capacity Building Assistance

Program), priority for funding will be given to: Ensuring that funding

for capacity building assistance is distributed in proportion to the

disease burden for African American populations in each region.

3. Category III--Curriculum Development and Training Program

In making awards under Category III (Curriculum Development and

Training Program), priority for funding will be given to ensuring

provision of a comprehensive curriculum and training program to faith

leaders serving African American communities in the metropolitan

statistical areas (MSAs) with more than 1000 prevalent AIDS cases in

African Americans in 1997.

Interested persons are invited to comment on the proposed funding

priorities for Categories I, II, and III. All comments received within

30 days after publication in the Federal Register will be considered

before the final funding priorities are established. If the funding

priorities change because of comments received, a revised announcement

will be published in the Federal Register, and revised applications

will be accepted before the final selections are made. Address comments

to: Julia Valentine, Grants Management Specialist, Grants Management

Branch, Procurement and Grants Office, Centers for Disease Control and

Prevention, 2920 Brandywine Road, Room 3000, Atlanta, GA 30341-4146.

D. Program Requirements--Category I--Community-Based HIV Prevention

Services

HIV prevention interventions are specific activities (or set of

related activities) using a common method of delivering the prevention

messages to reach persons at risk of becoming HIV-infected or, if

already infected, of transmitting the virus to others. The goal of HIV

prevention interventions is to bring about HIV risk reduction in a

particular population.

In order to maximize the effective use of CDC funds, each applicant

must conduct at least one of the following priority HIV prevention

interventions: (1) HIV Counseling, Testing and Referral Services; (2)

Individual Level Interventions; (3) Group Level Interventions; (4)

Community Level Interventions; and (5) Street and Community Outreach. A

brief description of these priority interventions is provided in

Attachment 1. Also, please reference the materials included in the tool

kit for additional information about these interventions. The tool kit

will be sent with the application packet upon request.

Although activities may overlap from one type of intervention to

another (e.g., individual or group level interventions may be a part of

a community-level intervention), each applicant must indicate which one

of the five interventions is the primary focus.

Because of the resources, special expertise, and organizational

capacities needed for success, applicants should carefully consider the

feasibility of undertaking more than two of the priority interventions

listed. Recipients proposing to conduct more than two of these priority

prevention interventions must demonstrate the capacity to implement

them effectively.

In conducting activities to achieve the purposes of this program,

the recipient will be responsible for the activities under number 1.

(Recipient Activities) and CDC will be responsible for activities under

number 2. (CDC Activities) below.

1. Recipient Activities:

a. Use epidemiologic data, needs assessments, and prioritization of

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groups and interventions to design program activities.

b. Develop program activities which are consistent with applicable

State and local comprehensive HIV prevention plans or adequately

justify addressing other priorities.

c. Provide or assist high risk clients in gaining access to HIV

counseling, testing, and referral for other needed services.

d. Conduct health education and risk reduction interventions for

persons at high risk of becoming infected or transmitting HIV to

others.

e. Assist HIV-positive persons in gaining access to appropriate HIV

treatment and other early medical care, substance abuse prevention

services, STD screening and treatment, reproductive and perinatal

health services, partner counseling and referral services, psychosocial

support, mental health services, TB prevention and treatment, primary

HIV prevention such as health education and risk reduction services,

and other supportive services. High-risk clients who test negative

should be referred to appropriate health education and risk reduction

services and other appropriate prevention and treatment services.

f. Ensure adequate protection of client confidentiality.

g. Coordinate and collaborate with health departments, community

planning groups, and other organizations and agencies involved in HIV

prevention activities, especially those serving the target population.

h. Participate in the HIV prevention community planning process.

Participation may include involvement in workshops; attending meetings;

if nominated and selected, serving as a member of the group; reporting

on program activities; or reviewing and commenting on plans.

i. Incorporate cultural competency and linguistic and developmental

appropriateness into all program activities and prevention messages.

j. Coordinate program activities with relevant national, regional,

State, and local HIV prevention programs to prevent duplication of

efforts.

k. Monitor and evaluate major program and intervention activities

and services supported with CDC HIV prevention funds under this

cooperative agreement. This should include assessing client

satisfaction periodically via quantitative (e.g., periodic surveys) and

qualitative methods (e.g., focus groups).

l. Compile ``lessons learned'' from the project and facilitate the

dissemination of ``lessons learned'' and successful prevention

interventions and program models to other organizations and CDC through

peer-to-peer interactions, meetings, workshops, conferences, internet,

communications with project officers, and other capacity building and

technology transfer mechanisms.

m. Work with CDC-funded capacity building assistance programs to

meet your and other organizations' capacity building needs.

n. Develop and implement a plan for obtaining additional resources

from non-CDC sources to supplement the program conducted through this

cooperative agreement and to enhance the likelihood of its continuation

after the end of the project period.

o. Adhere to CDC policies for securing approval for CDC sponsorship

of conferences.

p. Before using funds awarded through this cooperative agreement to

develop HIV prevention materials, recipients must check with the CDC

National Prevention Information Network (NPIN) to determine if suitable

materials are already available. Also, materials developed by

recipients must be made available for dissemination through the CDC

NPIN.

CDC's National Prevention Information Network (NPIN) maintains a

collection of HIV, STD and TB resources for use by organizations and

the public. Successful applicants may be contacted by NPIN to obtain

information on program resources for use in referrals and resource

directories. Also, grantees should send three copies of all educational

materials and resources developed under this grant for inclusion in

NPIN's databases.

NPIN also makes available information and technical assistance

services for use in program planning and evaluation. For further

information on NPIN services and resources, contact NPIN at 1-800-458-

5231(TTY users: 1-800-243-7012). NPIN's web site is www.cdcnpin.org;

the fax number is 1-888-282-7681.

2. CDC Activities:

a. Coordinate a national capacity building and technology transfer

network.

b. Provide consultation and technical assistance in planning,

implementing, and evaluating prevention activities. CDC may provide

consultation and technical assistance both directly and indirectly

through prevention partners such as State health departments, national

and regional minority organizations (NRMOs), contractors, and other

national organizations.

c. Provide up-to-date scientific information on risk factors for

HIV infection, prevention measures, and program strategies for

prevention of HIV infection.

d. Assist in the design and implementation of program evaluation

activities, including provision of evaluation forms, if appropriate.

e. Assist recipients in collaborating with State and local health

departments, community planning groups, and other federally supported

HIV/AIDS recipients.

f. Facilitate the transfer of successful prevention interventions,

program models, and ``lessons learned'' through convening meetings of

grantees, workshops, conferences, newsletters, use of the internet, and

communications with project officers. Also facilitate exchange of

program information and technical assistance among community

organizations, health departments, and national and regional

organizations.

g. Monitor the recipient's performance of program activities,

protection of client confidentiality, and compliance with other

requirements.

h. Conduct an overall evaluation of this cooperative agreement

program.

E. Application Content--Category I--Community-Based HIV Prevention

Services

Use the information in the Program Requirements, Other

Requirements, and Application Evaluation Criteria sections to develop

the application content. Your application will be evaluated on the

criteria listed, so it is important to follow them in laying out your

program plan. The narrative should be no more than 50 pages (not

including the budget or attachments).

Number each page sequentially, and provide a complete Table of

Contents to the application and its appendices. Please begin each

separate section of the application on a new page. The original and

each copy of the application set must be submitted unstapled and

unbound. All material must be typewritten, single spaced, with

unreduced 12 point or 10 pitch font on 8\1/2\'' by 11'' paper, with at

least 1'' margins, headings and footers, and printed on one side only.

Materials which should be part of the basic narrative will not be

accepted if placed in the appendices.

Note: Applicants may apply for more than one category, if

eligible; however, a separate application must be submitted for each

category.

In developing the application, you must follow the format and

instructions below:

Format For Category I--Community-Based HIV Prevention Services

1. Abstract

[[Page 33720]]

2. Assessment of Need and Justification for Proposed Activities

3. Long-term Goals

4. Organizational History and Capacity

5. Program Plan

6. Program Evaluation Plan

7. Communications and Dissemination Plan

8. Plan for Acquiring Additional Resources

9. Budget and Staffing Breakdown and Justification

10. Attachments

Instructions For Category I--Community-Based HIV Prevention Services

1. Abstract (not to exceed 3 pages): summarize which intervention

category of the five priority HIV prevention interventions--(1) HIV

Counseling, Testing, and Referral Services; (2) Individual Level

Interventions; (3) Group Level Interventions; (4) Community Level

Interventions; and (5) Street and Community Outreach)--you intend to

implement and your proposed intervention activities. Include the

following:

a. brief summary of the need for the proposed activities;

b. long-term goals;

c. brief summary of proposed plan of operation, including the

population(s) to be served, activities to be undertaken, and services

to be provided; and

d. brief summary of plans for evaluating the activities of this

project.

2. Assessment of Need and Justification for Proposed Activities

(not to exceed 5 pages):

a. Describe the population(s) for which your proposed

intervention(s) will provide services.

b. Describe the impact of the AIDS epidemic on the priority

population and their community and any specific environmental, social,

cultural, or linguistic characteristics of the priority populations

which you have considered and addressed in developing prevention

strategies, such as:

(1) HIV prevalence and incidence (if available), reported AIDS

cases, and the proportion that engages in specific risk behaviors

(sexual behaviors, substance use, etc.) in the target population;

(2) HIV/AIDS-related baseline knowledge, attitudes, beliefs, and

behaviors;

(3) Patterns of substance use and rates of STDs and tuberculosis

(TB); and (4) Other relevant information. (Specify)

c. Identify the need that will be addressed by your proposed

intervention(s), and describe how you assessed the need. Include

epidemiologic and other data that were used to identify the need.

Include a description of existing HIV prevention and risk-reduction

efforts provided by other organizations to address the needs of the

target population(s), and an analysis of the gap between the identified

need and the resources currently available to address the need (i.e.,

How will the proposed intervention(s) address an important unmet HIV

prevention need?).

d. Describe the specific behaviors and practices that the proposed

intervention(s) is designed to promote and prevent (e.g., increases in

correct and consistent condom use, knowledge of serological status, not

sharing needles, and enrollment in drug treatment and other preventive

programs).

e. Describe how your proposed intervention(s) complements the HIV

prevention priority populations and interventions identified in the

applicable State or local comprehensive HIV prevention plan(s). If the

comprehensive HIV prevention plan does not prioritize the needs that

you have identified, justify the need and the priority of your proposed

intervention activities and summarize how the activities address

prevention gaps and complement ongoing prevention efforts. State why

the funds being applied for in this application are necessary to

address the need. A list of the names and telephone numbers of State

health department contacts from whom you may obtain a copy of the

jurisdiction's comprehensive HIV prevention plan is provided with the

application kit;

f. Explain any specific barriers to the implementation of your

proposed intervention(s) and how you will overcome these barriers.

3. Long-term Goals (not to exceed 1 page): Describe the broad HIV

prevention goals that your proposed intervention(s) aims to achieve by

the end of the project period (four years).

4. Organizational History and Capacity (not to exceed 10 pages):

Describe the following:

a. Organizational structure, including the role, responsibilities,

and racial/ethnic composition of board of directors; committee

structure of board of directors; organizational management,

administrative and program components; constituent or affiliate

organizations or networks; how the organizational structure will

support the proposed intervention activities; and how the structure

offers the capacity to reach targeted populations. Describe how the

organizational structure includes, or has the ability to obtain

meaningful input and representation from, members of the target

population(s) (for example, gay, bisexual, and transgender populations,

youth at risk, HIV-positive individuals, substance abusers).

b. Past and current experience in developing and implementing

effective HIV prevention strategies and activities, and in developing

and implementing interventions similar to the one(s) proposed in this

application.

c. The process in your organization for making major programmatic

decisions.

d. Mechanisms used by your organization to monitor program

implementation and quality assurance.

e. Experience in working or collaborating with governmental and

non-governmental organizations, including State and local health

departments, local and State non-governmental organizations, national

agencies or organizations, community planning groups, and other groups

that provide HIV prevention services.

f. Capacity to provide the proposed interventions in a manner that

is culturally competent and linguistically and developmentally

appropriate, and which responds effectively to the gender,

environmental, and social characteristics of the target populations.

g. For any of the above areas in which you do not have direct

experience or current capacity, describe how you will ensure that your

organization will gain capacity (e.g., through staff development,

collaboration with other organizations, or a subcontract).

5. Program Plan (not to exceed 20 pages): Use this section to

describe the specific characteristics of your proposed intervention(s).

a. Involvement of the target population: Describe how the target

population is, or will be, involved in planning, implementing, and

evaluating activities and services throughout the project period.

b. Intervention Objectives: Develop process objectives that are

specific, measurable, appropriate, realistic, and time-based. Process

objectives focus on the projected amount, frequency, and duration of

the intervention activities and the number and characteristics of the

target population to be served. If applicable, describe how the

objectives are related to the prevention priorities outlined in the

jurisdiction's comprehensive HIV prevention plan. Describe potential

barriers to or facilitators for reaching these objectives.

c. Plan of Operation:

(1) Describe the specific activities to be conducted or services to

be provided to accomplish the objectives and where these activities or

services will take place. Make certain that your proposal addresses all

required activities. The

[[Page 33721]]

following four HERR interventions will be funded: Individual level

(including prevention case management [PCM]), group level, community

level interventions, and street and community outreach. Each recipient

must conduct at least one of these interventions. Applicants should not

apply for more interventions than they can conduct effectively.

(2) Describe your mechanisms for soliciting clients into the

program and obtaining informed consent.

(3) Describe your staffing plan and the responsibilities each staff

position will have in conducting the proposed activities. Describe how

the proposed program will be managed, including the location of the

program within your organization.

(4) Describe the potential for volunteer involvement in your

program. If volunteers will be involved, describe plans to recruit,

train, place, and retain volunteers.

(5) Describe how you will market and promote your program in the

community.

(6) Describe how you will prioritize the program activities to

place emphasis on populations or communities that are at high risk for

HIV infection.

d. Appropriateness of Interventions: Describe mechanisms that will

be used to ensure client satisfaction. Describe how you will ensure

that the proposed interventions and services are culturally competent;

sensitive to issues of sexual orientation; developmentally,

educationally, and linguistically appropriate; and targeted to the

needs of the target populations.

e. Scientific, Theoretical, Conceptual, or Program Experience

Foundation for Proposed Activities:

Provide a detailed description of the program experience or

scientific, theoretical, or conceptual foundation on which the proposed

activities are based and which support the potential effectiveness of

these activities for addressing the stated needs.

f. Collaborations, Linkages, and Coordination:

(1) Describe any formal collaborations with State or local health

departments, community planning groups, and other appropriate service

groups or organizations that will be used in the development and

implementation of your program. Describe the respective roles and

responsibilities of each collaborating entity in developing and

implementing the program.

(2) Specify any and all organizations and agencies with which you

will establish linkages and coordinate activities, and describe the

activities that will be coordinated with each listed organization.

These may include, as appropriate, the following:

(a) Community groups and organizations, including churches and

religious groups;

(b) HIV/AIDS service organizations;

(d) Schools, boards of education, and other State or local

education agencies;

(e) State and local substance abuse agencies, community-based and

other drug treatment or detoxification programs;

(f) Federally funded community projects, such as those funded by

the Substance Abuse and Mental Health Services Administrations'

(SAMHSA) Center for Substance Abuse Treatment (CSAT) and Center for

Substance Abuse Prevention (CSAP), the Health and Human Services'

Health Resource Services Administration (HRSA), Office of Minority

Health (OMH), and other Federal entities;

(g) Providers of services to youth in high risk situations (e.g.,

youth in shelters);

(h) State or local departments of mental health;

(i) Juvenile and adult criminal justice, correctional, or parole

systems and programs;

(j) Family planning and women's health agencies; and

(k) STD and TB clinics and programs.

(3) Describe how referrals to other service providers will be

initiated.

g. Provide a timeline that identifies major implementation steps

and assigns approximate dates for the inception and completion of each.

6. Quality Assurance and Program Evaluation Plan (not to exceed 5

pages): The plan should describe when and how evaluation activities

will be implemented. At a minimum, the plan should outline strategies

for implementing process evaluation of interventions to determine if

the process objectives are being achieved. Indicate which member(s) of

the staff will be responsible for implementing the evaluation plan.

Your process evaluation plan should include the following:

a. A list of resources available to the organization to carry out

process evaluation (e.g., provider staff, health department staff, data

experts to design a system for managing information about proposed

interventions, evaluation consultants, NRMOs).

b. A list of who will be involved in implementing the evaluation

and identify their roles. Describe who will collect, report, enter, and

analyze data.

c. A description of the data that will be collected. To assure

valid data are collected, established instruments should be used when

feasible.

Established instruments include those that have been either

science-based or previously administered in effective HIV prevention

interventions. In addition, data sources should be verifiable through

appropriate documentation (such as storing original data for the

duration of the cooperative agreement). Examples of data that could be

collected include:

(1) Detailed information on the specific intervention service(s).

(2) The number of persons who received the service(s) by (a) risk

categories (MSM, IDU, etc.) and (b) demographics, such as age, race and

ethnicity, gender, and if appropriate and available, sexual

orientation.

(3) When and how often the intervention service was provided.

(4) Where the intervention service was provided (e.g., CTRPN site,

STD clinic, street corner, housing project).

(5) Documents referral systems, including the number of persons

referred; how you intend to determine the success of referral systems

(e.g., the number actually receiving services by referral sites); and

how well the system functions in identifying referral services.

(6) Describe client satisfaction with HIV prevention intervention

services.

d. Discuss how data will be collected, managed, and monitored over

time. Address ways to collect, report, enter, and analyze data as well

as how you would use data for program improvement. Describe how often

data will be collected. Discuss how data security will be maintained

and client confidentiality assured.

e. Discuss how you will assess the performance of staff to ensure

that they are providing information and services accurately and

effectively.

Because of the additional cost and need for scientific support

beyond the scope of these cooperative agreements, you may not be able

to conduct outcome evaluations (i.e., long-term effects of the program

in terms of changes in behavior or health status, such as changes in

HIV incidence after the intervention) with funds provided through this

cooperative agreement. CDC will continue to support special projects to

evaluate the behavioral and other outcomes of interventions commonly

used by CBOs and other organizations, and disseminate information and

lessons learned from this research to CBOs, health departments,

community planning groups, and other organizations and agencies

involved in HIV prevention programs.

[[Page 33722]]

7. Communications and Dissemination Plan (not to exceed 2 pages):

Describe how you will share successful approaches and ``lessons

learned'' with other organizations.

8. Plan for Acquiring Additional Resources (not to exceed 2 page):

Describe how you will develop and implement a plan for obtaining

additional resources from other (non-CDC) sources to supplement the

program conducted through this cooperative agreement and to increase

the likelihood of its continuation after the end of the project period.

9. Budget/Staffing Breakdown and Justification (not scored)

a. Detailed Budget: Provide a detailed, separate budget for each

intervention proposed (i.e., CTR, individual level, group level,

community level, or street and community outreach), with accompanying

justification of all operating expenses that is consistent with the

stated objectives and planned priority activities. CDC may not approve

or fund all proposed activities. Be precise about the program purpose

of each budget item and itemize calculations wherever appropriate.

For contracts, applicants should name the contractor, if known;

describe the services to be performed which justifies the use of a

contractor; provide a breakdown of and justification for the estimated

costs of the contracts; the period of performance; the method of

selection; and method of monitoring the contract.

Note: If indirect costs are requested, you must provide a copy

of your organization's current negotiated Federal indirect cost rate

agreement.

b. Staffing Plan: Provide a job description for each position

specifying job title; function, general duties, and activities; salary

range or rate of pay; and the level of effort and percentage of time

spent on activities funded through this cooperative agreement. If the

identity of any key personnel who will fill a position is known, her/

his name and resume should be attached. Experience and training related

to the proposed project should be noted. If the identity of staff is

not known, describe your recruitment plan. If volunteers are involved

in the project provide job descriptions.

10. Attachments:

a. Proof of Eligibility

Each applicant must provide documentation that they comply with all

eligibility requirements specified under the ``Eligible Applicants''

section of this program announcement. Applicants should provide a

separate section within this Attachments section that is entitled Proof

of Eligibility to include the documents listed below. Failure to

provide the required documentation will result in disqualification.

(1) A reference to your 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, i.e., IRS determination

letter.

(2) A list of the members of your organization's governing body

along with their positions on the board, their expertise in working

with or providing services to the proposed target population, and their

racial/ethnic backgrounds. (Submission of information regarding the HIV

status or other confidential information regarding the board is

optional, and must not be linked to a specific individual.)

(3) Documentation that your organization is located and provides

services in the geographical area to be served. This documentation

could include letters of support, news articles, brochures or flyers,

annual reports, memoranda of agreement, or client surveys.

(4) A Table of Organization of existing and proposed staff,

including the board of directors, volunteer staff, and their racial/

ethnic backgrounds.

(5) Documentation that your organization has an established record

of providing services to the target population for at least two years,

and a description of the specific services that have been provided.

(6) Affiliates, chapters, or programs of national or regional

organizations must include with the application an original, signed

letter from the national or regional organization's chief executive

officer assuring their understanding of the intent of this program

announcement and the responsibilities of recipients.

(7) A separate sheet of paper stating if your organization is

currently funded under CDC Program Announcement 704, Community Based

HIV Prevention Projects.

b. Other Attachments

(1) A list of all collaborating or coordinating entities and

memoranda of understanding or agreement as evidence of these

established or agreed-upon collaborative or coordinating relationships.

Memoranda of agreement should specifically describe the proposed

collaborative activities. Evidence of continuing collaboration must be

submitted each year to ensure that the collaborative relationships are

still in place. Memoranda of agreement from health departments should

include a statement that they have reviewed your application for these

funds.

(2) A list of major community resources and health care providers

to which referrals will be made;

(3) Protocols to guide and document training, activities, services,

and referrals (e.g., applicants seeking funds for Street and Community

Outreach Interventions must provide a description of the policies and

procedures that will be followed to assure the safety of outreach

staff).

(4) Samples of data collection tools that will be used in

performing, monitoring, or evaluating program activities, if available.

(5) Training and Technical Assistance Plan which describes areas in

which you anticipate needing technical assistance in designing,

implementing, and evaluating your program and discuss how you will

obtain needed technical assistance. Also, describe anticipated staff

training needs related to the proposed program and how these needs will

be met. Describe your plan for providing ongoing training to ensure

that staff are knowledgeable about HIV and STD risks and prevention

measures. This information will assist CDC to better address your needs

and help you to identify technical assistance and training providers.

(6) A description of funds received from any source to conduct HIV/

AIDS programs and other similar programs targeting the population

proposed in the program plan. This summary must include: (1) the name

of the sponsoring organization/source of income, amount of funding, a

description of how the funds have been used, and the budget period; (2)

a summary of the objectives and activities of the funded program(s);

and (3) an assurance that the funds being requested will not duplicate

or supplant funds received from any other Federal or non-Federal

source. CDC awarded funds can be used to expand or enhance services

supported with other Federal or non-Federal funds. In addition,

identify proposed personnel devoted to this project who are supported

by other funding sources and the activities they are supporting.

(7) Independent audit statements from a certified public accountant

for the previous 2 years.

(8) A copy of your organization's current negotiated Federal

indirect cost rate agreement, if applicable.

Note: Materials submitted as attachments should be printed on

one side of 8\1/2\'' x 11'' paper. Please do not attach bound

materials such as booklets or pamphlets. Rather, submit copies of

the materials printed on one side of 8\1/2\'' x 11'' paper. Bound

materials may not be reviewed.

[[Page 33723]]

F. Evaluation Criteria--Category I--Community-Based HIV Prevention

Services

Each application will be evaluated individually against the

following criteria by an independent review group appointed by CDC.

1. Abstract (not scored)

2. Assessment of Need and Justification for the Proposed Activities

(15 points)

a. The extent to which the applicant soundly and convincingly

documents a substantial need for the proposed program and activities;

and the degree to which the proposed activities are consistent with the

Recipient Activities described in the Program Requirements Section. (5

points)

b. The degree to which the applicant describes the specific

behaviors and practices that the interventions are designed to promote

and prevent (i.e., increases in correct and consistent condom use,

knowledge of serological status, not sharing needles, and enrollment in

drug treatment and other preventive programs). (5 points)

c. The quality of the applicant's plan to ensure consistency with

the State and local comprehensive HIV prevention plans and, if

applicable, the adequacy with which the applicant demonstrates the

rationale for deviating from the jurisdiction's comprehensive HIV

prevention plan. (5 points)

3. Long-term Goals (5 points) The quality of the applicant's stated

goals and the extent to which they are consistent with the purpose of

this cooperative agreement, as described in this program announcement.

4. Organizational History and Capacity (15 points) The extent of

the applicant's documented experience, capacity, and ability to address

the identified needs and implement the proposed activities, including:

a. How the applicant's organizational structure and planned

collaborations (including constituent or affiliated organizations or

networks) will support the proposed program activities, and how the

proposed program will have the capacity to reach targeted populations;

(3 points)

b. Applicant's past and current experience in developing and

implementing effective HIV prevention strategies and activities, and in

developing and implementing programs similar to those proposed in this

application; (3 points)

c. Applicant's experience and ability in collaborating with

governmental and non-governmental organizations, including other

national agencies or organizations, State and local health departments,

community planning groups, and State and local non-governmental

organizations that provide HIV prevention services; (3 points)

d. Applicant's capacity to obtain meaningful input and

representation from members of the target population(s) and to provide

culturally competent and appropriate services which respond effectively

to the cultural, gender, environmental, social, and multilingual

character of the target audiences, including documentation of any

history of providing such services; (3 points) and

e. Plans to ensure capacity to implement proposed program where no

direct experience or capacity currently exists within the applicant

organization. (3 points)

5. Program Plan (45 total points)

a. Involvement of the target population (5 points) The degree to

which the applicant describes the involvement of the target population

in planning, implementing, and evaluating activities and services

throughout the project period.

b. Intervention Objectives (5 points) Degree to which the proposed

process objectives are specific, measurable, appropriate, realistic,

and time-based, related to the proposed activities, and consistent with

the program's long-term goals; and the extent to which the applicant

identifies possible barriers to or facilitators for reaching these

objectives.

c. Plan of Operation (15 points) The quality of the applicant's

plan for conducting program activities, and the potential effectiveness

of the proposed activities in meeting objectives.

d. Appropriateness of Interventions (5 points) The degree to which

the applicant describes how the proposed priority interventions and

services are culturally competent, sensitive to issues of sexual

orientation, developmentally appropriate, linguistically-specific, and

educationally appropriate.

e. Scientific, Theoretical, Conceptual, or Program Experience

Foundation for Proposed Activities (5 points) The degree to which the

applicant provides a detailed description of the scientific,

theoretical, conceptual, or program experience foundation on which the

proposed activities are based and which support the potential

effectiveness of these activities for addressing the stated need.

f. Collaborations, Linkages, and Coordination (5 points)

Appropriateness of collaboration and coordination with other

organizations serving the same priority population(s). At minimum, the

applicant provides a description of the collaboration or coordination

and a signed memoranda of agreement for each agency with which

collaborative activities are proposed, and other evidence of

collaboration that describe previous, current, as well as future areas

of collaboration.

g. Timeline (5 points) The extent to which the applicant's proposed

timeline is specific and realistic.

6. Quality Assurance and Program Evaluation Plan (10 points) The

potential of the evaluation plan to describe when and how evaluation

activities will be implemented by the applicant; the extent to which

the evaluation plan is realistic and feasible, taking into account the

applicant's unique needs, resources, capabilities, and priorities; and

the extent to which a plan has been created that will guide the

collection of data for improving HIV prevention efforts and informing

stakeholders of the progress made in HIV prevention.

7. Communication and Dissemination Plan (5 points) The degree to

which the applicant describes how successful approaches and ``lessons

learned'' will be documented and shared with other organizations.

8. Plan for Acquiring Additional Resources (5 points) The degree to

which the applicant describes plans to develop and implement a plan for

obtaining additional resources from other (non-CDC) sources to

supplement the program conducted through this cooperative agreement and

to increase the likelihood of its continuation after the end of the

project period.

9. Budget and Staffing Breakdown and Justification (not scored)

a. Budget Appropriateness of the budget for the proposed project.

b. Personnel Appropriateness of the staffing pattern for the

proposed project.

Before final award decisions are made, CDC may make predecisional

site visits to CBOs whose applications are highly ranked or review the

items below with the local or State health department and applicant's

board of directors:

a. The organizational and financial capability of the applicant to

implement the proposed program.

b. The special programmatic conditions and technical assistance

requirements of the applicant.

A business management and fiscal recipient capability assessment

may be required of some applicants prior to the award of funds.

G. Program Requirements--Category II--Capacity Building Assistance

In conducting activities to achieve the purposes of this program,

the recipient will be responsible for the activities

[[Page 33724]]

under number 1. (Recipient Activities) and CDC will be responsible for

activities under number 2. (CDC Activities) below.

For additional information on capacity building assistance

activities, see Attachment 2.

1. Recipient Activities:

a. Conduct regional community needs and resource assessments around

issues related to HIV prevention, leadership development, and community

mobilization.

b. Develop a regional plan of action to mobilize communities and

relevant agencies to direct resources to meet priority needs related to

Community Capacity Building for HIV prevention.

c. Develop a regional plan of action to provide capacity building

assistance in HIV Prevention Community Planning Effectiveness and

Participation.

d. Provide capacity-building assistance to CBOs serving African

Americans and to diverse faith leaders within the African American

community in the following areas: Community Capacity Building for HIV

Prevention, and HIV Prevention Community Planning Effectiveness and

Participation. These services are to be provided through the use of the

following mechanisms: Information Transfer, Skills Building, Technical

Consultation, Technical Services and Technology Transfer. See

Attachment 2 for additional information.

e. Develop and implement a plan for targeting, engaging, and

maintaining long term capacity building relationships with CBOs serving

African American populations and African American community faith

leaders. The plan should include strategies for conducting ongoing

assessments of faith CBOs and community faith leaders in the areas

listed in Section d above. The plan should also include the strategy

for developing tailored capacity building packages to be delivered over

the course of the project period.

f. Develop a strategy that includes forming a regional community

advisory board which includes CDC-funded faith-based CBOs, members of

the target population(s), and faith community representatives and

leaders. This community advisory board should be involved with

providing input into the overall direction of the proposed program and

in assessing the proposed program's communication, linkages,

performance, and services to the target population.

g. Ensure that capacity building assistance is allocated according

to priority capacity building assistance needs of CDC-funded and other

faith-based CBOs and highly affected African American communities and

sub-populations, such as men who have sex with men (MSM); gay, lesbian,

bisexual and transgender youth (GLBT Youth); high-risk heterosexuals

(HRH) including youth, men, and women; injection drug users and other

substance abusers (IDU/SA); and incarcerated, soon-to-be-released and

released persons.

h. Develop and implement a system that responds to requests for

assistance in Community Capacity Building; HIV Prevention Community

Planning Participation and Effectiveness; and other types of capacity

building assistance from faith-based CBOs and African American

community faith leaders. This process must include mechanisms for

conducting needs assessments, prioritizing requests, assigning staff or

consultants, linking requests (when appropriate) to the retainer

consultant system funded under the Capacity Building Assistance Program

Announcement 99095, delivering services, reporting on service delivery,

and conducting quality assurance.

i. Develop a standardized system for tracking and reporting all

capacity building assistance requests and delivery with CDC assistance

as needed.

j. Incorporate cultural competency and linguistic and educational

appropriateness into all capacity building activities.

k. Develop and implement an effective strategy for marketing

capacity building assistance and services.

l. Participate in a CDC-coordinated capacity building network.

m. Coordinate program activities with appropriate national,

regional, state, and local HIV prevention programs and community

planning groups to prevent duplication of efforts and optimize use of

resources.

n. Monitor and evaluate the accomplishment of program objectives,

and the process of capacity building assistance.

o. Facilitate the dissemination of information about successful

capacity building assistance strategies and ``lessons learned'' through

peer-to-peer interactions, meetings, workshops, conferences, and

communications with CDC project officers.

p. Participate in CDC coordinated train-the-trainer opportunities.

q. Adhere to CDC policies for securing approval for CDC sponsorship

of conferences.

r. Develop a strategy for obtaining additional resources from non-

CDC sources to supplement the program conducted through this

cooperative agreement and to enhance the likelihood of its continuation

after the end of the project period.

2. CDC Activities:

a. Serve as the coordinator for CDC's capacity building programs,

which will include organizations providing capacity building assistance

under this program announcement.

b. Provide recipients with consultation in planning, developing,

managing, and evaluating capacity building services. CDC will provide

consultation and assistance both directly through CDC and indirectly

through contractors; national, regional and local organizations; and

peer-to-peer assistance from CDC-funded partners.

c. Provide up-to-date scientific information on the risk factors

for HIV infection, prevention measures, and program strategies for

prevention of HIV infection.

d. Facilitate and promote collaboration through the exchange of

program information, coalition maintenance strategies, and technical

assistance among CBOs; State and local health departments; HIV

prevention community planning groups; national, regional, and local

organizations; and other HIV prevention partners.

e. Support train-the-trainer opportunities that enhance capacity

building assistance delivery systems.

f. Facilitate and collaborate in the dissemination of successful

capacity building strategies and ``lessons learned'' through meetings

of grantees, workshops, conferences, and communications.

g. Work with recipients to standardize a system for tracking and

reporting all capacity building assistance requests and delivery.

h. Monitor the recipient's performance of program activities,

protection of client confidentiality, and compliance with federally

mandated requirements.

i. Coordinate an evaluation of the overall capacity building

assistance program.

H. Application Content--Category II--Capacity Building Assistance

Use the information in the Program Requirements, Other

Requirements, and Application Evaluation Criteria sections to develop

the application content. Your application will be evaluated on the

criteria listed, so it is important to follow them in laying out your

program plan. The narrative should be no more than 50 pages.

Number each page sequentially, and provide a complete Table of

Contents to the application and its appendices. Please begin each

separate section of the

[[Page 33725]]

application on a new page. The original and each copy of the

application set must be submitted unstapled and unbound. All material

must be typewritten, single spaced, with unreduced 12 point or 10 pitch

font on 8\1/2\'' by 11'' paper, with at least 1'' margins, headings and

footers, and printed on one side only. Materials which should be part

of the basic narrative will not be accepted if placed in the

appendices.

Note: Applicants may apply for more than one category, if

eligible; however, a separate application must be submitted for each

category.

In developing the application, you must follow the format and

instructions below:

Format for Category II--Capacity Building Assistance Program

1. Abstract

2. Long-term Goals

3. Organizational History and Capacity

a. Organizational Structure

b. History Providing Community Capacity Development and Other

Capacity Building Assistance to CBOs serving African American

populations and African American community faith leaders

c. Capacity for Cultural Competence

d. Current Capability in Providing Capacity-Building Assistance

e. Experience Working with Coalitions (where appropriate) and

Current Collaborations

4. Assessing the Need for Community Capacity Development and HIV

Prevention Community Planning Effectiveness and Participation

a. Characteristics of African American populations and communities

b. Capacity-Building Needs

5. Program Plan

a. Involvement of CDC-funded faith-based CBOs and African American

community faith leaders

b. Objectives

c. Plan of Operation

d. Coordination/Collaboration

e. Timeline

6. Program Evaluation Plan

7. Communications/Dissemination Plan

8. Plan for Acquiring Additional Resources

9. Budget and Staffing Breakdown and Justification

a. Detailed Budget

b. Mechanisms for Use of Funds

c. Staffing Plan

10. Attachments

Instructions for Category II--Capacity Building Assistance Program

1. Abstract (not to exceed 3 pages) Briefly summarize the

following:

a. Region(s) applying for and the type of organization (national,

regional, or local) and, if national or regional, whether applying

independently or with a coalition

b. Organizational structure, philosophy, mission, history

c. Long term goals of the proposed project

d. Overview of plan of operation

e. Overview of plan for collaboration and coordination with other

capacity-building service providers, state and local health

departments, and community planning groups

f. Composition of proposed coalition (where appropriate)

g. Future year activities.

2. Long-term Goals (not to exceed 1 page) Describe the broad

capacity-building goals that your proposed program aims to achieve over

the course of the project period.

3. Organizational History and Capacity (not to exceed 10 pages)

a. Describe your existing organizational structure, including the

role, responsibilities, and racial/ethnic composition of board of

directors; board committee structure (including advisory board); board

recruitment and training process; organizational management,

administrative, and program components; constituent or affiliate

organizations or networks; and how the organizational structure offers

the ability to provide capacity building assistance.

b. Describe your organization's history with providing assistance

in community capacity development; HIV prevention community planning

effectiveness and participation; and other capacity building assistance

to faith-based CBOs, faith leaders, and other CBOs serving African

American populations. Describe specific assistance or services

provided.

c. Describe your organization's capability to provide services that

respond effectively to the cultural, gender, environmental, social, and

multilingual characteristics of faith-based CBOs and African American

community faith leaders. Include a description of the types of services

provided and a list summarizing culturally, linguistically, and

developmentally appropriate curricula and materials.

d. Describe your organization's capability in developing and

implementing capacity-building programs, strategies, or activities

(refer to recipient activities section), and in developing and

implementing programs similar to the one proposed in this program

announcement.

e. Describe your organization's experience, if appropriate, working

with a coalition(s) and in collaborating with governmental and non-

governmental organizations, including national or regional agencies or

organizations, State and local health departments, community planning

groups, and State and local non-governmental organizations that provide

HIV prevention services.

4. Assessing the Need for Community Capacity Development, and HIV

Prevention Community Planning Effectiveness and Participation (not to

exceed 5 pages)

a. Describe the demographics and structure of the faith-based

stakeholders (such as faith-based CBOs and African American community

faith leaders) you intend to serve. Describe the impact of the HIV and

AIDS epidemic on these stakeholders and any specific environmental,

social, cultural, or linguistic characteristics which will be

considered in your capacity building strategy.

b. Describe the priority needs related to community capacity

development and HIV prevention community planning effectiveness and

participation for faith-based CBOs and faith leaders you intend to

serve. Describe the process for determining these needs, including

where appropriate: the use of epidemiologic and other data, resource

inventories, regional needs assessments, and the use of gap analyses.

c. Describe how your proposed program complements the HIV

comprehensive plans in the region(s) you plan to serve.

5. Program Plan (not to exceed 20 pages) Describe your proposed

program, including:

a. Involvement of CDC-funded and other faith-based CBOs and faith

community representatives and leaders: Describe how CDC-funded and

other faith-based CBOs and faith community leaders within a region will

be involved in providing input into the direction of the proposed

program and in assessing the proposed program's communication,

linkages, performance, and services provided throughout the project

period.

b. Objectives: Provide specific, realistic, time-phased, and

measurable objectives to be accomplished during the first budget

period. Describe how these objectives relate to the goals described in

this announcement. Describe possible barriers to or facilitators for

reaching these objectives.

c. Plan of Operation:

Describe the following:

(1) The strategies (in detail) that will be used, the activities

that will be conducted, and the services that will be provided to meet

the proposed goals and objectives and to complete all the required

recipient activities (including the provision of services through the

use

[[Page 33726]]

of the ``capacity-building assistance delivery mechanisms'');

(2) The process for responding to requests for assistance in

community capacity development; HIV prevention community planning

participation and effectiveness; and other types of capacity building

assistance from faith-based CBOs and African American community faith

leaders. Include in your description how you will: (a) conduct needs

assessments, (b) prioritize requests to place major emphasis on

assistance to faith-based CBOs and leaders serving African American

sub-populations most heavily affected by HIV, (c) link requests (when

appropriate) to the retainer consultant system funded under the

Capacity Building Assistance Program Announcement 99095,(d) assign

staff and consultants, (e) deliver services, (f) report on service

delivery, and (g) conduct quality assurance;

(3) How your organization will ensure that assistance provided will

be culturally competent, sensitive to issues of sexual and gender

identity, developmentally appropriate, linguistically-specific,

educationally appropriate, and targeted to the needs of faith-based

CBOs and African American community faith leaders;

(4) How your organization will market program services;

(5) How the proposed program will be managed and staffed, including

the fiscal, administrative, managerial, and personnel infrastructure

and resources that will be used to support the proposed capacity-

building program;

(6) The placement of the program within your organizational

structure and the space that will be used to house the proposed program

staff;

(7) The equipment and information management systems that could be

used to maintain information related to this announcement; and

(8) The respective roles and responsibilities of your organization

and those of each coalition member performing any of the proposed

activities or functions.

d. Coordination and Collaboration: Describe how you will coordinate

and collaborate with other national, regional, state, and local

governmental and nongovernmental organizations and HIV prevention

providers (see Attachment 2 for examples of collaborating agencies).

e. Timeline: Provide a timeline that identifies major

implementation phases and assigns approximate dates for inception and

completion.

6. Program Evaluation Plan (not to exceed 5 pages) Describe your

plan for monitoring progress to determine if the objectives are being

achieved and demonstrating that the methods used to deliver the

proposed capacity building services are effective and efficient. At a

minimum, the plan should (1) outline strategies for implementing

process evaluation of capacity building activities to determine if the

process objectives are being achieved, (2) outline strategies for

outcome monitoring to determine if the services and methods used to

deliver the services are effective and efficient, (3) describe what

data will be collected and how this data will be collected, analyzed,

and used to evaluate and improve the program, and (4) specify the

persons responsible for designing and implementing evaluation

activities, collecting and analyzing data, and reporting findings.

7. Communication and Dissemination Plan (not to exceed 2 pages)

Describe how you will share successful approaches and ``lessons

learned'' with other organizations.

8. Plan for Acquiring Additional Resources (not to exceed 2 pages)

Describe how you will develop and implement a plan for obtaining

additional resources from other (non-CDC) sources to supplement the

program conducted through this cooperative agreement and to increase

the likelihood of its continuation after the end of the project period.

9. Budget/Staffing Breakdown and Justification (not scored)

a. Detailed Budget: Provide a detailed budget for each proposed

activity. Justify all operating expenses in relation to the stated

objectives and planned activities. CDC may not approve or fund all

proposed activities. Be precise about the program purpose of each

budget item and itemize calculations wherever appropriate.

For contracts, applicants should name the contractor, if known;

describe the services to be performed which justifies the use of a

contractor; provide a breakdown of and justification for the estimated

costs of the contracts; the period of performance; the method of

selection; and method of monitoring the contract.

Note: If indirect costs are requested, you must provide a copy

of your organization's current negotiated Federal indirect cost rate

agreement. In the absence of an indirect cost rate agreement, the

recipient may request, with detailed justification, a maximum of ten

percent for the executive director. This limitation also applies to

contracts and coalitions. If the organization has an indirect rate