[Federal Register Volume 62, Number 24 (Wednesday, February 5, 1997)]
[Notices]
[Pages 5423-5428]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-2799]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[Announcement 721]
State and Community-Based Childhood Lead Poisoning Prevention
Program and Surveillance of Blood Lead Levels in Children; Notice of
Availability of Funds for Fiscal Year 1997
Introduction
The Centers for Disease Control and Prevention (CDC) announces the
availability of funds in fiscal year (FY) 1997 for new and competing
continuation State and community-based childhood lead poisoning
prevention projects, and to build statewide capacity to conduct
surveillance of blood lead levels in children.
The CDC is committed to achieving the health promotion and disease
prevention objectives of Healthy People 2000, a national activity to
reduce morbidity and mortality and improve the quality of life. This
announcement is related to the priority area of Environmental Health.
(To order a copy of Healthy People 2000, see the Where to Obtain
Additional Information section.)
[[Page 5424]]
Authority
This program is authorized under sections 301(a), 317A and 317B of
the Public Health Service Act [42 U.S.C. 241(a), 247b-1, and 247b-3],
as amended. Program regulations are set forth in Title 42, Code of
Federal Regulations, Part 51b.
Smoke-Free Workplace
The CDC strongly encourages all grant recipients to provide a
smoke-free workplace and promote the non-use of all tobacco products,
and Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking
in certain facilities that receive Federal funds in which education,
library, day care, health care, and early childhood development
services are provided to children.
Environmental Justice Initiative
Activities conducted under this announcement should be consistent
with the Federal Executive Order No. 12898 entitled, ``Federal Actions
to Address Environmental Justice in Minority Populations and Low-Income
Populations.'' Grantees, to the greatest extent practicable and
permitted by law, shall make achieving environmental justice part of
its program's mission by identifying and addressing, as appropriate,
disproportionately high and adverse human health and environmental
effects of lead on minority populations and low-income populations.
Eligible Applicants
Eligible applicants for State childhood lead prevention programs
are State health departments or other State health agencies or
departments deemed most appropriate by the State to direct and
coordinate the State's childhood lead poisoning prevention program, and
agencies or units of local government that serve jurisdictional
populations greater than 500,000. This eligibility includes health
departments or other official organizational authority (agency or
instrumentality) of the District of Columbia, the Commonwealth of
Puerto Rico, and any territory or possession of the United States.
Applicants for prevention program grants from eligible units of
local jurisdiction must elect either to apply directly to CDC as a
grantee, or to apply as part of a statewide grant application. Local
jurisdictions cannot submit applications directly to CDC and also apply
as part of a Statewide grant application.
For Surveillance Funds Only
Eligible applicants are State health departments or other State
health agencies or departments deemed most appropriate by the State to
direct and coordinate the State's childhood lead poisoning prevention
and surveillance program. Eligible applicants must have regulations for
reporting of PbB levels by both public and private laboratories or
provide assurances that such regulations will be in place within six
months of awarding the grant. This program is intended to initiate and
build capacity for surveillance of childhood PbB levels. Therefore, any
applicant that already has in place a PbB level surveillance activity
must demonstrate how these grant funds will be used to enhance, expand
or improve the current activity, in order to remain eligible for
funding. CDC funds should be added to blood-lead surveillance funding
from other sources, if such funding exists. Funds for these programs
may not be used in place of any existing funding for surveillance of
PbB levels.
If a State agency applying for grant funds is other than the
official State health department, written concurrence by the State
health department must be provided.
Availability of Funds
State and Community-based Prevention Program Grant Funds
Approximately $8,000,000 will be available in FY 1997 to fund a
selected number of new and competing continuation childhood lead
poisoning prevention projects. The CDC anticipates that awards for the
first budget year will range from $200,000 to $1,500,000. Applications
exceeding the funding limit of $1,500,000 will be returned as non-
responsive to the program announcement. This includes both direct and
indirect cost amounts.
Surveillance Grant Funds
Approximately $300,000 will be available in FY 1997 to fund up to
four new grants to support the development of PbB surveillance
activities. Surveillance awards are expected to range from $60,000 to
$75,000. Applications exceeding the funding limit of $75,000 will be
returned as non-responsive to the program announcement. This includes
both direct and indirect cost amounts.
The new awards are expected to begin on or about July 1, 1997.
New awards are made for 12-month budget periods within project
periods not to exceed 3 years. Estimates outlined above are subject to
change based on the actual availability of funds and the scope and
quality of applications received. Continuation awards within the
project period will be made on the basis of satisfactory progress and
availability of funds.
Grant awards cannot supplant existing funding for childhood lead
poisoning prevention programs or surveillance activities. Grant funds
should be used to increase the level of expenditures from State, local,
and other funding sources.
Applicants may apply for either a prevention program grant or a
surveillance grant, but NOT both. Applicants from State health agencies
applying for prevention program grant funds must address surveillance
issues in their application.
Awards will be made with the expectation that program activities
will continue when grant funds are terminated.
Note
Grant funds may not be expended for medical care and
treatment or for environmental remediation of lead sources. However,
the applicant must provide an acceptable plan to ensure that these
program activities are appropriately carried out.
Not more than 10 percent (exclusive of Direct
Assistance) of any grant may be obligated for administrative costs.
This 10 percent limitation is in lieu of, and replaces, the indirect
cost rate.
Background and Definitions
Background
State and community health agencies have traditionally been the
principal delivery points for childhood lead screening and related
medical and environmental management activities; however, limited
resources and changing public health infrastructures have required
public health agencies to develop new strategies to ensure the delivery
of comprehensive services to prevent childhood lead poisoning.
In 1991, CDC recommended universal screening for children under six
years old except in communities where the prevalence of elevated blood
lead levels was known to be very low. In areas where the majority of
children are at low risk for lead exposure, universal screening is not
a practical or cost-beneficial investment of limited resources. Thus,
screening activities should be targeted to children at elevated risk of
lead exposure. As the prevalence of blood lead levels continues to
diminish in the United States, targeting screening to those children
who remain at elevated risk of lead exposure will become increasingly
important.
Based on this scientific information and practical experience, to
prevent childhood lead poisoning State and community health agencies
will need to
[[Page 5425]]
re-examine their current screening policies and practices. State and
local health agencies must have in place sound policies and programs to
assess the risk for lead exposure and assure that appropriate and
timely actions take place to protect children at risk of lead exposure.
As State and local health departments revise their screening policies,
it is anticipated that the screening and follow-up of children who most
need services will be expanded or enhanced, thereby diminishing the
screening of children in areas where they are not exposed to lead.
Blood lead levels in the United States have fallen dramatically
over the past decade--by about 78 percent between 1978 and 1991.
Nevertheless, the Third National Health and Nutrition Examination
Survey (NHANES III) shows that, despite a dramatic decline in lead
exposure among children, approximately 1.7 million children ages 1-5
still have blood lead levels 10 g/dL, a level at
which there has been shown to be subtle effects on children's cognitive
development. Poor, urban, black children and Mexican-American children
are at especially high risk for harmful levels of lead in their blood.
We have made great progress in reducing lead in important sources
for the U.S. population--gasoline and food. However, there are still
important sources of lead that pose a serious health threat to
children. The remaining sources of lead exposure for children--lead in
paint, dust, and soil--are far more difficult to address, since these
can only be reduced by actions in individual homes. Without a concerted
effort to reduce exposure from these sources, elevated lead levels in
children will continue to be a public health problem.
Definitions
Program: A designated unit within an agency responsible for
implementing and coordinating a systematic and comprehensive approach
to prevent childhood lead poisoning in high-risk communities.
Program Elements: Include (1) identifying infants and young
children with elevated blood lead levels, (2) identifying and assuring
the remediation of possible sources of lead exposure throughout the
community, (3) monitoring the medical and environmental management of
lead poisoned children, (4) providing information on childhood lead
poisoning and its prevention and management to the public, health
professionals, and policy and decision makers, (5) encouraging and
supporting community-based programs directed to the goal of eliminating
childhood lead poisoning, (6) developing and providing laboratory
support, and (7) maintaining a data management component that assists
in the day-to-day management of the childhood lead poisoning prevention
program and documents program activities.
High-Risk or Targeted Community: Geographically defined
community or neighborhood where there is significant childhood lead
exposure (documented by the presence of children with elevated blood
lead levels) or potential childhood lead exposure (documented by the
presence of sources of lead exposure, especially older, deteriorating
housing.)
Lead Hazard: Accessible paint, dust, soil, water, or other
source or pathway that contains lead or lead compounds that can
contribute to or cause lead poisoning.
Lead Hazard Remediation: The elimination, reduction, or
containment of known and accessible lead sources.
Care coordination: The total care of a child with lead
poisoning, including appropriate and timely medical and environmental
follow-up.
Surveillance: For the purpose of this program, a complete
PbB surveillance activity is defined as a process which: (1)
systematically collects information over time about children with
elevated PbB levels using laboratory reports as the data source; (2)
provides for the follow-up of cases, including field investigations
when necessary; and (3) provides timely and useful analysis and
reporting of the accumulated data including an estimate of the rate of
elevated PbB levels among all children receiving blood tests.
Purpose
Prevention Grant Program
The purpose of this grant program is to provide impetus for the
development and operation of State and community-based childhood lead
poisoning prevention programs in places where there is a determined
risk of childhood lead exposure and to develop Statewide capacity for
conducting surveillance of elevated blood-lead levels.
Grant-supported programs are expected to serve as catalysts and
models for the development of non-grant-supported programs and
activities in other States and communities. Further, grant-supported
programs should create community awareness of the problem (e.g., among
community and business leaders, medical community, parents, educators,
and property owners). It is expected that State health agencies will
play a lead role in the development of community-based childhood lead
poisoning prevention programs, including ensuring coordination and
integration with maternal and child health programs; State Medicaid
Early Periodic Screening, Diagnosis, and Treatment, (EPSDT) programs;
community and migrant health centers; and community-based organizations
providing health and social services in or near public housing units,
as authorized under Section 340A of the PHS Act.
The prevention grant program will provide financial assistance and
support to State and local government agencies to:
1. Establish, expand, or improve services to assure that children
in high risk areas are screened. Screening should focus on: (1) Making
certain children not currently served by existing health care services
are screened, (2) integrating screening efforts with maternal and child
health programs; State Medicaid programs, such as the EPSDT programs;
community and migrant health centers; and community-based organizations
providing health and social services in or near public housing units,
as authorized under Section 340A of the PHS Act, and (3) guaranteeing
that high-risk children seen by private providers are screened.
2. Intensify care coordination efforts to ensure that children with
elevated blood lead levels receive appropriate and timely follow-up
services.
3. Establish, expand, or improve environmental investigations to
rapidly identify and reduce sources of lead exposure throughout a
community.
4. Plan and develop activities for the primary prevention of
childhood lead poisoning in demonstrated high-risk areas to be
conducted in collaboration with other government and community-based
organizations.
5. Develop and implement efficient information management/data
systems compatible with CDC guidelines for monitoring and evaluation.
6. Improve the actions of other appropriate agencies and
organizations to facilitate the rapid remediation of identified lead
hazards in high-risk communities.
7. Enhance knowledge and skills of program staff through training
and other methods.
8. Based upon program findings, provide information on childhood
lead poisoning to the public, policy-makers, academic community, and
other interested parties.
9. Develop State-based systems for surveillance of blood lead
levels among
[[Page 5426]]
children, and use surveillance data to assess prevention activities and
target resources.
Surveillance Grant Funds
The surveillance component of this announcement is intended to
assist State health departments or other appropriate agencies to
implement a complete surveillance activity for PbB levels in children.
Development of surveillance systems at the local, State and national
levels is essential for targeting interventions to high-risk
populations and for tracking progress in eliminating childhood lead
poisoning.
The childhood blood-lead surveillance program has the following
five goals:
1. Increase the number of State health departments with
surveillance systems for elevated PbB levels;
2. Build the capacity of State-or territorial-based PbB level
surveillance systems;
3. Use data from these systems to conduct national surveillance of
elevated PbB levels;
4. Disseminate data on the occurrence of elevated PbB levels to
government agencies, researchers, employers, and medical care
providers; and
5. Direct intervention efforts to reduce environmental lead
exposure.
Program Requirements
A copy of the Program Guidance Document will be included with the
application package. Please refer to this document (Program Guidance)
for important information and procedures in developing and completing
your application.
Prevention Grant Program
The following are requirements for Childhood Lead Poisoning
Prevention Projects:
1. A director/coordinator with authority and responsibility to
carry out the requirements of the program.
2. Provide qualified staff, other resources, and knowledge to
implement the provisions of the program.
3. Revise program efforts based on CDC's plans to issue new
recommendations on childhood lead poisoning prevention.
4. Provide a comprehensive statewide plan that includes strategies,
identifies where lead exposed children are, and provides appropriate
screening and timely follow-up for those children.
5. Provide a plan to develop an automated data-management system
designed to collect and maintain laboratory data on the results of
blood lead testing and care coordination data for children with
elevated blood lead levels. This automated data-management systems
should be used to monitor and evaluate all major program activities and
services.
6. Establishment and maintenance of a system to monitor the
notification and follow-up of children who are confirmed with elevated
blood lead levels and who are referred to local Public Housing
Authorities (PHAs).
7. Effective, well-defined working relationships within public
health agencies and with other agencies and organizations at national,
State, and community levels (e.g., housing authorities, environmental
agencies, maternal and child health programs, State Medicaid EPSDT
programs; or, community and migrant health centers; community-based
organizations providing health and social services in or near public
housing units, as authorized under Section 340A of the PHS Act, State
epidemiology programs, State and local housing rehabilitation offices,
schools of public health and medical schools, and environmental
interest groups) to appropriately address the needs and requirements of
programs (e.g., data management systems to facilitate the follow-up and
tabulation of children reported with elevated blood lead levels,
training to ensure the safety of abatement workers) in the
implementation of proposed activities. This includes the establishment
of networks with other State and local agencies with expertise in
childhood lead poisoning prevention programming.
8. Assurances that income earned by the childhood lead poisoning
prevention program is returned to the program for use by the program.
9. For awards to State agencies, there must be a demonstrated
commitment to provide technical, analytical, and program evaluation
assistance to local agencies interested in developing or strengthening
childhood lead poisoning prevention programs.
10. SPECIAL REQUIREMENT regarding Medicaid provider-status of
applicants: Pursuant to section 317A of the Public Health Service Act
(42 U.S.C. 247b-1) as amended by Sec. 303 of the ``Preventive Health
Amendments of 1992'' (Public Law 102-531), applicants AND current
grantees must meet the following requirements: For Childhood Lead
Poisoning Prevention Program services which are Medicaid-reimbursable
in the applicant's State:
Applicants who directly provide these services must be
enrolled with their State Medicaid agency as Medicaid providers.
Providers who enter into agreements with the applicant to
provide such services must be enrolled with their State Medicaid agency
as providers.
An exception to this requirement will be made for providers whose
services are provided free of charge and who accept no reimbursement
from any third-party payer. Such providers who accept voluntary
donations may still be exempted from this requirement.
11. For State Prevention Programs, a Surveillance component defined
as a process which: (1) Systematically collects information over time
about children with elevated PbB levels using laboratory reports as the
data source; (2) provides for the follow-up of cases, including field
investigations when necessary; (3) provides timely and useful analysis
and reporting of the accumulated data including an estimate of the rate
of elevated PbB levels among all children receiving blood tests; and
(4) reports data to CDC in the appropriate format.
To achieve these goals, programs must be able to: (1) provide
qualified staff, other resources, and knowledge to implement the
provisions of this program. Applicants requesting grant supported
positions must provide assurances that such positions will be approved
by the applicant's personnel system; (2) revise, refine, and implement,
in collaboration with CDC, the methodology for surveillance as proposed
in the respective program application; (3) have demonstrated experience
or access to professionals knowledgeable in conducting and evaluating
public health programs; and (4) have the ability to translate data to
State and local public health officials, policy and decision-makers,
and to others seeking to strengthen program efforts.
For Surveillance Grants
The following are requirements for surveillance only grant
projects:
1. A full-time director/coordinator with authority and
responsibility to carry out the requirements of surveillance program
activities.
2. Ability to provide qualified staff, other resources, and
knowledge to implement the provisions of this program. Applicants
requesting grant supported positions must provide assurances that such
positions will be approved by the applicant's personnel system.
3. Effective, well-defined working relationships with childhood
lead poisoning prevention programs within the applicant's State.
4. Revise, refine, and implement, in collaboration with CDC, the
methodology for surveillance as
[[Page 5427]]
proposed in the respective program application.
5. Collaborate with CDC in any interim and/or final evaluation of
the surveillance activity.
6. Monitor and evaluate all major program activities and services.
7. Demonstrated experience in conducting and evaluating public
health programs or having access to professionals who are knowledgeable
in conducting such activities.
8. Ability to translate data to State and local public health
officials, policy and decision-makers, and to others seeking to
strengthen program efforts.
Technical Reporting Requirements
Quarterly progress reports are required of all grantees. The
quarterly report should not exceed 25 pages. Time lines for the
quarterly reports will be established at the time of award, but are
typically due 30 days after the end of each calendar quarter. A
progress report is required as a part of the continuation application.
Note that surveillance only grantees are not required to submit
quarterly quantitative data.
Annual Financial Status Reports (FSRs) are due 90 days after the
end of the budget period. The final progress report and FSR shall be
prepared and submitted no later than 90 days after the end of the
project period. Submit the original and 2 copies of the reports to the
Grants Management Office indicated under ``Where to Obtain Additional
Information'' section.
Evaluation Criteria
The review of applications will be conducted by an objective review
committee who will review the quality of the application based on the
strength and completeness of the plan submitted. The budget
justification will be used to assess how well the technical plan is
likely to be carried out using available resources. The maximum ratings
score of an application is 100 points.
A. The Factors To Be Considered in the Evaluation of Prevention Program
Grant Applications Are:
1. Evidence of the Childhood Lead Poisoning Problem (40 points).
(a) Applicants should describe and document the extent of the
problem as defined by data from recent screening, demographic,
environmental, and other data. (Population-based data or estimates
should be compared to NHANES III data discussed in the Background and
Definition Section of this program announcement). (20 points)
(b) Applicants' ability to identify high-risk targeted areas within
their public health jurisdictions defined by such factors as: evidence
of children with elevated blood lead levels, documentation of pre-1950
housing and/or other evidence of old, deteriorating houses as well as
the percent and number of children under six years of age living in
poverty. Other known or suspected sources of lead poisoning should also
be discussed. (20 points)
2. Technical Approach (30 points).
The quality of the technical approach in carrying out the proposed
activities including:
(a) Goals and Objectives: The extent to which the applicant has
included clearly identified goals and objectives which are specific,
measurable, and relevant to the purpose of this proposal (10 points).
(b) Approach: The extent to which the applicant provides a detailed
description of the proposed activities which are likely to achieve each
objective for the budget period (10 points).
(c) Timeline: The extent to which the applicant provides a
reasonable schedule for implementation of the activities (5 points).
(d) Evaluation: The extent to which the evaluation plan addresses
the achievement of objectives (5 points).
3. Applicant Capability (10 points).
Capability of the applicant to initiate and carry out proposed
program activities successfully within the time frames set forth in the
application. Proposed staff skills must match the proposed program of
work described. Elements to consider include:
(a) Demonstrated knowledge and experience of the proposed project
director or manager and staff in planning and managing large and
complex interdisciplinary programs involving public health,
environmental management, and housing rehabilitation. The percentage of
time the project manager will devote to this project is a significant
factor, and must be indicated (5 points).
(b) Written assurances that proposed positions can and will be
filled as described in the application (3 points).
(c) Evidence of institutional capacity, demonstrated by the
experience and continuing capability of the jurisdiction, to initiate
and implement similar environmental and housing projects. The applicant
should describe these related efforts and the current capacity of its
agency (2 points).
4. Collaboration (20 points).
(a) Extent to which the applicant demonstrates that proposed
activities are being conducted in conjunction with, or through,
organizations with known and established ties in the target
communities. Evidence of support and participation from appropriate
community-based or neighborhood-based organizations in the form of
memoranda of understanding or other agreements of collaboration. (10
points)
(b) Extent to which the applicant documents established
collaboration with appropriate governmental agencies responding to
childhood lead poisoning prevention issues such as environmental
health, housing, medical management, etc., through specific commitments
for consultation, employment, or other activities, as evidenced by the
names and proposed roles of these participants and letters of
commitment. Absence of letters describing specific participation will
result in a reduced rating under this factor. (10 points)
5. Budget Justification and Adequacy of Facilities (NOT SCORED).
The budget will be evaluated for the extent to which it is
reasonable, clearly justified, and consistent with the intended use of
grant funds. The adequacy of existing and proposed facilities to
support program activities also will be evaluated.
B. The Factors to be Considered in the Evaluation of Applications for
Surveillance Program Grant Applications are:
1. Surveillance Activity : (35 points).
The clarity, feasibility, and scientific soundness of the
surveillance approach. Also, the extent to which a proposed schedule
for accomplishing each activity and methods for evaluating each
activity are clearly defined and appropriate. The following points will
be specifically evaluated:
(a) How laboratories report PbB levels.
(b) How data will be collected and managed.
(c) How the quality of data and completeness of reporting will be
assured.
(d) How and when data will be analyzed.
(e) How summary data will be reported and disseminated.
(f) Protocols for follow-up of individuals with elevated PbB
levels.
(g) Provisions to obtain denominator data.
2. Progress Toward Complete Blood-Lead Surveillance (30 points).
The extent to which the proposed activities are likely to result in
substantial progress towards establishing a complete State-based PbB
surveillance activity (as defined in the ``Purpose'' section).
3. Project Sustainability (20 points).
The extent to which the proposed activities are likely to result in
the long-
[[Page 5428]]
term maintenance of a complete State-based PbB surveillance system. In
particular, specific activities that will be undertaken by the State
during the project period to ensure that the surveillance program
continues after completion of the project period.
4. Personnel (10 points).
The extent to which the qualifications and time commitments of
project personnel are clearly documented and appropriate for
implementing the proposal.
5. Use of Existing Resources (5 points).
The extent to which the proposal would make effective use of
existing resources and expertise within the applicant agency or through
collaboration with other agencies.
6. BUDGET (Not Scored).
The extent to which the budget is reasonable, clearly justified,
and consistent with the intended use of funds.
Executive Order 12372 Review
Applications are subject to Intergovernmental Review of Federal
Programs as governed by Executive Order (E.O.) 12372. E.O. 12372 sets
up a system for State and local government review of proposed Federal
assistance applications. Applicants should contact their State Single
Point of Contact (SPOC) 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 for each affected State. A
current list of SPOCs is included in the application kit. If they have
comments it should be sent to Lisa G. Tamaroff, Grants Management
Specialist, Grants Management Branch, Procurement and Grants Office,
Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry
Road, NE., Atlanta, GA 30305, no later than 60 days after the
application due date. The Program Announcement Number and Program Title
should be referenced on the document. The granting agency does not
guarantee to ``accommodate or explain'' State process recommendations
it receives after that date.
Public Health System Reporting Requirement
This program is not subject to the Public Health System Reporting
Requirements.
Catalog of Federal Domestic Assistance Number
The Catalog of Federal Domestic Assistance number is 93.197.
Other Requirements
Paperwork Reduction Act
Projects that involve the collection of information from 10 or more
individuals and funded by the grant will be subject to review by the
Office of Management and Budget(OMB)under the Paperwork Reduction Act.
Application Submission and Deadline
The original and two copies of the PHS 5161-1 (OMB Number 0937-
0189) must be submitted to Lisa G. Tamaroff, Grants Management
Specialist, Grants Management Branch, Procurement and Grants Office,
Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry
Road, NE., Room 300, Atlanta, GA 30305, on or before April 9, 1997.
1. Deadline
Applications shall be considered as meeting the deadline if they
are either:
A. Received on or before the deadline date, or
B. Sent on or before the deadline date and received in time for
submission for the review process. 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.
2. Late Applications
Applications which do not meet the criteria in 1.A. or 1.B. above
are considered late applications. Late applications will not be
considered in the current competition and will be returned to the
applicant.
A one-page, single-spaced, typed abstract must be submitted with
the application. The heading should include the title of the grant
program, project title, organization, name and address, project
director and telephone number.
Where to Obtain Additional Information
To receive additional written information call (404) 332-4561. You
will be asked to leave your name, address, and phone number and will
need to refer to Announcement 721. You will receive a complete program
description, information on application procedures and application
forms.
If you have questions after reviewing the contents of all
documents, business management technical assistance may be obtained
from Lisa G. Tamaroff, Grants Management Specialist, Grants Management
Branch, Procurement and Grants Office, Centers for Disease Control and
Prevention (CDC), 255 East Paces Ferry Road, NE., Room 300, Mailstop E-
13, Atlanta, GA 30305, telephone (404) 842-6796. Internet address
[email protected]
This and other CDC announcements are also available through the CDC
homepage on the Internet. The address for the CDC homepage is http://
www.cdc.gov.
CDC will not send application kits by facsimile or express mail.
Please refer to Announcement Number 721 when requesting information
and submitting an application.
Technical assistance on prevention activities may be obtained from
Claudette A. Grant, Acting Chief, Program Services Section, Lead
Poisoning Prevention Branch, Division of Environmental Hazards and
Health Effects, National Center for Environmental Health, Centers for
Disease Control and Prevention (CDC), 4770 Buford Highway, NE.,
Mailstop F-42, Atlanta, GA 30341-3724, telephone (770) 488-7330,
Internet address cag4@ceh.cdc.gov.
Technical assistance on surveillance activities may be obtained
from Carol Pertowski, M.D., Medical Epidemiologist, Surveillance and
Programs Branch, Division of Environmental Hazards and Health Effects,
National Center for Environmental Health, Centers for Disease Control
and Prevention (CDC), 4770 Buford Highway, NE., Mailstop F-42, Atlanta,
GA 30341-3724, telephone (770) 488-7330, Internet address
cap4@ceh.cdc.gov.
Potential applicants may obtain a copy of Healthy People 2000 (Full
Report, Stock No. 017-001-00474-0) or Healthy People 2000 (Summary
Report, Stock No. 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325,
telephone (202) 512-1800.
Dated: January 30, 1997.
Joseph R. Carter,
Acting Associate Director, Management and Operations, Centers for
Disease Control and Prevention.
[FR Doc. 97-2799 Filed 2-4-97; 8:45 am]
BILLING CODE 4163-18-P
