Opportunity Information: Apply for CDC RFA DP 23 0013

The High Obesity Program (HOP) is a CDC-funded, five-year cooperative agreement designed to reduce obesity and related chronic disease risks by improving nutrition and physical activity conditions in U.S. counties with especially high need. The program is grounded in the recognition that poor nutrition and low physical activity are major drivers of obesity and other chronic diseases, with obesity affecting about 78.6 million adults (roughly 35 percent) and 12.7 million children (roughly 17 percent) nationwide, and contributing to an estimated 147 billion dollars in annual health care costs. Rather than focusing only on individual behavior change, HOP emphasizes county-level, evidence-based approaches that improve the environments and systems shaping daily choices about food and physical activity.

A central feature of HOP is its use of land-grant universities and their community extension services as the primary implementation platform. These institutions are expected to work directly with local partners to put proven strategies into practice, especially in counties where the adult obesity rate exceeds 40 percent. The intent is to use the extension model to reach communities effectively, coordinate local action, and connect public health goals with on-the-ground education and community development infrastructure.

HOP-funded work is meant to be cross-sector and collaborative, leveraging resources and influence from stakeholders in areas such as agriculture, transportation, education, business and commerce, and housing. This reflects the program's focus on addressing upstream factors that affect access to healthy foods and safe, accessible opportunities for physical activity. Examples of the types of activities supported include implementing strategies that improve nutrition, expanding or enhancing safe and accessible physical activity options, and supporting family healthy weight initiatives as well as early care and education programs. Overall, the program aims not only to produce measurable improvements in participating counties, but also to generate lessons and practices that can inform broader state and local public health efforts in the future, supporting long-term progress toward better health outcomes.

Administratively, this opportunity is offered by the Department of Health and Human Services through the Centers for Disease Control and Prevention, specifically NCCDPHP, under CFDA number 93.319. It is a discretionary funding opportunity using a cooperative agreement structure, indicating substantial federal involvement and collaboration during implementation. Eligible applicants are public and state-controlled institutions of higher education, aligning with the program's reliance on land-grant university capacity. The opportunity was created on January 18, 2023, with an original application deadline of March 21, 2023, and required electronic submission by 11:59 pm Eastern Time on the due date. CDC anticipated making about 16 awards, with an award ceiling of up to 1,200,000 dollars per award.

  • The Department of Health and Human Services, Centers for Disease Control - NCCDPHP in the health sector is offering a public funding opportunity titled "The High Obesity Program (HOP)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.319.
  • This funding opportunity was created on Jan 18, 2023.
  • Applicants must submit their applications by Mar 21, 2023 Electronically submitted applications must be submitted no later than 1159 pm ET on the listed application due date.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $1,200,000.00 in funding.
  • The number of recipients for this funding is limited to 16 candidate(s).
  • Eligible applicants include: Public and State controlled institutions of higher education.
Apply for CDC RFA DP 23 0013

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High Obesity Program (HOP) Grant - Frequently Asked Questions

1) What is the High Obesity Program (HOP)?

The High Obesity Program (HOP) is a CDC-funded, five-year cooperative agreement focused on reducing obesity and related chronic disease risks. It does this by improving nutrition and physical activity conditions at the county level, especially in U.S. counties with the highest need.

2) What problem is HOP designed to address?

HOP targets obesity and the chronic disease risks linked to poor nutrition and low physical activity. The opportunity description notes that obesity affects about 78.6 million adults (roughly 35 percent) and 12.7 million children (roughly 17 percent) nationwide, and is associated with an estimated 147 billion dollars in annual health care costs.

3) How does HOP approach obesity prevention differently than programs focused only on individual behavior?

Instead of focusing only on individual behavior change, HOP emphasizes county-level, evidence-based approaches that improve environments and systems that shape daily choices about food and physical activity. The intent is to improve conditions in communities so healthier choices are easier and more accessible.

4) What kinds of strategies or activities does HOP support?

Examples of supported activities mentioned in the opportunity include:

  • Implementing strategies that improve nutrition
  • Expanding or enhancing safe and accessible physical activity options
  • Supporting family healthy weight initiatives
  • Supporting early care and education programs

5) What geographic areas are prioritized under HOP?

HOP is designed for U.S. counties with especially high need, particularly counties where the adult obesity rate exceeds 40 percent.

6) Who is the primary implementation platform for HOP-funded work?

A central feature of HOP is the use of land-grant universities and their community extension services as the primary implementation platform. These institutions are expected to work directly with local partners to put proven strategies into practice.

7) Why does HOP rely on land-grant universities and extension services?

The program is designed to use the extension model to reach communities effectively, coordinate local action, and connect public health goals with education and community development infrastructure that already operates on the ground.

8) What does "cross-sector" work mean in the context of HOP?

HOP-funded work is meant to be cross-sector and collaborative. That means working with stakeholders beyond public health to influence the upstream factors affecting food access and physical activity opportunities.

9) Which sectors are specifically named as potential collaborators?

The opportunity description highlights stakeholders in areas such as agriculture, transportation, education, business and commerce, and housing.

10) What is the intended impact of HOP in participating counties?

HOP aims to produce measurable improvements in participating counties by improving nutrition and physical activity conditions, thereby reducing obesity and chronic disease risks.

11) Does HOP have goals beyond the counties directly participating?

Yes. HOP also aims to generate lessons and practices that can inform broader state and local public health efforts in the future, supporting long-term progress toward better health outcomes.

12) Which federal agency is offering this funding opportunity?

This opportunity is offered by the U.S. Department of Health and Human Services (HHS) through the Centers for Disease Control and Prevention (CDC), specifically NCCDPHP.

13) What is the CFDA number for this opportunity?

The opportunity is listed under CFDA number 93.319.

14) What type of funding mechanism is used for HOP?

HOP is a discretionary funding opportunity using a cooperative agreement structure.

15) What does it mean that HOP is a "cooperative agreement"?

The cooperative agreement structure indicates substantial federal involvement and collaboration during implementation, meaning CDC is expected to be actively involved alongside awardees as the work is carried out.

16) Who is eligible to apply for HOP funding (based on the opportunity description)?

Eligible applicants are public and state-controlled institutions of higher education, aligning with the program's reliance on land-grant university capacity.

17) When was this opportunity created?

The opportunity was created on January 18, 2023.

18) What was the original application deadline?

The original application deadline was March 21, 2023.

19) How were applications required to be submitted?

Applications were required to be submitted electronically.

20) What was the submission cutoff time on the due date?

The required submission time was by 11:59 pm Eastern Time on the due date.

21) How many awards did CDC anticipate making?

CDC anticipated making about 16 awards.

22) What is the maximum award amount (award ceiling)?

The award ceiling was up to 1,200,000 dollars per award.

23) How long is the project period for HOP?

HOP is described as a five-year cooperative agreement.

24) What is the core focus of the work HOP funds?

The core focus is improving nutrition and physical activity conditions through evidence-based, county-level approaches that influence environments and systems, not only individual choices.

25) What kinds of partners are land-grant universities expected to work with?

Land-grant universities are expected to work directly with local partners and cross-sector stakeholders (including areas like agriculture, transportation, education, business and commerce, and housing) to implement proven strategies and coordinate local action.

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