[Federal Register Volume 65, Number 9 (Thursday, January 13, 2000)]
[Notices]
[Pages 2178-2185]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-794]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Program Announcement 00023]
Human Immunodeficiency Virus (HIV) Prevention Projects for
Community-Based Organizations; Notice of Availability of Funds for
Fiscal Year 2000
A. Purpose
The Centers for Disease Control and Prevention (CDC) announces the
availability of fiscal year (FY) 2000 funds to support community-based
organizations (CBOs) to develop, implement, and evaluate state-of-the-
art, model community-based HIV prevention programs for populations at
risk for HIV infection, especially racial/ethnic minority populations
at risk. This program addresses the ``DRAFT Healthy People 2010''
priority areas of Educational and Community-Based Programs, HIV
Infection, and Sexually Transmitted Diseases (STDs).
The goals of this program are to:
1. Reduce the disproportionate impact of the HIV epidemic on
racial/ethnic minority populations and other at-risk populations.
2. Improve and expand community-based HIV prevention services by
supporting community-based HIV prevention programs that address
priorities described in applicable State and local comprehensive HIV
prevention plans (that is, the plans developed by the official HIV
prevention community planning groups for the jurisdiction in which the
CBO is located) or that adequately justify addressing other priorities.
3. Enhance CBOs' incorporation of scientific theory and data, and
validated program experience into the design, implementation, and
evaluation of HIV prevention services.
4. Support collaboration and coordination of HIV prevention efforts
among CBOs, community planning groups, other local organizations, local
and State health departments, and managed care organizations serving
populations at risk for HIV infection.
B. Eligible Applicants
Eligible applicants are CBOs that meet the following criteria (also
see Proof of Eligibility, section E.8.d):
1. CBOs may apply as either (1) Minority CBOs intending to serve
predominantly racial/ethnic minority populations at high risk for HIV
infection, or (2) other CBOs serving high-risk populations without
regard to their racial/ethnic identity. A CBO may submit an application
in only one of these categories.
2. The applicant organization must meet the following criteria:
a. Have current, valid tax-exempt status under Section 501(c)(3),
as evidenced by an Internal Revenue Service (IRS) determination letter.
b. Must be located in the community and have an established record
of at least two years of service to the proposed target population.
3. To apply as a minority CBO, the applicant organization must also
meet the following criteria:
a. Have more than 50 percent of positions on the executive board or
governing body filled by persons of the racial/ethnic minority group(s)
to be served.
b. Have more than 50 percent of key management, supervisory, and
administrative positions (e.g., executive director, program director,
fiscal director) and more than 50 percent of key service provision
positions (e.g., outreach worker, prevention case manager, counselor,
group facilitator) filled by persons of the racial/ethnic population(s)
to be served.
4. In either category, a CBO may apply as a lead organization
within a coalition (For this announcement, the term coalition means a
group of organizations in which each member organization is responsible
for specific, defined, integral activities within the proposed program,
and all member organizations share responsibility for the overall
planning, implementation, and evaluation of the program.); that is, a
collaborative contractual partnership. The lead organization must meet
the
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criteria specified above (in #2 and #3). A CBO may submit only one
application under this announcement; that is, it may apply as an
individual organization or as part of a coalition, but not both.
5. CBOs currently funded under CDC Program Announcements 99091,
99092, and 99096 are eligible to apply if they meet the criteria
specified above. However, the total combined award under any
combination of these announcements will not exceed $350,000. Funds
awarded to currently-funded CBOs must be used to develop and implement
new activities or to enhance or expand existing activities and not to
supplant funds from other sources.
6. 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 as a lead organization under this
announcement. However, applicants are encouraged to include private or
public universities and colleges as collaborators or subcontractors
when appropriate.
7. Local affiliates, chapters, or programs of national and regional
organizations are eligible to apply. The local affiliate, chapter, or
program applying must meet criteria one through six, above.
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
Approximately $17,120,000 is expected to be available in FY 2000 to
fund approximately 76 awards. It is expected that awards will begin on
or about June 1, 2000, and will be made for a 12-month budget period
within a project period of up to 4 years. The maximum award under this
announcement will be $225,000. Applications requesting more than
$225,000, including indirect costs, will not be considered and will be
returned as ineligible.
Approximately $11,470,400 will be awarded to minority CBOs that
provide prevention services for racial/ethnic minority populations at
high risk for HIV infection. Approximately $5,649,600 will be awarded
to other CBOs that provide prevention services to populations at risk
for HIV infection, without regard to the populations' racial/ethnic
identity. Funding estimates may change.
Continuation awards within an approved project period will be made
on the basis of availability of funds and the applicant's satisfactory
progress toward achieving stated 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.
1. Use of Funds
a. Funds provided under this announcement must support activities
directly related to primary HIV prevention (that is, preventing the
acquisition or transmission of HIV). However, intervention activities
that involve preventing other STDs or substance abuse as a means of
reducing or eliminating the risk of HIV transmission may also be
supported.
b. No funds will be provided for direct patient medical care
(including substance abuse treatment, medical treatment, or
medications) or research.
c. These federal funds may not supplant or duplicate existing
funding.
d. Applicants may contract with other organizations under these
cooperative agreements; however, applicants must perform a substantial
portion of the activities for which funds are requested, including
program management and operations and delivery of prevention services.
e. Applications requesting funds to support only administrative and
managerial functions will not be accepted.
f. 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. 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 their 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. Funding Preferences
In making awards, preference for funding will be given to:
a. Ensuring a balance of funded CBOs in terms of targeted racial/
ethnic minority groups. The number of funded CBOs serving each racial/
ethnic minority group may be adjusted based on the rate of HIV/AIDS in
that group.
b. Ensuring a balance of funded CBOs in terms of targeted risk
behaviors. The number of funded CBOs that target a specific risk
behavior (for example, IV drug use) may be adjusted based on the rate
of HIV/AIDS associated with that behavior.
c. Ensuring a geographic balance of funded CBOs. Consideration will
be given to both high and lower prevalence areas. The number of funded
CBOs may be adjusted based on the rate of HIV/AIDS in the jurisdiction.
D. Program Requirements
Each applicant must conduct one or more of the following priority
HIV prevention interventions. However, because of the resources,
expertise, and organizational capacities needed for success, applicants
should carefully consider the feasibility of undertaking more than one
of the priority interventions listed.
1. Client-centered HIV counseling, testing, and referral services
2. Individual level interventions
3. Group level interventions (e.g., small group interventions)
4. Community level interventions
5. Street and community outreach (may include Health Education/Risk
Reduction activities and face-to-face distribution of condoms, bleach,
etc.)
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.
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 interventions is the primary focus.
Applicants should develop program activities that are consistent
with applicable State and local comprehensive HIV prevention plans or
adequately justify addressing other priorities.
In conducting activities to achieve the purpose of this program,
the recipient will be responsible for the activities under number 1.
(Required Recipient Activities) and CDC will be responsible
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for activities under number 2. (CDC Activities) below.
1. Required Recipient Activities
a. Program Activities
(1) Involve the target population in planning, implementing, and
evaluating activities and services throughout the project period. This
may be accomplished in collaboration with existing HIV/AIDS prevention
activities or groups, such as the community planning group in the
applicant's jurisdiction.
(2) Conduct at least one of the following interventions:
(a) Provide HIV counseling, testing, and referral services for
persons at high risk for HIV infection. For example: Improve access to
or provide alternative testing sites (e.g., sites that are staffed by
trained individuals such as IDUs in treatment) that will be more
accessible to target populations than currently available sites
1. Provide access to rapid-results testing technologies
2. Improve utilization of post-test counseling, referrals, and
follow-up
(b) Conduct health education and risk-reduction interventions (HE/
RR) for persons at high risk of becoming infected or transmitting HIV
to others. These may include individual, group, or community-level
interventions. For example:
1. Reduce unsafe sex and drug practices among individuals newly
released from correctional facilities and among injection and other
drug users who are in the judicial system.
2. Reduce behaviors that put young people at risk for HIV
infection, focusing on youth who are not being served by existing HIV
prevention programs and who are at risk for HIV infection.
(c) Conduct outreach activities in order to improve access to the
target population and provide face-to-face interactions in which
education and educational and other materials (for example, condoms,
bleach, sexual responsibility kits) may be shared with high risk
individuals in appropriate venues.
(3) For all interventions:
(a) Use social and behavioral science theory and validated
programmatic experience to design and implement state-of-the-art, model
HIV prevention programs and use epidemiologic, behavioral, and social
science data and community experience to structure and guide
intervention and service delivery.
(b) Assist HIV-positive persons in gaining access to appropriate
primary HIV prevention, such as health education and risk-reduction
services, 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 and mental health services; TB prevention and
treatment; 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. These activities may involve attempts to locate a medical
home for uninsured clients.
(c) Incorporate cultural competency, sensitivity to issues of
sexual and gender identity, and linguistic and developmental
appropriateness into all program activities and prevention messages.
(d) Ensure adequate protection of client confidentiality.
b. Collaboration and Coordination
(1) Establish ongoing collaborations (For this announcement, the
term collaborate means exchanging information, developing and altering
activities, sharing resources, and enhancing the capacity of another
organization for mutual benefit to achieve a common purpose.) with
health departments, community planning groups, academic and research
institutions, health care providers, and other local resources in
designing, implementing, and evaluating interventions. (See Attachment
2 in the application package for a list of organizations with which
collaboration may be appropriate.)
(2) In order to strengthen the breadth and comprehensiveness of
local HIV/AIDS prevention services and eliminate duplication of
efforts, coordinate (For this announcement, the term coordinate means
exchanging information and altering activities for mutual benefit.)
activities with health departments, such as sharing progress reports
with state and local health departments; community planning groups; and
other national, regional, and local organizations and agencies involved
in HIV prevention activities, especially those serving the target
population. (See Attachment 2 in the application package for a list of
organizations with which collaboration may be appropriate.)
(3) 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; reviewing
and commenting on plans; and becoming familiar with and utilizing
information from the community planning process, such as the
epidemiologic profile, needs assessment data, and intervention
strategies. Grantees should also present an overview of their project
activities to the community planning group in their jurisdiction.
c. Program Monitoring and Evaluation
(1) Use approximately three to five percent of the funds awarded
under this announcement for program evaluation and outcome monitoring
of intervention activities.
(2) During the first year of funding, CDC will collaborate with
CBOs to develop standardized evaluation formats and activities for
grantees.
(3) Conduct periodic client satisfaction assessments via
quantitative (e.g., periodic surveys) and qualitative methods (e.g.,
focus groups).
d. Quality Assurance
(1) Identify the training needs of your staff and develop and
implement a plan to address these needs.
(2) Work with CDC and CDC-funded capacity-building assistance
programs to identify and address the capacity building needs of your
program.
(3) Explore and utilize local resources for organizational and
program development, such as the health department, other CBOs,
community development agencies, local colleges and universities,
locally-based foundations, and the local business or industrial
community.
e. Communication and Information Dissemination
(1) Market your prevention program and services to the target
population and local community.
(2) Compile lessons learned from the project. 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, use of the
Internet, communications with project officers, and other capacity-
building and technology transfer mechanisms.
(3) Ensure Internet and e-mail communication for your organization
during the first year of funding.
f. Resource Development
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. Note that
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local organizations and agencies, such as community development
agencies, colleges, and universities are often repositories of
information about funding and other types of organizational assistance.
g. Other Activities
Adhere to CDC policies for securing approval for CDC sponsorship of
conferences.
2. CDC Activities
a. Coordinate a national capacity-building and technology transfer
network that will be available to directly assist CBOs in
organizational and programmatic development.
b. Provide consultation and technical assistance in administrative
activities (for example, fiscal management and reporting) and
programmatic areas (for example, planning, implementing, and evaluating
prevention activities). CDC may provide consultation and technical
assistance both directly and indirectly through prevention partners
such as health departments, national and regional minority
organizations (NRMOs), contractors, and other national and local
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 formats for reporting and program assessment and
improvement.
e. Assist recipients in collaborating with State and local health
departments, community planning groups, and other federally-supported
HIV/AIDS prevention funding recipients. CDC activities will focus on
monitoring the collaboration among the health department, community
planning group, and CBOs and work from all sides to promote
collaboration.
f. Facilitate the transfer of successful prevention interventions,
program models, and lessons learned by convening meetings of grantees,
workshops, conferences, newsletters, use of the Internet, and
communications between project officers and grantees.
g. Facilitate the exchange of program information and technical
assistance among community organizations, health departments, and
national and regional organizations.
h. Monitor the recipient's performance of program and fiscal
activities, protection of client confidentiality, and compliance with
other requirements.
i. Conduct an overall evaluation of this cooperative agreement
program.
E. Application Content
Use the information in the Program Requirements, Application
Content, and Evaluation Criteria sections of this announcement to
develop your application.
Applications that do not follow the instructions and format below
will be returned without being reviewed:
1. The narrative should be no more than 35 pages, which includes
items 10 F-M. The narrative excludes the proof of eligibility section,
items A-E, budget, and attachments. Applications exceeding 35 pages
will not be reviewed.
2. Number each page sequentially, in the application and the
appendices, and provide a complete Table of Contents to the application
and its attachments.
3. Begin each separate section of the application on a new page.
4. The original and each copy of the application set must be
submitted unstapled and unbound.
5. All material must be typewritten; single spaced, with a font of
10 pitch or 12 point, on 8\1/2\'' by 11'' paper, with at least 1''
margins, headings, and footers; and printed on one side only.
6. Note that information which should be part of the basic plan
(for example, activity timetables, staff responsibilities in program
activities, or evaluation plans) will not be accepted if placed in the
attachments rather than in the application.
7. In developing the application, you must use the following format
and instructions. Your application will be evaluated according to the
quality of the responses to the following questions, so it is important
to follow the format provided below in writing out your program
proposal.
8. Label each section below using the letter (and number) indicated
for each question. A section includes a letter with all of its
following numbers, as in section d, Proof of Eligibility, numbers 1-9.
9. If a question is not applicable, use the designation N/A by that
letter and number.
10. Make certain that your application addresses all required
activities (See Required Recipient Activities section).
a. Application Category
Indicate whether your organization is applying as a minority or
other CBO.
b. Target Population
What population, as defined by locality, lifestyle, risk behaviors,
social or economic circumstances, patterned social interaction,
collective identity, or other identification, will be the focus of the
proposed project (for example, female sex workers in Harlem; African
American men who have sex with men; Hispanic men and women who use
crack cocaine and engage in unprotected sex; youth ages 12-18 in the
community who sell sex for shelter, food, and/or drugs)?
c. Program Goals
What are the broad HIV prevention goals that your proposed
intervention(s) aims to achieve by the end of the 4-year project
period? These goals should address risk behaviors that your program
will influence; for example, reduce the rate of unprotected sex by
female sex workers in Harlem.
d. Proof of Eligibility
Applicants must answer the following questions and provide any
documents requested. Failure to provide the required documentation will
result in disqualification.
Please place the requested attachments at the end of this section,
not in the Attachments at the end of your application.
(1) Does your organization have currently valid Internal Revenue
Service (IRS) 501(c)(3) tax-exempt status?
Note: Attach to the end of this section a copy of the IRS
determination letter of your organization's 501(c)(3) tax-exempt
status.
(2) Does your organization have a documented 2-year record of
providing service to the target population (as described in 8.b, Target
Population, above)?
Note: Attach to the end of this section a list of all types of
services your organization has provided to the proposed target
population and when provision of each type of service was begun
(e.g., HIV prevention case management, July 1996).
(3) If applying as a minority CBO, does your organization have an
executive board or governing body with more than 50 percent of its
members belonging to the racial/ethnic minority population(s) to be
served?
Note: Attach to the end of this section a list of the members of
your board or governing body, along with their positions on the
board, their areas of expertise, their race/ethnicity, and their
sex.
(4) If an organization applies as a minority CBO, but does not
submit proof, their application will be considered as ineligible. They
will not be considered in the other category. If applying as a minority
CBO, are more than 50 percent of key management, supervisory, and
administrative positions (e.g., executive director,
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program director, fiscal director) and more than 50 percent of key
service provision positions (e.g., outreach worker, prevention case
manager, counselor, group facilitator) filled by persons belonging to
the racial/ethnic population(s) to be served?
Note: Attach to the end of this section a list of all existing
personnel in key positions in your organization, along with their
position in the organization, their areas of expertise, their roles
in the proposed project, their race/ethnicity, and their sex. Also
attach a similar list of proposed personnel.
(5) Is your organization applying as a single CBO or as a lead
organization in a coalition (i.e., a collaborative contractual
partnership)?
(6) Is your organization applying as part of a coalition with
another organization as the lead under this announcement?
(7) Is your organization currently funded under CDC Program
Announcement 99091, 99092, or 99096? If so, what is the amount of your
award under each?
(8) Is your organization a governmental or municipal agency, its
affiliate organization or agency (e.g., health department, school
board, public hospital), or a private or public university or college?
(9) Is your organization included in the category described in
section 501(c)(4) of the Internal Revenue Code of 1986 that engages in
lobbying activities?
e. Abstract
(Should not exceed one pages) (Not scored)
Please provide a brief summary of your proposed program activities,
including:
(1) A description of the target population on which the proposed
project will focus and a justification (using HIV/AIDS or other STD
epidemiologic, risk behavior, needs assessment, or other local
indicator data) for having selected this group as the target
population.
(2) A description of the goals and anticipated outcomes of the
proposed intervention activity in terms of the risk behaviors targeted
in this application.
(3) A description of the proposed intervention(s) and services to
be provided and an estimated time frame.
(4) A description of your organization's staff responsibilities in
the proposed project and of the roles of collaborators and volunteers
on the project.
(5) How you will develop collaborations with local and State health
departments, community planning groups, and other organizations,
including other CBOs, in the development of your project.
f. Justification of Need
(Should not exceed five pages)(100 points; Scoring criteria:
Effective use of epidemiologic, behavioral, socioeconomic, and other
data to define the community, its risk for HIV, and its need for your
proposed HIV/AIDS prevention intervention)
(1) How and to what extent has the proposed target population been
affected by the HIV/AIDS epidemic (e.g., HIV incidence or prevalence,
AIDS incidence or prevalence, AIDS mortality, socioeconomic effects)?
(2) What behavioral and other characteristics of the target
population contribute to the risk of HIV transmission or present
barriers to HIV prevention (for example, unsafe sexual behaviors as
indicated by rates of STDs, teen pregnancy, or behavioral risk
assessments; substance use rates; environmental, social, cultural, or
linguistic characteristics)?
(3) Why does the target population need the proposed HIV prevention
activities, and how were these needs identified (for example, community
needs assessments, resource inventories, the community comprehensive
HIV prevention plan)?
Note: Include a description of existing HIV prevention and risk-
reduction efforts provided by other organizations to address the
needs of the target population and an analysis of the gap between
the identified need and the resources currently available to address
the need.
(4) If the comprehensive HIV prevention plan does not prioritize
the target population or intervention(s) that you have proposed, how do
you justify departing from the plan?
Note: For example, your organization may target a population in
which, although the current AIDS prevalence is low, there is wide-
spread, high level of behavior associated with risk for HIV
transmission. Your intervention, therefore, would provide prevention
activities in order to prevent the development of higher rates of
HIV/AIDS in this population.
(5) What are the barriers within your community or the target
population that may reduce the effectiveness of your proposed
interventions, and how will you overcome these barriers?
g. Program Activities
(Should not exceed 12 pages)
(400 points; Scoring criteria: likelihood of achieving project
goals; soundness of proposed activities; basis in science, or validated
program experience; feasibility; innovativeness; specificity,
feasibility, time phasing, and measurability of stated objectives)
(1) Including persons from the target population in program
planning:
(a) How will you involve the target population in planning,
implementing, and evaluating your project's interventions and services
during the project period?
Note: If you believe that your existing board structure or staff
composition accomplishes this intent, please describe and explain in
detail.
(b) In conducting activities to involve the target population, what
are your process objectives for the first year of operation?
Note: Objectives should be specific, realistic, time-phased, and
measurable. Process objectives should focus on the projected amount,
frequency, and duration, within a specific time frame, of the
activities and the number and characteristics of the target
population to be served or the participants.
(2) Intervention activities:
Please describe each proposed intervention separately and provide
the following information for each intervention. Applicants should not
apply for more interventions than they can conduct effectively.
(a) What intervention or service will be provided (for example,
Conduct individual level counseling)?
(b) What program goal does the intervention address (for example,
Reduce the rate of unprotected sex by female sex workers in Harlem).
(c) What are the outcome objectives for the first year of the
proposed intervention activities (for example, Increase condom use
among program participants by 60 percent)?
Note: Objectives should be specific, realistic, time-phased, and
measurable. Outcome objectives should focus on the specific
behaviors that your intervention activities are designed to
influence.
(d) What are your process objectives related to the intervention or
service during your first year of operation (for example, Conduct
individual level counseling with 100 clients within the first three
months)?
(e) What are the specific activities to be conducted or services to
be provided to accomplish the process objectives indicated above, and
where and when will these activities or services take place (for
example, Deploy outreach workers to the corner of K and North Streets
on Thursday through Saturday nights from 8:00 p.m. to 2:00 a.m.)?
(f) How will you recruit or access clients for this intervention or
service?
(g) What is the theoretical basis (in social or behavioral science
or validated
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program experience) that supports the potential effectiveness of this
proposed intervention or service in addressing the project's goals and
objectives, and how has this been incorporated into the intervention or
service design?
Note: Applicant may refer to appropriate social and behavioral
science theory and data, or to validated, effective HIV/AIDS
intervention programs, in support of applicant's HIV prevention work
within the target population.
(h) How will you use epidemiologic and social and behavioral
science data and other information to structure and guide your proposed
intervention or service?
Note: For example, social science data may indicate that sex
workers are more effectively reached by other current or former sex
workers; therefore, the program staff may recruit and train sex
workers to assist in outreach activities.
(i) How will you assist HIV-positive persons and high-risk HIV-
negative persons to access appropriate treatment and other needed
services, as described in Required Recipient Activities?
(j) How will you ensure that this intervention or service will be
culturally competent, sensitive to issues of sexual and gender
identity, and linguistically and developmentally appropriate?
(k) What methods will you use to ensure that client confidentiality
will be protected?
(3) Management and staffing of the program:
(a) How will the proposed project be managed and staffed, and what
will be the roles and responsibilities of the applicant's program
staff?
(b) What are the skills and experience of the applicant's program
staff?
(c) If you are applying as the lead organization in an HIV
prevention coalition, describe the role(s) of the other
organization(s), the other organizations' staff responsibilities, and
the skills and experience of the other organizations' program staff?
(d) What is the potential for volunteer involvement in your
program? If volunteers will be involved, describe plans to recruit,
train, place, and retain volunteers.
(e) In staffing your proposed project, what are your specific
process objectives for the first year of operation?
(4) Time line:
Provide a time line that identifies major implementation steps in
your proposed project and assigns approximate dates for inception and
completion of each step.
h. Developing Local Collaborations and Coordinated Activities
(Should not exceed two pages)
(125 points; Scoring Criteria: completeness; specificity,
feasibility, time phasing, and measurability of stated objectives)
(1) What steps will you take to develop working collaborations with
health departments, community planning groups, academic and research
institutions, health care providers, and other local resources? (See
Attachment 2 in the application package for a list of organizations
with which collaboration may be appropriate.)
(2) Which activities in your proposed project will be conducted by
collaborating organizations that are not part of the HIV prevention
coalition or by subcontractors?
(3) In developing collaborative relationships with other
organizations or subcontractors, what are your specific process
objectives for your first year of operation?
(4) What steps will you take to coordinate HIV prevention
activities among your proposed program and other HIV prevention or
service providers?
(5) In developing these relationships, what are your specific
process objectives for the first year of your program?
(6) What specific steps will you take to participate in the HIV
prevention community planning process?
(7) In participating in the community planning process, what are
your specific process objectives for the first year?
i. Program Monitoring and Evaluation, and Quality Assurance
(Should not exceed five pages)
(175 points; Scoring Criteria: completeness; technical soundness;
feasibility, specificity, time phasing, and measurability of stated
objectives)
(1) Your evaluation plan should include a discussion of specific
mechanisms and methods to collect the information below.
(a) Which risk behaviors are being targeted?
(b) What are the outcome objectives of the program with regard to
changing risk behavior?
(c) What interventions are being conducted?
(d) With which clients? What populations are being served?
(e) With how many clients?
(f) What progress has been made toward reaching the outcome
objectives indicated above?
(g) What staff resources are being utilized to conduct these
interventions?
Your plan should also include a discussion of the following:
(1) Staff responsible for collecting the information indicated
above;
(2) Timeline for collecting this information;
(3) How these activities will be integrated into the project as a
whole;
(4) In implementing this program evaluation plan, state your
specific process objectives for the first year of operation.
Please provide a very specific discussion regarding your quality
assurance activities which include responses to the questions below:
(1) How will you identify and meet the training needs of your staff
(including staff in your organization and in other member organizations
in the coalition) with regard to knowledge of HIV and STD risks and
effective HIV prevention interventions?
(2) How will you identify and address the capacity-building or
technical assistance needs of your organization?
(3) In implementing these quality assurance plans, what are your
specific process objectives for the first year of operation?
j. Communication and Information Dissemination
(Should not exceed one page) (50 points; Scoring criteria:
completeness; appropriateness; feasibility; specificity, time phasing,
and measurability of stated objectives)
(1) How will you market your project in your community?
(2) How will you disseminate information about successful
intervention strategies or project activities and lessons learned?
(3) In implementing this communication and information
dissemination plan, what are your specific process objectives for the
first year of operation?
(4) How will you make Internet and email communication available to
your organization and, if part of a coalition, to the other member
organizations in the coalition?
k. Resource Development
(Should not exceed one page)
(50 points; Scoring criteria: completeness; appropriateness;
feasibility; specificity, time phasing, and measurability of stated
objectives)
(1) How will you obtain additional resources from non-CDC sources
to supplement the program conducted through this cooperative agreement,
expand services provided through the proposed project, and enhance the
likelihood of its continuation after the end of the project period?
(2) In implementing this resource development plan, what are your
specific process objectives for the first year of operation?
[[Page 2184]]
l. Organizational History and Experience
(Should not exceed three pages.)
(100 points; Scoring criteria: extent and relevance of applicant
organization's experience)
(1) What types of health-related service to your community or
target population have your organization provided (e.g., HIV/AIDS
prevention, drug treatment, teen pregnancy counseling) and for how
long?
(2) What experience does your organization have in HIV/AIDS, STD,
or other prevention interventions (e.g., health education/risk
reduction; prevention case management; counseling and testing)?
(3) What other experience does your organization have in providing
services to the target population, and for how long?
(4) What experience does your organization have in establishing and
participating in coalitions for the delivery of services to the target
population?
(5) What experience does your organization have in developing and
maintaining long-term relationships with CBOs, health departments, or
other organizations that provide health or prevention services?
(6) What experience does your organization have in providing
services that respond effectively to the cultural, gender,
environmental, social, and linguistic characteristics of the target
populations in this proposal?
Note: In answering this question, describe the types of services
provided and list any culturally, linguistically, and
developmentally appropriate activities and materials that your
organization has developed.
(7) What experience does your organization have in documenting and
tracking delivery of services or prevention activities?
(8) What experience does your organization have in evaluating its
program activities?
(9) What experience does your organization have in marketing its
activities or services?
(10) What experience does your organization have in resource
development?
m. Budget and Staffing Breakdown and Justification
(Not scored)
(1) Applicants should submit a budget in accordance with Form 424
and also, provide a detailed budget for each proposed intervention
(please reference the sample budget format in the tool kit). Justify
all operating expenses in relation to the planned activities and stated
objectives. CDC may not approve or fund all proposed activities. Be
precise about the program purpose of each budget item and itemize
calculations wherever appropriate.
(2) For each contract contained within the application budget,
describe the type(s) of organizations or parties to be selected and the
method of selection; identify the specific contractor(s), if known, or
describe the criteria for contractors who might apply for the contract;
describe the services to be performed and justify the use of another
party to perform these services; provide a breakdown of and
justification for the estimated costs of the contracts; specify the
period of performance; and describe the methods to be used for
monitoring the contract.
(3) Provide a job description for each key 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 that would be funded through this cooperative agreement. If
the identity of any key personnel who will fill a position is known,
his/her 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.
Note: If indirect costs are requested, you must provide a copy
of your organization's current negotiated Federal indirect cost rate
agreement.
F. Required Attachments
1. Affiliates of national organizations must include with the
application an original, signed letter from the chief executive officer
of the national organization assuring their understanding of the intent
of this program announcement and the responsibilities of recipients.
2. Memoranda of understanding or agreement as evidence of
established or agreed-upon collaborative relationships. Memoranda of
agreement should specifically describe the proposed collaborative
activities. Evidence of continuing collaboration must be submitted each
year to ensure that the relationships are still in place. Memoranda of
agreement from health departments should include a statement that they
have reviewed your application for these funds. (Please reference
sample Memoranda of agreement in the tool kit)
3. A list of the community resources and health care providers to
which referrals and other types of coordinated activities will be made.
Provide letters of agreement that arrangements have been made for the
coordinated activities indicated in your application.
4. 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).
5. 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.
6. Independent audit statements from a certified public accountant
for the previous 2 years.
7. 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.
G. Submission and Deadline
Submit the original and two copies of PHS 5161 (OMB Number 0937-
0189). Forms are available at the following Internet address:
www.cdc.gov/* * * Forms, or in the application kit. On or before March
6, 2000, submit the application to the Grants Management Specialist
identified in the Where to Obtain Additional Information section of
this announcement.
Applicants should simultaneously submit a copy of the application
to their State HIV/AIDS Directors.
Deadline: Applications shall be considered as meeting the deadline
if they are either:
1. Received on or before the deadline date; or
2. Sent on or before the deadline date and received in time for
submission to the independent review group.
[[Page 2185]]
(Applicants must request a legibly dated U.S. Postal Service postmark
or obtain a legibly dated receipt from a commercial carrier or U.S.
Postal Service. Private metered postmarks shall not be acceptable as
proof of timely mailing.)
Late Applications: Applications which do not meet the criteria in
(a) or (b) above are considered late applications, will not be
considered, and will be returned to the applicant.
H. Evaluation Criteria
Each application will be evaluated individually against the
criteria described in the Application Content section by an independent
review group appointed by CDC.
Before final award decisions are made, CDC may conduct
predecisional site visits and/or business management and fiscal
recipient capability assessments with CBOs whose applications are
highly ranked. CDC may also review programmatic conditions and
technical assistance requirements with the local or State health
department and applicant's board of directors.
I. Other Requirements
Technical Reporting Requirements
Provide CDC with the original plus two copies of:
1. progress reports quarterly, no more than 30 days after the end
of each 3 month period.
2. financial status report, no more than 90 days after the end of
each budget period; and
3. final financial report and performance report, no more than 90
days after the end of the project period.
Send all reports to the Grants Management Specialist identified in
the Where to Obtain Additional Information section of this
announcement.
The following additional requirements are applicable to this
program. For a complete description of each, see Attachment 3 in this
announcement.
AR-4: HIV/AIDS Confidentiality Provisions
AR-5: HIV Program Review Panel Requirements
AR-7: Executive Order 12372 Review
AR-8: Public Health System Reporting Requirements
AR-9: Paperwork Reduction Act Requirements
AR-10: Smoke-Free Workplace Requirements
AR-11: ``DRAFT Healthy People 2010''
AR-12: Lobbying Restrictions
AR-14: Accounting System Requirements
J. Authority and Catalog of Federal Domestic Assistance Number
This program is authorized under Sections 301(a) and 317 of the
Public Health Service Act, 42 U.S.C. 241(a) and 247b as amended. The
Catalog of Federal Domestic Assistance Number is 93.939, HIV Prevention
Activities--Non-governmental Organization Based.
K. Where To Obtain Additional Information
To receive additional written information and to request an
application and tool kit, call NPIN at 1-800-458-5231 (TTY users: 1-
800-243-7012); visit their web site: www.cdcnpin.org/program; send
requests by fax to 1-888-282-7681 or send requests by e-mail:
application-cbo@cdcnpin.org. This information is also posted on the
Division of HIV/AIDS Prevention (DHAP) Web site at http://www.cdc.gov/
nchstp/hiv__aids/funding/toolkit/.
CDC maintains a Listserv (HIV-PREV) related to this program
announcement. By subscribing to the HIV-PREV Listserv, members can
submit questions and will receive information via e-mail with the
latest news regarding the program announcement. Frequently asked
questions on the Listserv will be posted to the Web site. You can
subscribe to the Listserv on-line or via e-mail by sending a message
to: listserv@listserv.cdc.gov and writing the following in the body of
the message: subscribe hiv-prev first name last name.
If you have questions after reviewing the contents of all the
documents, business management technical assistance may be obtained
from: Maggie Warren, Grants Management Specialist, Grants Management
Branch, Procurement and Grants Office Program Announcement 00023,
Centers for Disease Control and Prevention (CDC), Room 3000, 2920
Brandywine Road, Mailstop E-15, Atlanta, GA 30341-4146; Telephone (770)
488-2736. E-mail mcs9@cdc.gov
See also the CDC home page on the Internet: http://www.cdc.gov
For program technical assistance, contact: Tomas Rodriguez,
Community Assistance, Planning, and National Partnerships Branch,
National Center for HIV, STD, and TB Prevention, Centers for Disease
Control and Prevention (CDC), 1600 Clifton Road, M/S E-58, Atlanta, GA
30333; Telephone number (404) 639-5240. E-mail address: trr0@cdc.gov (0
is the number, not the letter o).
John L. Williams,
Director, Procurement and Grants Office.
[FR Doc. 00-794 Filed 1-12-00; 8:45 am]
BILLING CODE 4163-18-P
