Opportunity Information: Apply for CDC RFA DD09 903

  • The Centers for Disease Control and Prevention in the health sector is offering a public funding opportunity titled "Early Hearing Detection and Intervention (EHDI) Tracking, Surveillance and Integration" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.283 Centers for Disease Control and PreventionInvestigations and Technical Assistance.
  • This funding opportunity was created on Apr 14, 2009 and posted on Apr 14, 2009.
  • Applicants must submit their applications by Jun 15, 2009 Letter of Intent Deadline May 14, 2009 Application Deadline June 15, 2009. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $750,000.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $200,000.00 in funding.
  • The number of recipients for this funding is limited to 6 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • Eligible applicants that can apply for this funding opportunity are listed below State and local governments or their Bona Fide Agents (this includes the Commonwealth of Puerto Rico, the Virgin Islands, the Federated States of Micronesia, and the Republic of the Marshall Islands) that did not apply and receive funds under DD08 803. 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 applying as a bona fide agent of a state or local government, a letter from the state or local government as documentation of the status is required. Attach with Other Attachment Forms when submitting via www.grants.gov. Eligibility is limited to State/Territorial agencies or their Bona Fide agents because they have the public health authority and/or legislative mandate to conduct Universal Newborn Hearing Screening (UNHS) activities which include monitoring and tracking the disposition of every occurrent birth in the state. This authority allows them to work collaboratively with multiple reporting sources including vital records, birthing facilities, diagnostic centers, audiologist, early intervention services, birth defect registries, immunization registries and bloodspot programs to ensure accurate monitoring and tracking of all births statewide. They also have the experience, capacity, expertise, and resources to complete the comprehensive activities for this statewide surveillance program. Note The State and local governments or their Bona Fide Agents that applied and were funded under Funding Opportunity Announcement # DD08 803 are not eligible to apply.
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Opportunity Summary:

Early Hearing Detection and Intervention (EHDI) Tracking, Surveillance and Integration (Funding Opportunity Number CDC RFA DD09-903) is a Centers for Disease Control and Prevention (CDC) cooperative agreement designed to strengthen how states and territories track newborn hearing screening and follow-up services. The core idea is to help public health agencies move beyond partial, estimated, or aggregated reporting and instead build or improve systems that can accurately identify, match, and manage unduplicated, individual-level data for each child. The program is aimed at improving the completeness and reliability of EHDI information so states and territories can document what happens to every baby born in their jurisdiction as they move through screening, diagnostic evaluation, and early intervention. This work ties directly to Healthy People 2010 priorities in the Vision and Hearing focus area.

The opportunity focuses on three main outcomes. First, it supports upgrading EHDI tracking and surveillance systems so they can correctly identify individual infants, link records across different data sources, and avoid duplicates while maintaining identifiable, child-level information. Second, it builds the capacity of state and territorial EHDI programs to report, in a consistent and accurate way, the status of every occurring birth across the full EHDI process. That emphasis on "every occurrent birth" is important because the national EHDI goals depend on knowing not only how many infants were screened, but also which infants were missed, lost to follow-up, or delayed at any point between screening and enrollment in services. Third, it promotes integration of EHDI data systems with other state or territorial screening, tracking, and surveillance programs that serve children with special health needs, which can reduce fragmentation and improve coordination across public health and clinical partners.

This grant was posted on April 14, 2009, with a letter of intent deadline of May 14, 2009, and an application deadline of June 15, 2009. The program planned to make about six awards, with an estimated total funding amount of $750,000. Individual awards could be as high as $200,000, with no stated minimum award floor, and there was no cost sharing or matching requirement. The assistance listing is CFDA 93.283, under CDC Investigations and Technical Assistance, and the activity category is health. Because the award mechanism is a cooperative agreement, recipients should expect substantial involvement from CDC compared with a standard grant, often including guidance, collaboration, and shared programmatic oversight to help achieve the intended public health outcomes.

Eligibility was limited to state and local governments or their bona fide agents, including certain U.S. territories and freely associated states listed in the announcement (the Commonwealth of Puerto Rico, the U.S. Virgin Islands, the Federated States of Micronesia, and the Republic of the Marshall Islands). A bona fide agent is an organization designated by the state or local government to apply on its behalf, and applicants using this route needed to provide documentation from the government entity confirming that status. The restriction to state and territorial agencies (or their designated agents) reflects the fact that these entities typically hold the public health authority and/or legislative mandate to conduct Universal Newborn Hearing Screening (UNHS) activities and to monitor the disposition of every birth statewide. That authority also positions them to coordinate data sharing and reporting across the many partners that contribute to EHDI tracking, such as vital records offices, birthing hospitals, diagnostic centers, audiologists, early intervention programs, birth defects registries, immunization information systems, and newborn bloodspot screening programs. One notable limitation was that states or local governments (and their agents) that applied for and were funded under the prior funding announcement DD08-803 were not eligible to apply for this DD09-903 opportunity.

For practical purposes, the opportunity is about improving the public health infrastructure behind newborn hearing screening so that states and territories can answer, with confidence and person-level accuracy, where each child is in the EHDI pathway and whether national benchmarks are being met. It also aims to connect EHDI more tightly with other child health data systems, which can help identify children with special health needs earlier, reduce gaps between screening and services, and support more coordinated follow-up. For help accessing the full announcement, the CDC Procurement and Grants Office Technical Information Management Section was listed as the contact point (770-488-2700).

Frequently Asked Questions (FAQs)

What is the name of this funding opportunity?

The opportunity is titled Early Hearing Detection and Intervention (EHDI) Tracking, Surveillance and Integration and it is listed under Funding Opportunity Number CDC RFA DD09-903.

Who is offering this opportunity?

This is a Centers for Disease Control and Prevention (CDC) cooperative agreement intended to strengthen state and territorial capacity to track newborn hearing screening and follow-up services.

What is the main purpose of the grant?

The purpose is to help states and territories move beyond partial, estimated, or aggregated reporting and instead build or improve systems that can accurately identify, match, and manage unduplicated, individual-level data for each child as they move through the EHDI process (screening, diagnostic evaluation, and early intervention).

What public health problem is this opportunity trying to address?

It addresses gaps in the completeness and reliability of EHDI information by improving the ability of jurisdictions to document what happens to every baby born as they progress through newborn hearing screening and any necessary follow-up services, including identifying children who are missed or lost to follow-up.

What are the three main outcomes this opportunity focuses on?

The announcement emphasizes three main outcomes:

  1. Upgrading EHDI tracking and surveillance systems so they can correctly identify individual infants, link records across sources, and avoid duplicates while maintaining identifiable, child-level data.
  2. Building the capacity to report the status of every occurring birth across the full EHDI process in a consistent and accurate way, including identifying infants missed, delayed, or lost to follow-up at any stage.
  3. Promoting integration of EHDI systems with other state/territorial screening, tracking, and surveillance programs serving children with special health needs to reduce fragmentation and improve coordination.

What does "every occurring birth" mean in this context?

It means the system should support accounting for the EHDI status of every birth in the jurisdiction, not just reporting totals. This approach supports national EHDI goals by helping programs identify exactly which infants were screened, which were missed, and which were lost to follow-up or delayed between screening and enrollment in services.

What kind of data capability is the CDC trying to strengthen?

The opportunity targets capabilities such as child-level identification, record matching across multiple data sources, and deduplication so that programs can manage unduplicated, individual-level records for each child while maintaining identifiable information needed for tracking and follow-up.

How does this opportunity relate to broader national priorities?

The work ties directly to Healthy People 2010 priorities in the Vision and Hearing focus area.

What is the assistance listing (CFDA) number and program name?

The assistance listing is CFDA 93.283, under CDC Investigations and Technical Assistance.

What is the activity category for this funding?

The activity category is health.

What funding mechanism is being used?

The award is a cooperative agreement, which typically involves more substantial involvement from CDC than a standard grant, including guidance, collaboration, and shared programmatic oversight to help achieve intended outcomes.

How many awards were expected and what was the total estimated funding?

The program planned to make about six awards with an estimated total funding amount of $750,000.

What was the maximum individual award amount?

Individual awards could be as high as $200,000.

Was there a minimum award amount?

No minimum award floor was stated in the information provided.

Is cost sharing or matching required?

No. The opportunity stated there was no cost sharing or matching requirement.

When was the opportunity posted?

The opportunity was posted on April 14, 2009.

What were the letter of intent and application deadlines?

The letter of intent deadline was May 14, 2009, and the application deadline was June 15, 2009.

Who was eligible to apply?

Eligibility was limited to state and local governments or their bona fide agents, including certain U.S. territories and freely associated states referenced in the announcement.

Which territories and freely associated states were specifically listed as eligible?

The announcement specifically listed:

  • the Commonwealth of Puerto Rico
  • the U.S. Virgin Islands
  • the Federated States of Micronesia
  • the Republic of the Marshall Islands

What is a "bona fide agent" in this opportunity?

A bona fide agent is an organization designated by a state or local government to apply on the government entity's behalf. Applicants applying as a bona fide agent needed to provide documentation from the government entity confirming that status.

Why is eligibility limited to state and territorial agencies (or their agents)?

The restriction reflects that these entities typically hold the public health authority and/or legislative mandate to conduct Universal Newborn Hearing Screening (UNHS) activities and to monitor the disposition of every birth statewide, and they are positioned to coordinate data sharing and reporting across many partners that contribute to EHDI tracking.

Were any applicants specifically not eligible?

Yes. States or local governments (and their agents) that applied for and were funded under the prior funding announcement DD08-803 were not eligible to apply for this DD09-903 opportunity.

What kinds of partners typically contribute data to EHDI tracking systems?

The announcement notes that EHDI tracking commonly involves coordination across partners such as:

  • vital records offices
  • birthing hospitals
  • diagnostic centers
  • audiologists
  • early intervention programs
  • birth defects registries
  • immunization information systems
  • newborn bloodspot screening programs

What does "integration" mean in this funding opportunity?

Integration refers to connecting EHDI data systems with other child health screening, tracking, and surveillance programs that serve children with special health needs to reduce fragmentation and improve coordination across public health and clinical partners.

What is the practical goal for states and territories if funded?

The practical goal is to improve the public health infrastructure behind newborn hearing screening so jurisdictions can answer, with confidence and person-level accuracy, where each child is in the EHDI pathway and whether national benchmarks are being met, while also supporting more coordinated follow-up through tighter connections with other child health data systems.

Who was listed as a contact for help accessing the full announcement?

The contact listed was the CDC Procurement and Grants Office Technical Information Management Section at 770-488-2700.

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