[Federal Register Volume 61, Number 241 (Friday, December 13, 1996)]
[Notices]
[Pages 65581-65587]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-31748]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Rural Health Outreach and Rural Network Development Program
AGENCY: Health Resources and Services Administration (HRSA).
ACTION: Notice of availability of funds.
-----------------------------------------------------------------------
SUMMARY: The Office of Rural Health Policy announces that fiscal year
1997 funds are available for grants under the Rural Health Outreach,
Network Development, and Telemedicine Grant Program. This announcement
deals with the Rural Outreach and Rural Network Development aspects of
the program. The Telemedicine grants will be announced separately.
Two kinds of projects will be funded under this announcement: (1)
Rural Outreach Grants for the development of innovative new service
delivery systems in rural areas where support is provided for the
actual delivery of new services or enhancement of existing services,
and (2) Rural Network Development Grants for the planning and
development of vertically integrated networks in rural areas where the
emphasis is placed not on the actual delivery of services, but on
efforts to restructure the delivery system in rural communities. Funds
were appropriated for these grants under Public Law 104-208. The grants
are authorized by Section 330A of the Public Health Service Act as
amended by the Health Centers Consolidation Act of 1996, Public Law
104-299.
Applicants may not apply for both the Rural Outreach Grants and the
Rural Network Development Grants.
NATIONAL HEALTH OBJECTIVES FOR THE YEAR 2000: The Public Health
Service (PHS) is committed to achieving the health promotion and
disease prevention objectives of Healthy People 2000, a PHS-led
national activity for setting priority areas. The Rural Health
Outreach, Network Development, and Telemedicine Grant Program is
related to the priority areas for health promotion, health protection
and preventive services. Potential applicants may obtain a copy of
Healthy People 2000 (Full Report: Stock No. 017-001-00474-C) Or Healthy
People (Summary Report: Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
D.C. 20402-9325 (Telephone (202)783-3238).
FUNDS AVAILABLE: Appropriations for FY 1997 include $16 million to
support Rural Outreach and Rural Network Development Grants. Of this
amount, it is anticipated that about $8 million will be available to
support 40 new Rural
[[Page 65582]]
Outreach Grant awards and $8 million to support about 40 Rural Network
Development awards. The budget period for new projects will begin
September 30, 1997.
Individual grant awards under this notice will be limited to a
total amount of $200,000 (direct and indirect costs) per year.
Applications for smaller amounts are encouraged. Applicants may propose
project periods for up to three years, but the duration of projects is
contingent upon the availability of funds. Applicants are advised that
continued funding of grants beyond the one year period covered by this
announcement is contingent upon the appropriation of funds for the
program and assessment of grantee performance. No project will be
supported for more than three years.
DUE DATES: Applications for the program must be received by the close
of business on March 31, 1997. Completed applications must be sent to
HRSA GRANTS APPLICATION CENTER, 40 West Gude Drive, Suite 100,
Rockville, MD 20850.
Applications shall be considered as meeting the deadline if they
are either (1) received on or before the deadline date; or (2)
postmarked on or before the deadline date and received in time for
orderly processing. Applicants must obtain a legibly dated receipt from
a commercial carrier or the U.S. Postal Service in lieu of a postmark.
Private metered postmarks will not be acceptable as proof of timely
mailing. Late applications will be returned to the sender.
The standard application form and general instructions for
completing applications (Form PHS-5161-1, OMB #0937-0189) have been
approved by the Office of Management and Budget. To receive an
application kit write to: HRSA GRANTS APPLICATION CENTER, 40 West Gude
Drive, Suite 100, Rockville, MD 20850, or call toll-free 1(888)300-
HRSA.
FOR FURTHER INFORMATION CONTACT: Information or technical assistance
regarding business, budget, or financial issues should be directed to
the following staff from Office of Grants Management, Bureau of Primary
Health Care, Health Resources and Services Administration, 4350 East-
West Highway, 11th Floor, Bethesda, Md. 20814, (301) 594-4260 depending
on the location of the proposed project:
Nancy Benson (301) 594-4232--IA, KS, MO, NE
Karen Campbell (301) 594-4259--AK, CO, ID, MT, ND, OR, SD, UT, WA, WY
Pam Hilton (301) 594-4255--GA, NJ, NY, Puerto Rico, Virgin Islands
Jo Lepkowski (301) 594-4261--AR, LA, NC, NM, OK, TX
Joyce Monk (301) 594-4254--District of Columbia, DE, MD, PA, SC, VA, WV
Sharon Robertson (301) 594-4268--AL, FL, KY, MS, TN
Kathleen Sample (301) 594-4251--AZ, CA, HI, NV, Palau and the South
Pacific
Martha Teague (301) 594-4258--CT, MA, ME, NC, NH, VT
Carolyn Testerman (301) 594-4244--IL, IN, MI, MN, OH, WI
Requests for technical or programmatic information on this
announcement should be directed to staff of the Office of Rural Health
Policy, Room 9-05, Parklawn Building, 5600 Fishers Lane, Rockville, Md.
20857, (301) 443-0835 as follows:
Roberto Anson (301) 443-7440--AZ, CA, DE, HI, MD, NV, PA, VA, WV,
Palau, the South Pacific
Arlene Granderson (301) 443-0613--IL, IN, IA, KS, MI, MN, MO, NE, NJ,
NY, WI, Puerto Rico, Virgin Islands
Eileen Holloran (301) 443-7529--AK, AR, CO, ID, LA, MT, NM, ND, OK, OR,
SD, TX, UT, WA, WY
Sandi Lyles (301) 443-7321--CT, ME, MA, NH, RI, VT
Lisa Shelton (301) 443-4269--AL, FL, GA, KY, MS, NC, SC, TN
SUPPLEMENTARY INFORMATION: The two categories of grants offered under
this program, Rural Outreach Grants and Rural Network Development
Grants, have a common purpose as stated in the authorizing legislation
cited above. That purpose is ``to coordinate, restrain the cost of, and
improve the quality of essential health care services in rural areas,
including preventive and emergency services, through the development of
integrated health care delivery systems or networks in rural areas and
regions.'' The two types of grants available through this announcement
are different approaches to achieve the same goals.
Rural Outreach Grants
These grants are very similar to the outreach projects awarded by
the Office of Rural Health Policy over the past six years. They will
support the development of innovative new health service delivery
systems in rural areas that lack basic services. Grants will be awarded
to support the actual delivery of new services. They may also be
awarded to support activities that will expand access to or increase
utilization of existing services. Programs in preventive health care,
health education, quality improvement, emergency care and other
services may be supported through the program. Applicants may propose
projects to address the needs of a wide range of rural population
groups including the poor, the elderly, adolescents, rural minority
populations, pregnant women and children, populations with special
health care needs, etc. Projects should be responsive to the special
cultural and linguistic needs of specific populations. The grants may
not be used to support planning activities.
A central goal of the Rural Outreach Grants is to better coordinate
services through the development of new service delivery systems. In
furtherance of this goal, participation in the program requires the
formation of a service delivery network of three or more health care
organizations, or a combination of three or more health care and social
service organizations. At least one of the entities must be a health
care service delivery organization. Individual members of the Rural
Outreach Grant network might include such entities as physicians,
hospitals, public health agencies, emergency care providers, mental
health centers, Rural Health Clinics, social service agencies, health
professions schools, other educational institutions, community and
migrant health centers, civic organizations, dental providers, etc.
There must be a memorandum of agreement or other documented
arrangements to ensure effective collaboration among members of the
service delivery network. Although applicants for the program must be
nonprofit or public entities, other network members may be for-profit
organizations.
The roles and responsibilities of each member of a Rural Outreach
Grant network must be clearly defined and each must contribute
significantly to the goals of the project. The local community must be
involved in the project and committed to the goals of the network.
Review Considerations:
Applications for the Rural Outreach Grant Program will be evaluated
on the basis of the following criteria:
1. The extent to which the applicant has documented and justified
the need(s) for the proposed project. 20 Points
2. The extent to which the applicant has proposed innovative new
approaches for meeting the health care needs of the community and
developed measurable goals and objectives for carrying out the project.
20 Points
3. The extent to which the applicant has clearly defined the roles
and responsibilities of each member of the network and demonstrated the
[[Page 65583]]
experience and expertise needed to manage the project. 20 Points
4. The level of local commitment and involvement with the project,
as evidenced by the extent of cost participation on the part of the
applicant, members of the network, and other organizations; letters of
support from community leaders and organizations; and the feasibility
of plans to sustain the project after Federal grant support is ended.
15 Points
5. The reasonableness of the budget that is proposed for the
project. 15 Points
6. The extent to which the applicant has developed a realistic and
workable plan for evaluating the project and the applicant's plan for
disseminating information about the project. 10 Points
Rural Network Development Grants
These grants will support the development of vertically integrated
health care networks in rural areas or regions of the country.
Vertically integrated networks are defined as networks consisting of
different types of providers (e.g., hospital, long-term care facility,
rural health clinics) as opposed to horizontally integrated networks
composed of only one type of provider (e.g., hospitals only). The
grants will support both planning and developmental activities to
assist providers and the rural communities they serve in restructuring
the local health care delivery system. Vertically integrated networks
may entail more formal relationships among the members than the
networks envisioned for the Rural Outreach Grants. Also, the activities
supported by these grants do not need to involve the actual delivery of
services. Instead, it is expected that most activities will be aimed at
developing and strengthening the organizational capabilities of the
networks.
Like the outreach networks, vertically integrated networks
supported under these grants must be composed of three or more health
care providers or other entities that provide or support the delivery
of health care services. All of the members of a network may not be
owned by one entity. While social service providers may be part of a
network, the grants will not support networks for the exclusive
provision of social services. The members of a network must have a
strong existing commitment to the network's goals and objectives and
some history of prior collaboration before applying for the grant.
Unlike the Rural Outreach Grants, the program will not support projects
where the members have never collaborated in the past.
Although applicants for the program must be nonprofit or public
entities, profit-making organizations may be members of a vertically
integrated network. The local community must be involved in the project
and committed to the goals of the network.
Review Considerations:
Applications for the Rural Network Development Grant Program will
be evaluated on the basis of the following criteria:
1. Purpose and Benefits--10 Points
A. The strength of the applicant's description of the goals of the
network and the problems and needs that will be addressed by the grant.
B. The extent to which the applicant has demonstrated the potential
benefits of the project that will accrue to the communities and
populations in the network service area.
2. Activities--15 Points
A. The extent to which the specific activities and functions to be
supported by the grant will contribute to the overall goals of the
network.
3. Self-Sustainability--20 Points
A. The extent to which the applicant's plan for continuing the
project is likely to result in a self-sustaining network at the
conclusion of the Federal grant.
4. Current Status and Capability--15 Points
A. The strength of organizational relationships between members of
the network and the strength of governance arrangements for the
network.
B. The extent of previous collaboration between members of the
network.
5. Commitment--15 Points
A. The level of commitment and active involvement in the grant
project as evidenced by the network members'' allocation of time,
capital, cash and in-kind contributions and other resources needed for
the project.
B. The extent of personal commitment to the project from the
network leadership staff including leadership staff employed by each of
the individual members of the network.
6. Community Involvement--20 Points
A. The extent to which the local communities to be served by the
network and the grant project are involved with the planning and
ongoing operations of the network.
7. Budget--5 Points
A. The reasonableness of the budget proposed for the project and
the strength of the applicant's justification of the need for Federal
funds.
Eligible Applications
The grant recipient must be a nonprofit or public entity which
meets the requirements stated below. Applicants that meet one of these
requirements are eligible for one or both of the grant opportunities
described in this notice.
(1) The applicant's central administrative headquarters where the
grant will be managed is not located in a Metropolitan Statistical Area
as defined by the Office of Management and Budget. A list of the cities
and counties that are designated as Metropolitan Statistical Areas is
included in the application kit. If your organization's central
administrative headquarters is located in one of these areas, you are
not eligible for the program unless you meet one of the other two
criteria listed below.
(Note to former applicants: The list of metropolitan statistical
areas has been updated from previous years. Please check your status
using the enclosed list.)
(2) Some Metropolitan Statistical Areas on the list are extremely
large. We have divided these areas into rural and urban census tracts.
Appendix I provides a list of these large Metropolitan Statistical
Areas and the rural census tracts in each area. If your central
administrative headquarters is located within one of these census
tracts, you are eligible for the two grant opportunities.
(If you are eligible under this criterion, you must list your county
and census tract under item #5 on the face page of the application
or your application will be returned. If you do not know your census
tract, appendix II provides the telephone numbers for regional
offices of the census bureau. You should call the appropriate office
to determine your census tract.)
(3) Your organization is constituted exclusively to provide
services to migrant and seasonal farmworkers in rural areas and is
supported under Section 329 of the Public Health Service Act. These
organizations are eligible regardless of the urban or rural location of
their administrative headquarters.
In addition to the above criteria, applicants must be capable of
receiving the grant funds directly and must have the capability to
manage the project. This means that applicants must be able to exercise
administrative and program direction over the grant project; must be
responsible for hiring and managing the project staff; must have the
administrative and accounting capabilities to manage the grant funds;
[[Page 65584]]
and must have some permanent staff at the time a grant award is made.
Further, applicants must have an Employer Identification Number from
the Internal Revenue Service at the time of the grant award and other
proof of organizational viability that may be requested by the Grants
Management Office.
Applicants from the 50 United States, the District of Columbia, the
Commonwealth of Puerto Rico, the Commonwealth of the Northern Mariana
Islands, the Territories of the Virgin Islands, Guam, American Samoa,
the Compact of Free Association Jurisdiction of the Republic of the
Marshall Islands, the Republic of Palau, and the Federated States of
Micronesia are eligible to apply.
Applications That Do Not Meet the Requirements Stated Above Will
Not Be Reviewed
Current Rural Health Services Outreach grantees may not apply for
funds to support the same project. Any new proposal they submit must
have a different focus from the project that is currently receiving
support.
Preference Points
The authorizing legislation gives preference for both programs to
applications from networks that include: (1) a majority of the health
care providers serving in the area or region to be served by the
network; (2) any federally qualified health centers, rural health
clinics, and local public health departments serving in the area or
region; (3) outpatient mental health providers serving in the area or
region; (4) appropriate social service providers, such as agencies on
aging, school systems, and providers under the women, infants and
children program, to improve access to and coordination of health care
services.
A total of 10 preference points will be added to the review score
of each approved application that includes any of the above mentioned
preferences, agencies, or providers. Applicants for either type of
grant offered under this announcement are eligible to receive the
preference points.
The HRSA hopes to achieve a geographic balance in making new awards
under this announcement. Therefore, HRSA will consider geographic
coverage when deciding which approved applications to fund. With
respect to the Rural Network Development Grants only, HRSA will also
consider the balance between grants to newly emerging networks where
planning is the major activity, and grants to more advanced networks.
Other Information
For both types of grants, at least 50 percent of the funds awarded
must be spent in rural areas or for the benefit of rural communities.
Grant funds may not be used for purchase, construction or renovation of
real property. The grants will not support projects that are solely for
the purchase of equipment or vehicles.
Applicants are required to participate in the cost of grant
supported projects. Cost participation may be in cash or in-kind. In-
kind contributions might include donated staff time, donated space or
equipment, donated vehicles, or other non-cash resources.
Applicants are advised that the entire application may not exceed
70 pages in length including the project and budget narratives, face
page, all forms, appendices, attachments and letters of support. Each
page of the application must be numbered consecutively. All
applications must be computer generated or typewritten in print
measuring at least 12 characters (scalable or nonscalable font) per
inch and legible. Margins must be no less than 1 inch on the top and
\1/2\ inch on the bottom and left and right sides.
In order to allow the Office of Rural Health Policy to plan for the
objective review process, applicants are encouraged to notify the
Office in writing of their intent to apply and the program they are
applying for. This notification serves to inform the Office of
anticipated numbers of applications which may be submitted. The address
is: Office of Rural Health Policy, Health Resources and Services
Administration, Parklawn Building, Room 9-05, Rockville, Md., 20857, or
Fax # 301/443-2803. If notification is offered, it should be received
no later that February 15.
Smoke-free Workplaces
The PHS strongly encourages all grant recipients to provide a
smoke-free workplace and promote the non-use of all tobacco products.
In addition, Public Law 103-227, the Pro-Children Act of 1994,
prohibits smoking in certain facilities (or in some cases, any portion
of a facility) in which regular or routine education, library, day
care, health care or early childhood development services are provided
to children.
Public Health System Impact Statement
This program is subject to the Public Health System Reporting
Requirements. Reporting requirements have been approved by the Office
of Management and Budget--# 0937-0195. Under these requirements, the
community-based nongovernmental applicant must prepare and submit a
Public Health System Impact Statement (PHSIS). The PHSIS is intended to
provide information to State and local health officials to keep them
apprised of proposed health services grant applications submitted by
community-based organizations within their jurisdictions.
Community-based non-governmental applicants are required to submit
the following information to the head of the appropriate State and
local health agencies in the area(s) to be impacted no later than the
Federal application receipt due date:
a. A copy of the face page of the application (SF 424).
b. An abstract of the project not to exceed one page, which
provides:
(1) A description of the population to be served;
(2) A summary of the services to be provided;
(3) A description of the coordination planned with the appropriate
State or local health agencies.
Executive Order 12372
This grant program has been determined to be a program which is
subject to the provisions of Executive Order 12372 concerning
intergovernmental review of Federal programs by appropriate health
planning agencies as implemented by 45 CFR part 100. Executive Order
12372 allows States the option of setting up a system for reviewing
applications from within their States for assistance under certain
Federal programs. Applicants (other than Federally-recognized Indian
tribal governments) should contact their State Single Point of Contact
(SPOCs), a list of which will be included in the application kit, as
early as possible to alert them to the prospective applications and
receive any necessary instructions on the State process. For proposed
projects serving more than one State, the applicant is advised to
contact the SPOC of each affected State. All SPOC recommendations
should be submitted to Larry Poole, Office of Grants Management, Bureau
of Primary Health Care, 4350 East West Highway, 11th Floor, Bethesda,
Maryland 20814, (301)594-4260. The due date for State process
recommendations is 60 days after the application deadline of March 31,
1997 for competing applications. The granting agency does not guarantee
to ``accommodate or explain'' State process recommendations it receives
after that date. (See Part 148 of the PHS Grants Administration Manual,
Intergovernmental Review of PHS Programs under Executive Order 12372,
[[Page 65585]]
and 45 CFR Part 100 for a description of the review process and
requirements.
Applicants are required to notify their State Office of Rural
Health (or other appropriate State entity) of their intent to apply for
this grant program and to consult with such agency regarding the
content of the application. The State Office can provide information
and technical assistance. A list of State Offices of Rural Health is
included with the application kit.
(OMB Catalog of Federal Domestic Assistance Number is 93.912)
Dated: December 9, 1996.
Ciro V. Sumaya,
Administrator.
Appendix I
* Census tract numbers are shown below each county name.
To be eligible under criterion #2 your organization's central
administrative headquarters must be located in one of the census tracks
or block numbered areas that is listed below your county. The county
name and the census tract number must be included with the rest of your
address in section #5 on the face page form 424 of the application or
your application will be returned.
STATE
County
Tract Number
ALABAMA
Baldwin
101-102
106
110
114-116
Mobile
59
62
66
72.02
Tuscaloosa
107
ARIZONA
Coconino
16-25
Maricopa
101
405.02
507
611
822.02
5228
7233
Mohave*
---------------------------------------------------------------------------
This entire county, although located in a large city MSA, is
eligible under the Rural Outreach Grant program criteria.
* This county is divided into Block Numbered Areas (BNA), not
Census Tracts (CT). You must include the BNA or CT # in Section 5 of
the PHS-5161 if you are eligible under this criteria.
---------------------------------------------------------------------------
See Below
Pima
44.05
48-49
Pinal
01-02
04-12
Yuma
105-107
110
112-113
115-116
CALIFORNIA
Butte
24-36
El Dorado
301.01-301.02
302-303
304.01-304.02
305.01-305.03
306
310-315
Fresno
40
63
64.01
64.03
65-68
71-74
78-83
84.01-84.02
Kern
33.01-33.02
34-37
40-50
51.01
52-54
55.01-55.02
56-61
63
Los Angeles
5990
5991
9001-9002
9004
9012.02
9100-9101
9108.02
9109-9110
9200.01
9201
9202
9203.03
9301
Madera
01.02-01.05
02-04
10
11.98
12.98
Merced
01-02
03.01
04
05.01-05.02
06-08
19.98
20
21.98
22
23.01
24.
24.75-24.98
Monterey
109
112-0113
114.01-0114.02
115
Placer
201.01-201.02
202-204
216-217
219-220
Riverside
421
427.02-427.03
429-432
444
452.02
453-455
456.01-456.02
457.01-457.02
458-462
San Bernardino
89.01-89.02
90.01-90.02
91.01-91.02
93-95
96.01-96.03
97.01
97.03-97.04
98-99
100.01-100.02
102.01-102.02
103
104.01-104.03
105-107
San Diego
189.01-189.02
190
191.01
208
209.01-209.02
210
212.01-212.02
213
San Joaquin
40
44-45
52.01-52.02
53.02-53.04
54-55
San Luis Obispo
100-106
107.01-107.02
108
114
118-122
124-126
127.01-127.02
Santa Barbara
18
19.03
Santa Clara
5117.04
5118
5125.01
5127
Shasta
[[Page 65586]]
126-127
1504
Sonoma
1506.04
1537.01
1541-1543
Stanislaus
01
02.01
32-35
36.05
37-38
39.01-39.02
Tulare
02-07
26
28
40
43-44
Ventura
01-02
46
75.01
COLORADO
Adams
84
85.13
87.01
El Paso
38
39.01
46
Larimer
14
17.02
19.02
20.01
22
Mesa
12
15
18
19
Pueblo
28.04
32
34
Weld
19.02
20
24
25.01-25.02
FLORIDA
Collier
111-114
Dade
115
Marion
02
04-05
27
Osceola
401.01-401.02
402.01-402.02
403.01-403.02
404
405.01-405.02
405.03
405.05
406
Palm Beach
79.01-79.02
80.01-80.02
81.01-81.02
82.01-82.02
82.03-83.01
83.02
Polk
125-127
142-144
152
154-161
KANSAS
Butler
201-205
209
LOUISIANA
Rapides
106
135-136
Terrebonne
122-123
MINNESOTA
Polk *
204-210
*9701-9704
St. Louis
105
112-114
121-135
137.01-137.02
138-139
141
151-155
Stearns
103
105-111
MONTANA
Cascade
105
Yellowstone
15-16
19
NEVADA
Clark
57-59
Washoe
31.04
32
33.01-33.04
34
NEW MEXICO
Dona Ana
14
19
Nye
See Below
Sandoval
101-104
105.01
Santa Fe
101-102
103.01
Valencia *
* 9701
* 9703-9706
* 9708
* 9711-9712
NEW YORK
Herkimer
101
105.02
107-109
110.01-110.02
111-112
113.01
NORTH DAKOTA
Burleigh
114-115
Grand Forks
114-116
118
Morton
205
OKLAHOMA
Osage
103-108
OREGON
Clackamas
235-236
239-241
243
Jackson
24
27
Lane
01
05
07.01-07.02
08
13-16
PENNSYLVANIA
Lycoming
101-102
SOUTH DAKOTA
Pennington
116-117
TEXAS
Bexar
1720
1821
1916
Brazoria
606
609-619
620.01-620.02
621-624
625.01-625.03
626.01-626.02
627-632
Harris
354
544
546
Hidalgo
223-228
230-231
243
WASHINGTON
Benton
116-120
Franklin
208
King
327-328
330-331
Snohomish
[[Page 65587]]
532
536-538
Spokane
101-102
103.01-103.02
133
138
143
Whatcom
110
Yakima
18-26
WISCONSIN
Douglas
303
Marathon
17-18
20-23
WYOMING
Laramie
16-18
Appendix II
Bureau of the Census regional information service.
Atlanta, GA, 404-730-3957
Alabama, Florida, Georgia
Boston, MA, 617-424-0510
Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island,
Vermont, Upstate New York
Charlotte, NC, 704-344-6144
Kentucky, North Carolina, South Carolina, Tennessee, Virginia
Chicago, IL, 708-562-1350
Illinois, Indiana, Wisconsin
Dallas, TX, 214-640-4470
Louisiana, Mississippi, Texas
Denver, CO, 303-969-7750
Arizona, Colorado, Nebraska, New Mexico, North Dakota, South
Dakota, Utah, Wyoming
Detroit, MI, 313-259-1875
Michigan, Ohio, West Virginia
Kansas City, KS, 913-551-6711
Arkansas, Iowa, Kansas, Minnesota, Missouri, New Mexico, Oklahoma
Los Angeles, CA, 818-904-6339
California
Philadelphia, PA, 215-597-8313
Delaware, District of Columbia, Maryland, New Jersey, Pennsylvania
Seattle, WA, 206-728-5314
Idaho, Montana, Nevada, Oregon, Washington
[FR Doc. 96-31748 Filed 12-12-96; 8:45 am]
BILLING CODE 4160-15-P
