98-6869. Implementation of the National Occupational Research Agenda; Notice of Availability of Funds for Fiscal Year 1998  

  • [Federal Register Volume 63, Number 51 (Tuesday, March 17, 1998)]
    [Notices]
    [Pages 13051-13057]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 98-6869]
    
    
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    DEPARTMENT OF HEALTH AND HUMAN SERVICES
    
    Centers for Disease Control and Prevention
    National Institutes of Health
    [Announcement 98044]
    
    
    Implementation of the National Occupational Research Agenda; 
    Notice of Availability of Funds for Fiscal Year 1998
    
    Introduction
    
        The Centers for Disease Control and Prevention (CDC) and the 
    National Institutes of Health (NIH) announce that grant applications 
    are being accepted for research related to some of the priority areas 
    identified in the National Occupational Research Agenda (NORA) that is 
    described in the Background section. Three types of grants will be 
    supported: traditional research projects, demonstration projects, and 
    pilot studies (see MECHANISMS OF SUPPORT section).
        CDC and NIH are 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 areas of 
    ``Occupational Safety and Health'' and ``Unintentional Injuries.'' (For 
    ordering a copy of ``Healthy People 2000,'' see the section Where To 
    Obtain Additional Information.)
        This announcement is jointly sponsored by (1) the National 
    Institute for Occupational Safety and Health (NIOSH) in CDC, (2) the 
    National Institute of Arthritis and Musculoskeletal and Skin Diseases 
    (NIAMS) in the National Institutes of Health (NIH), (3) the National 
    Institute of Environmental Health Sciences (NIEHS) in NIH, and (4) the 
    National Heart, Lung, and Blood Institute (NHLBI) in NIH. The portion 
    of this initiative dealing with older workers is also of interest to 
    the National Institute on Aging (NIA) in NIH.
    
    Authority
    
        This program is authorized under the Public Health Service Act, as 
    amended,
    
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    Section 301(a) [42 U.S.C. 241(a)], and the Occupational Safety and 
    Health Act of 1970, Section 20(a) [29 U.S.C. 669(a)]. The applicable 
    program regulation is 42 CFR Part 52.
    
    Smoke-Free Workplace
    
        CDC and NIH strongly encourage 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.
    
    Eligible Applicants
    
        Eligible applicants include domestic and foreign non-profit and 
    for-profit organizations, universities, colleges, research 
    institutions, and other public and private organizations, including 
    State and local governments, and small, minority and/or woman-owned 
    businesses.
    
        Note: Effective January 1, 1986, Public Law 104-65 states that 
    an organization described in section 501(c)(4) of the Internal 
    Revenue Code of 1986 which engages in lobbying activities shall not 
    be eligible to receive Federal funds constituting an award, grant 
    (cooperative agreement), contract, loan, or any other form.
    
    Availability of Funds
    
        Approximately $8.0 million is available in fiscal year (FY) 1998 to 
    fund approximately 45-50 grants. The approximate amounts that are 
    expected to be available by each Institute are: NIOSH--$5.0 million, 
    NIAMS--$1.0 million, NIEHS--$1.0 million, NHLBI--$1.0 million.
        Target amounts for the NORA priority areas are as follows:
        1. Occupational irritant contact dermatitis (approximately $1.0M).
        2. Work-related musculoskeletal disorders, traumatic injuries, 
    indoor environment, and asthma and chronic obstructive pulmonary 
    disease (COPD) (approximately $3.0M).
        3. Special populations at risk--nature and magnitude of the special 
    risk factors experienced by older and/or minority workers 
    (approximately $1.0M).
        4. Social and economic consequences of workplace illness and injury 
    and health services research (approximately $1.0M).
        5. Intervention effectiveness research--the evaluation of existing 
    or new interventions for work-related musculoskeletal disorders, 
    traumatic injuries, asthma and COPD and other occupational risks via 
    changes in work organization factors, through the implementation of 
    control technology or other worker protection techniques (approximately 
    $2.0M).
        Awards are anticipated to range up to $250,000 in total costs 
    (direct and indirect) per year for traditional research and 
    demonstration projects, and up to $50,000 in direct costs for pilot 
    studies.
        Only applications that are found to be of high scientific merit 
    will be considered for funding and not all of the funds will be spent 
    if there are not enough highly meritorious applications.
        The amount of funding available may vary and is subject to 
    availability of funds. Awards are expected to begin in September 1998, 
    although some awards may not begin until FY 99. Awards will be made for 
    a 12-month budget period within a project period not to exceed 3 years 
    for traditional research and demonstration projects, and 2 years for 
    pilot studies.
        Continuation awards within the project period will be made on the 
    basis of satisfactory progress and availability of funds.
    
    Use of Funds
    
    Restrictions on Lobbying
    
        Applicants should be aware of restrictions on the use of HHS funds 
    for lobbying of Federal or State legislative bodies. Under the 
    provisions of 31 U.S.C. 1352 (which has been in effect since December 
    23, 1989), recipients (and their subtier contractors) are prohibited 
    from using appropriated Federal funds (other than profits from a 
    Federal contract) for lobbying Congress or any Federal agency in 
    connection with the award of a particular contract, grant, cooperative 
    agreement, or loan. This includes grants/cooperative agreements that, 
    in whole or in part, involve conferences for which Federal funds cannot 
    be used directly or indirectly to encourage participants to lobby or to 
    instruct participants on how to lobby.
        In addition, the FY 1998 Department of Labor, Health and Human 
    Services, and Education, and Related Agencies Appropriations Act (Pub. 
    L. 105-78) states in Section 503 (a) and (b) that no part of any 
    appropriation contained in this Act shall be used, other than for 
    normal and recognized executive-legislative relations, for publicity or 
    propaganda purposes, for the preparation, distribution, or use of any 
    kit, pamphlet, booklet, publication, radio, television, or video 
    presentation designed to support or defeat legislation pending before 
    the Congress or any State legislature, except in presentation to the 
    Congress or any State legislature itself. No part of any appropriation 
    contained in this Act shall be used to pay the salary or expenses of 
    any grant or contract recipient, or agent acting for such recipient, 
    related to any activity designed to influence legislation or 
    appropriations pending before the Congress or any State legislature.
    
    Background
    
        In 1970, Congress passed the Occupational Safety and Health Act 
    ``to assure so far as possible every working man and woman in the 
    Nation safe and healthful working conditions.'' In the years since 
    then, substantial progress has been made in improving worker 
    protection. Much of this progress has been based on actions guided by 
    occupational safety and health research. However, workplace hazards 
    continue to inflict a tremendous toll in both human and economic costs. 
    Employers reported 6.3 million work injuries and 515,000 cases of 
    occupational illnesses in 1994. In 1995, occupational injuries alone 
    cost $119 billion in lost wages and lost productivity, administrative 
    expenses, health care, and other costs. This figure does not include 
    the costs of occupational diseases. Research is needed to advance the 
    scientific base of knowledge necessary to define optimal strategies for 
    ensuring the safety and health of all workers.
        In 1996, the National Institute for Occupational Safety & Health 
    (NIOSH) and its partners in the public and private sectors developed 
    the National Occupational Research Agenda (NORA) to provide a framework 
    to guide occupational safety and health research into the next decade--
    not only for NIOSH, but also for the entire occupational safety and 
    health community. The Agenda identifies 21 research priorities and 
    reflects consideration of both current and emerging needs. The priority 
    areas are not ranked because each is considered to be of equal 
    importance. Because the funding resources available for this special 
    announcement are limited, both internal and external partners have 
    recommended that only a subset of the priority areas be targeted as 
    initial areas of emphasis in order to have a meaningful impact in any 
    area. It is expected that, in future years, the remaining NORA 
    priorities will receive similar, much-deserved attention.
    
    Purpose
    
        The purpose of this grant program is to develop knowledge that can 
    be used in preventing occupational diseases and injuries and to better 
    understand their underlying pathophysiology. Thus, the following types 
    of applied research
    
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    projects will be supported: Causal research to identify and investigate 
    the relationships between hazardous working conditions and associated 
    occupational disease and injury; the nature and magnitude of special 
    risk factors experienced by older and/or minority workers; methods 
    research to develop more sensitive means of evaluating hazards at work 
    sites; and evaluations of the effectiveness of prevention and 
    intervention programs, including new approaches or combinations of 
    techniques such as control technologies, personal protective equipment 
    and changes in work organization factors, which have been developed and 
    implemented in workplaces.
    
    Mechanisms of Support
    
        The types of grants supported under this announcement are as 
    follow:
    
    1. Research Project Grants (R01)
    
        A research project grant application should be designed to 
    establish, discover, develop, elucidate, or confirm information 
    relating to occupational safety and health, including innovative 
    methods, techniques, and approaches for addressing problems. These 
    studies may generate information that is readily available to solve 
    problems or contribute to a better understanding of the causes of work-
    related diseases and injuries.
    
    2. Demonstration Project Grants (R18)
    
        A demonstration project grant application should address the 
    technical or economic feasibility of implementing a new/improved 
    innovative procedure, method, technique, or system for preventing 
    occupational safety or health problems. The project should be conducted 
    in an actual workplace where a baseline measure of the problem will be 
    defined, the new/improved approach will be implemented, a follow-up 
    measure of the problem will be documented, and an evaluation of the 
    benefits will be conducted.
    
    3. Pilot Study Grants (R03)
    
        A pilot study is a preliminary evaluation for the purpose of 
    developing the foundation for a future, more comprehensive study. Thus, 
    a pilot study might test feasibility, collect initial data, refine 
    methodology, or evaluate critical factors that would influence the 
    ability to conduct a larger study. An application should contain a 
    clear description of how the pilot study could form the basis for 
    preparing a research proposal that would be submitted for competitive 
    review, in the future, if the results of the pilot study are promising. 
    The application should include only the following sections of the PHS 
    398 application form: face page (in item 2, place ``NORA Pilot 
    Study''), abstract, budget, key person biosketches, aims, background, 
    study plan, and human or animal subject matters. There is a 15 page 
    limit for the aims, background, and study plan, not including 
    references. The budget for an entire pilot study is limited to $50,000 
    in direct costs for a period of up to two years.
    
    Programmatic Interest
    
        The research needs identified in this announcement are consistent 
    with the NORA developed by NIOSH and partners in the public and private 
    sectors to provide a framework to guide occupational safety and health 
    research in the next decade towards topics which are most pressing and 
    most likely to yield gains to the worker and the nation. The Agenda 
    identifies 21 research priorities. The NORA document is available 
    through the NIOSH Home Page at http://www.cdc.gov/niosh/nora.html.
        Potential applicants with questions concerning the acceptability of 
    their proposed work are strongly encouraged to contact the technical 
    information personnel listed in this announcement in the section WHERE 
    TO OBTAIN ADDITIONAL INFORMATION.
        Applications responding to this announcement will be reviewed by 
    staff for their responsiveness to the following program interests and 
    their potential for developing knowledge that can be used in preventing 
    occupational diseases and injuries.
        Targeted NORA Priority Areas for this announcement are as follow:
        1. Occupational Irritant Contact Dermatitis. This announcement 
    targets a part of the NORA priority area, Allergic and Irritant 
    Dermatitis. In 1993, the Bureau of Labor Statistics (BLS) data 
    estimated an incidence of 76 cases of occupational skin disorders 
    (OSDs) per 100,000 U.S. workers, making OSDs the most common non-
    trauma-related occupational disease affecting workers in many different 
    occupations. Irritant contact dermatitis (ICD) is the most common form 
    of dermatitis, usually resulting from reactions to chemical irritants 
    such as solvents and cutting fluids. The goal of the ``Healthy People 
    2000'' is to reduce OSDs to an incidence of not more than 55 per 
    100,000. To aid in achieving this national health objective, further 
    research in ICD is needed.
        Research applications are sought in the following areas: (1) 
    methods for identifying irritants prior to introduction into the 
    workplace; (2) pathophysiology of ICD; (3) the genetic basis of 
    susceptibility; (4) the influence of environmental factors on ICD; (5) 
    the relationship of ICD to allergic contact dermatitis; (6) methods to 
    identify skin changes that precede overt clinical disease; (7) risk 
    factors for initiation and/or chronicity of ICD; (8) methods for 
    measuring skin exposure and skin deposition; (9) methods for assessing 
    percutaneous penetration and evaluating skin barrier function; (10) 
    intervention design and evaluation; (11) enhanced membrane/film 
    development for skin protection; (12) improved procedures for testing 
    chemical protective clothing (CPC) field performance; and, (13) the 
    effectiveness of CPC and/or barrier creams. The ultimate goal is the 
    primary, secondary, and tertiary prevention of ICD.
        2a. Work-Related Musculoskeletal Disorders. Thirty-two percent of 
    the injuries and illnesses recorded in the BLS survey in 1994 involved 
    musculoskeletal (MS) injuries or disorders and resulted from over-
    exertion or repetitive motion. In the United States (U.S.), back 
    disorders account for 27 percent of all nonfatal occupational injuries 
    and illnesses involving days away from work. Musculoskeletal disorders 
    of the upper extremities (such as carpal tunnel syndrome and rotator 
    cuff tendinitis) due to work factors are common and occur in nearly all 
    sectors of the economy. More than $2 billion in workers' compensation 
    costs are spent annually on these work-related problems.
        Research applications are sought in the following areas: (1) 
    Development and validation of models of nonspecific or specific 
    musculoskeletal disorders which predict biomechanical, biochemical or 
    structural changes in soft tissues resulting from repetitive exposure 
    to physical loads. (An example of this type of research would be to 
    develop an animal model for investigating the effects of repetitive use 
    of tendons, ligaments, and synovium); (2) age and gender differences in 
    the biochemistry and/or biomechanical responses of musculoskeletal soft 
    tissues to injury and repair; (3) development and validation of 
    exposure-assessment methods directed toward existing prevention 
    activities in the private sector, State or local government agencies 
    and for future epidemiologic studies of work-related musculoskeletal 
    disorders; (4) epidemiological studies to determine exposure-response 
    (injury/disorder) relationships between work-related musculoskeletal 
    disorders and physical exposures as well as work organization
    
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    factors. These studies should include both work and non-work exposure 
    and modifying factors; (5) evaluation of existing or new interventions 
    directed at either primary, secondary, or tertiary prevention of common 
    work-related musculoskeletal disorders. (Projects directed at secondary 
    or tertiary prevention should focus on reducing lost work time and 
    preventing future injuries or disorders, or their recurrence); and (6) 
    evaluation of the effectiveness and outcomes of preventive, diagnostic 
    and medical treatments (includes non-operative, operative, 
    rehabilitative and alternative medicine treatments) for work injuries 
    and illnesses of the musculoskeletal system.
        2b. Traumatic Injuries. Injury exacts a huge toll in U.S. 
    workplaces. On an average day, 16 workers are killed and more than 
    17,000 are injured. The leading causes of occupational injury 
    fatalities over the period 1980 to 1992 were motor vehicles, machines, 
    homicides, falls, electrocutions, and falling objects. The leading 
    causes of the nonfatal injuries were overexertion, contact with objects 
    or equipment, and falls.
        Relatively good information is available on the overall burden of 
    work injuries including the industries and occupations where they occur 
    most frequently and with greatest severity. The challenge is to move 
    beyond this broad understanding to specific strategies that address the 
    complex interplay between machines, tools, and behavioral and 
    environmental factors that cause injuries at a worksite. Research 
    applications are sought which will: (1) Conduct etiological research 
    into risk factors or contributors to occupational injuries; (2) advance 
    knowledge of the interactions between human performance/human 
    limitations and workplace, machine and equipment design to remove the 
    possibility of unsafe actions; (3) develop models and simulations for 
    the safe design, operation and maintenance of workplaces and equipment; 
    (4) develop cost/benefit analysis models of various prevention 
    strategies; and, (5) develop simple cost-effective injury prevention 
    models and guidelines for application by safety and health 
    practitioners in the field.
        2c. Indoor Environment. Traditionally, indoor nonindustrial 
    occupational environments have been considered clean and relatively 
    free of exposures to substances which pose a health hazard. In the last 
    20 years, however, reports of symptoms and other health complaints 
    related to these indoor environments have been increasing. More than 
    half of the U.S. workforce is employed indoors, and estimates of the 
    proportion of indoor workers affected by these problems range up to 30 
    percent. Among the requests received annually by NIOSH for occupational 
    health investigations, the proportion related to indoor nonindustrial 
    environments has increased dramatically, from 2 percent in 1980 to 40 
    percent in recent years.
        Research applications are sought in the following areas: (1) Causes 
    or prevention of health effects from indoor work environments, 
    including the transmission of communicable respiratory diseases, asthma 
    or other allergic diseases, or acute symptoms from unknown causes or 
    multiple chemical sensitivities. (Strategies of particular interest 
    include intervention designs to evaluate the effectiveness of 
    environmental controls or of following current practice standards for 
    building operation and improving relevant exposure (microbiological or 
    chemical) assessments); (2) creating practical tools to help the 
    building sector create healthier indoor environments, such as new or 
    improved measurement tools for exposure assessment, and scientifically-
    validated guidelines to help assure healthy indoor environments (e.g., 
    for design, operation, and maintenance actions, or through building 
    performance); and (3) estimating health and other social and economic 
    consequences (such as health care costs, absenteeism, and productivity 
    losses) resulting from adverse effects of indoor environments, as well 
    as potential benefits of improved indoor environments.
        2d. Asthma and Chronic Pulmonary Obstructive Disease. Asthma and 
    Chronic Obstructive Pulmonary Disease (COPD) are leading respiratory 
    diseases in the U.S. and major causes of morbidity and mortality. 
    Although both diseases have nonoccupational causes, workplace exposures 
    also contribute to their development, persistence, and exacerbation. 
    More research is needed to guide efforts to prevent and reduce the 
    occupational contribution to these diseases.
        Research applications are sought in the following areas: (1) 
    Estimation of the proportions of COPD and/or asthma in the adult 
    general population that are attributable to occupational causes, 
    including industry- and agent-specific attributable fractions; (2) risk 
    factors for developing asthma or COPD in response to occupational 
    agents, which might include attention to exposure-response 
    relationships, novel means of characterizing exposure or exposure 
    kinetics, host factors, modifying factors (such as smoking or impaired 
    lung function), and conditions necessary for occupational asthma to 
    completely resolve; (3) methods for identifying substances that may 
    cause asthma prior to their introduction into the workplace; (4) 
    application of methodological approaches to assessing the burden of 
    occupational asthma/COPD with attention to healthy worker effect; (5) 
    mechanisms and pathophysiology of asthma or COPD caused by occupational 
    exposures; and (6) approaches useful for effective screening and 
    surveillance of worker populations at risk for airways diseases caused 
    by occupational exposure.
        3. Special Populations at Risk. Occupational hazards are known to 
    be distributed differentially, and workers with specific biologic, 
    social and/or economic characteristics are more likely to have 
    increased risks of work-related diseases and injuries. This 
    announcement targets a subset--older workers and racial ethnic 
    minorities--of the special populations included in the NORA priority 
    area. The relative proportions of these special populations within the 
    workforce is increasing. It is estimated that, by the year 2000, 
    approximately 39 percent of the projected U.S. population of 275 
    million will be a member of a minority population (American Indian or 
    Alaska Native, Asian, Black or African American, Native Hawaiian or 
    Other Pacific Islander, and Hispanic or Latino.) The median age of the 
    U.S. workforce is rising as a result of the aging of the ``baby boom'' 
    generation, an increasing percentage of older workers remaining in the 
    workforce, as well as an increasing number of older workers reentering 
    the workforce after retirement. As a result, between 1992 and 2005, the 
    number of workers aged 55 and older is projected to increase by 38 
    percent.
        Research applications are sought in the following areas: (1) The 
    nature and magnitude of risks to minority and older workers, including 
    the social and biologic factors (e.g., biochemical susceptibility) that 
    may influence a worker's risk for injury or disease; (2) the incidence 
    and mechanisms of diseases and injuries in minority and older worker 
    populations; (3) the interdependence between work organizations and 
    individuals and the consequences of adapting work (flex-place, flex-
    time, job sharing, retraining, reengineering, etc.) to the needs and 
    capacities of these special populations; and, (4) the characteristics 
    of the work/workplace that facilitate or impede the productivity of 
    older workers and the
    
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    ability of older workers to stay in the workforce.
        4a. Social and Economic Consequences of Workplace Illness and 
    Injury. Occupational injuries and illnesses remain a leading cause of 
    morbidity, mortality, and economic loss in the United States. The 
    annual costs to employers for workers' compensation increased from $2.1 
    billion in 1960 to $60 billion by 1992. In addition to the direct costs 
    such as those for health care, employers also incur numerous indirect 
    costs including those for additional hiring and training and disruption 
    of work processes. Other costs are borne by injured workers and their 
    families through reduced income, depletion of savings and increased 
    expenditures and by the community through increased use of social 
    services and cost shifting between health and social service agencies. 
    Leigh, et al. (Leigh, J.P. et al., Occupational Injury and Illnesses in 
    the United States, Arch. Intern. Med., 157, 1557-68, 1997) estimated 
    that, for 1992, the total direct and indirect costs associated with 
    occupational injuries and diseases were $171 billion annually, but 
    noted that these estimates were likely to be low in part due to the 
    lack of data for a number of the associated indirect costs.
        Research applications are sought in the following areas: (1) 
    Measures of total economic costs (direct and indirect) and non-economic 
    costs borne by injured workers and their families, by employers; and by 
    non-occupational community, State and local government services; and 
    (2) evaluation of the economic benefit of interventions (e.g., 
    ergonomic work system and task redesign) including occupational health 
    service interventions, and assessment of their contribution to the cost 
    of work-related illness and injury at both the service system level 
    (e.g., managed care in compensation services) and service component 
    level (e.g., cost-effectiveness of different clinical treatments for 
    back pain).
        4b. Health Services Research. Despite the large burden and cost of 
    work-related morbidity and mortality, relatively little is known about 
    the structure and functioning of occupational health services. 
    Occupational health services (OHS) research includes evaluation of both 
    service components and delivery systems, including distribution and 
    coverage, access, appropriateness, acceptability, utilization, equity, 
    quality, organization, policy and planning, management, financing, 
    productivity, effectiveness and efficiency, and impacts on health 
    needs, health status and occupational hazards.
        Research applications are sought in the following areas: (1) 
    Descriptions of the state, the distribution of types, and the 
    prevailing trends in the provision of OHS for the prevention, treatment 
    and rehabilitation of work-related illness and injury, and the 
    interactions of OHS with other parts of the health care system; (2) 
    evaluation, in terms of health and vocational outcomes (e.g., return to 
    work), of different occupational health services and systems (e.g., 
    managed care versus fee-for-service compensation services), and service 
    interventions (e.g., different treatments for back pain); and (3) 
    evaluation of the effectiveness (through clinical trials, observational 
    research, and clinical trials) of the effectiveness and efficiency of 
    clinical therapeutic interventions and rehabilitation modalities for 
    occupational diseases and injuries.
        5. Intervention Effectiveness Research. Many workplace prevention 
    and intervention programs have been developed and implemented in 
    workplaces, yet few have undergone systematic evaluation to determine 
    their impact on health and safety outcomes. Evaluations of the 
    effectiveness of intervention efforts can provide crucial guidance and 
    corrective feedback for current and future occupational health and 
    safety (OSH) intervention efforts. Evaluation research, whether 
    descriptive or experimental, can provide a firm base of evidence for 
    what works, what does not, and why, and assure better use of limited 
    resources in workplace implementations of preventive and control 
    strategies. This announcement targets intervention efforts addressing 
    work-related traumatic injuries, musculoskeletal disorders, asthma and 
    COPD as well as the implementation of engineering controls, use of 
    personal protective equipment (PPE) and/or changes in the organization 
    of work systems or tasks.
        Research applications are sought which focus on the systematic 
    evaluation of (1) the effectiveness of intervention efforts addressing 
    musculoskeletal disorders, traumatic injuries, and work-related asthma 
    and COPD; (2) the practicality and usability of specific control 
    strategies, technologies and/or PPE in the elimination or reduction of 
    hazards; (3) the identification of critical factors for implementing 
    and conducting effective OSH programs; (4) the components of effective 
    OSH programs, including worker participation programs, training or 
    other organizational and administrative aspects, as well as engineering 
    solutions; and (5) identification and elimination of barriers to the 
    implementation of interventions, such as a lack of acceptance due to 
    practicality, perception that cost is prohibitive, etc.
        Applications are encouraged that will evaluate interventions in 
    real work settings, assessment of cost-effectiveness and identification 
    of adverse or unexpected outcomes of interventions.
    
    Reporting Requirements
    
        Progress reports are required annually as part of the continuation 
    application (75 days prior to the start of the next budget period). The 
    annual progress reports must contain information on accomplishments 
    during the previous budget period and plans for each remaining year of 
    the project. Depending upon funding entity, financial status reports 
    (FSR) are required no later than 90 days after the end of the budget 
    period.
        The final performance and financial status reports are required 90 
    days after the end of the project period. The final performance report 
    should include, at a minimum, a statement of original objectives, a 
    summary of research methodology, a summary of positive and negative 
    findings, and a list of publications resulting from the project. 
    Research papers, project reports, or theses are acceptable items to 
    include in the final report. The final report should stand alone rather 
    than citing the original application. Three copies of reprints of 
    publications prepared under the grant should accompany the report.
    
    Evaluation Criteria
    
        Upon receipt, applications will be reviewed by CDC and NIH for 
    completeness and responsiveness and will be assigned to the appropriate 
    Institute. Applications determined to be incomplete or unresponsive to 
    this announcement will be returned to the applicant without further 
    consideration. If the proposed project involves organizations or 
    persons other than those affiliated with the applicant organization, 
    letters of support and/or cooperation must be included.
        Applications that are complete and responsive to the announcement 
    will be reviewed by an initial review group and determined to be 
    competitive or non-competitive, based on the review criteria relative 
    to other applications received. Applications determined to be non-
    competitive will be withdrawn from further consideration and the 
    principal investigator/program director and the official signing for 
    the applicant organization will be promptly notified. Applications 
    judged to be competitive will be discussed and assigned a priority 
    score. Following initial review
    
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    for scientific merit, the applications will receive a secondary review 
    for programmatic importance (for applications assigned to NIH 
    Institutes, the review will be conducted by the appropriate Council).
        Review criteria for scientific merit are as follows:
        1. Technical significance and originality of proposed project.
        2. Appropriateness and adequacy of the study design and methodology 
    proposed to carry out the project.
        3. Qualifications and research experience of the principal 
    investigator and staff, particularly but not exclusively in the area of 
    the proposed project.
        4. Availability of resources necessary to perform the project.
        5. Documentation of cooperation from collaborators in the project, 
    where applicable.
        6. Adequacy of plans to include both sexes and minorities and their 
    subgroups as appropriate for the scientific goals of the project. 
    (Plans for the recruitment and retention of subjects will also be 
    evaluated.)
        7. Appropriateness of budget and period of support.
        8. Human Subjects. Procedures adequate for the protection of human 
    subjects must be documented. Recommendations on the adequacy of 
    protections include: (1) Protections appear adequate and there are no 
    comments to make or concerns to raise, (2) protections appear adequate, 
    but there are comments regarding the protocol, (3) protections appear 
    inadequate and the Initial Review Group has concerns related to human 
    subjects, or (4) disapproval of the application is recommended because 
    the research risks are sufficiently serious and protection against the 
    risks are inadequate as to make the entire application unacceptable.
        Review criteria for programmatic importance are as follows:
        1. Magnitude of the problem in terms of numbers of workers 
    affected.
        2. Severity of the injury or disease in the population.
        3. Usefulness to applied technical knowledge in the identification, 
    evaluation, or control of occupational safety and health hazards on a 
    national or regional basis.
        4. Propensity to improve understanding of the pathophysiology 
    (includes biomechanics), diagnosis, treatment, and prevention of 
    occupational irritant dermatitis, work-related musculoskeletal 
    disorders and asthma or COPD caused by occupational exposures.
        The following will be considered in making funding decisions:
        1. Merit of the proposed project as determined by the initial peer 
    review.
        2. Programmatic importance of the project as determined by 
    secondary review.
        3. Availability of funds.
        4. Program balance among priority areas of this announcement.
    
    Executive Order 12372 Review
    
        Applications are not subject to the review requirements of 
    Executive Order 12372.
    
    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 numbers are:
    
    93.262 for the National Institute for Occupational Safety and Health 
    (NIOSH) in CDC
    93.846 for the National Institute of Arthritis and Musculoskeletal and 
    Skin Diseases (NIAMS) in NIH
    93.113 and 93.115 for the National Institute of Environmental Health 
    Sciences (NIEHS) in NIH
    93.837, 93.838, and 93.839 for the National Heart, Lung, and Blood 
    Institute (NHLBI) in NIH
    93.866 for the National Institute on Aging (NIA) in NIH
    
    Other Requirements
    
    Human Subjects
    
        If the proposed project involves research on human subjects, the 
    applicant must comply with the Department of Health and Human Services 
    Regulations, 45 CFR Part 46, regarding the protection of human 
    subjects. Assurances must be provided to demonstrate that the project 
    will be subject to initial and continuing review by an appropriate 
    institutional review committee. The applicant will be responsible for 
    providing assurance in accordance with the appropriate guidelines and 
    form provided in the application kit.
    
    Women and Racial and Ethnic Minorities
    
        It is the policy of the CDC and the NIH to ensure that women and 
    racial and ethnic groups will be included in CDC- or NIH-supported 
    research projects involving human subjects, whenever feasible and 
    appropriate. Racial and ethnic groups are those defined in OMB 
    Directive No. 15 and include American Indian or Alaska Native, Asian, 
    Black or African American, Native Hawaiian or Other Pacific Islander, 
    and Hispanic or Latino. Applicants shall ensure that women and racial 
    and ethnic minority populations are appropriately represented in 
    applications for research involving human subjects. Where clear and 
    compelling rationale exist that inclusion is not feasible, this 
    situation must be explained as part of the application. In conducting 
    the review of applications for scientific merit, review groups will 
    evaluate proposed plans for inclusion of minorities and both sexes as 
    part of the scientific assessment and assigned score. This policy does 
    not apply to research studies when the investigator cannot control the 
    race, ethnicity and/or sex of subjects.
        Further guidance to this policy is contained in the Federal 
    Register, Vol. 60, No. 179, Friday, September 15, 1995, pages 47947-
    47951 and/or in the ``NIH Guidelines for Inclusion of Women and 
    Minorities as Subjects in Clinical Research'' Federal Resister of March 
    28, 1994 [FR 59, 14508-14513], and reprinted in the NIH Guide for 
    Grants and Contracts, Vol. 23, No. 11, March 18, 1994.
    
    Application Submission and Deadlines
    
    A. Preapplication Letter of Intent
    
        Although not a prerequisite of application, a non-binding letter of 
    intent-to-apply is requested from potential applicants. The letter 
    should be submitted to the Grants Management Officer (whose address is 
    reflected in section B, ``Applications''). It should be postmarked no 
    later than May 1, 1998. The letter should identify the announcement 
    number, name of principal investigator, and specify the priority area 
    to be addressed by the proposed project. The letter of intent does not 
    influence review or funding decisions, but it will enable CDC and NIH 
    to plan the review more efficiently, and will ensure that each 
    applicant receives timely and relevant information prior to application 
    submission.
    
    B. Applications
    
        Applicants should use Form PHS-398 (OMB Number 0925-0001) and 
    adhere to the ERRATA Instruction Sheet for Form PHS-398 contained in 
    the Grant Application Kit. Please submit an original and five copies on 
    or before June 23, 1998 to: Ron Van Duyne, Grants Management Officer, 
    ATTN: Joanne Wojcik, Procurement and Grants Office, Centers for Disease 
    Control and Prevention (CDC), 255 East Paces Ferry
    
    [[Page 13057]]
    
    Road, NE., Room 300, MS E-13, Atlanta, GA 30305.
    
    C. Deadlines
    
        1. Applications shall be considered as meeting a deadline if they 
    are either:
        a. Received at the above address on or before the deadline date, or
        b. Sent on or before the deadline date to the above address, and 
    received in time for the review process.
        Applicants should request a legibly dated U.S. Postal Service 
    postmark or obtain a legibly dated receipt from a commercial carrier or 
    the U.S. Postal Service. Private metered postmarks shall not be 
    accepted as proof of timely mailings.
        2. Applications which do not meet the criteria above are considered 
    late applications and will be returned to the applicant.
    
    Where To Obtain Additional Information
    
        To receive additional written information call 1-888-GRANTS4. You 
    will be asked your name and address and will need to refer to 
    Announcement 98044. You will receive a complete program description, 
    information on application procedures, and application forms. Also, 
    this and other CDC Announcements can be found on the CDC homepage 
    (http://www.cdc.gov) under the ``Funding'' section, as well as on the 
    NIOSH homepage (http://www.cdc.gov/niosh/homepage.html) under 
    ``Extramural Programs.'' For your convenience, you may be able to 
    retrieve a copy of the PHS Form 398 from (http://www.nih.gov/grants/
    funding/phs398/phs398.html).
        If you have questions after reviewing the contents of all the 
    documents, business management information may be obtained from Joanne 
    Wojcik, Grants Management Specialist, Grants Management Branch, 
    Procurement and Grants Office, Centers for Disease Control and 
    Prevention (CDC), 255 East Paces Ferry Road, NE., MS E-13, Atlanta, GA 
    30305, telephone (404) 842-6535; fax (404) 842-6513; internet 
    jcw6@cdc.gov.
        Programmatic technical assistance may be obtained from:
    
    Roy M. Fleming, Sc.D., Research Grants Program, National Institute for 
    Occupational Safety and Health, Centers for Disease Control and 
    Prevention (CDC), 1600 Clifton Road, NE., Building 1, Room 3053, MS-
    D30, Atlanta, GA 30333, telephone 404-639-3343; fax 404-639-4616, 
    internet rmf2@cdc.gov
    Sidney M. Stahl, Ph.D., Behavioral and Social Research Program, 
    National Institute on Aging, National Institutes of Health (NIH), 
    Gateway Building #533, 7201 Wisconsin Avenue, Bethesda, MD 20892, 
    telephone 301-402-4156, fax 301-402-0051, internet ss333h@nih.gov
    Alan Moshell, M.D., Skin Diseases Branch, National Institute of 
    Arthritis and Musculoskeletal and Skin Diseases, National Institutes of 
    Health (NIH), Natcher Building, Room 5AS-25L, Bethesda, MD 20892-6500, 
    telephone 301-594-5017, fax 301-480-4543, internet am40j@nih.gov
    James S. Panagis, M.D., M.P.H., Musculoskeletal Diseases Branch, 
    National Institute of Arthritis and Musculoskeletal and Skin Diseases, 
    National Institutes of Health (NIH), 45 Center Drive, Room 5AS-37K, MSC 
    4500, Bethesda, MD 20892-6500, telephone 301-594-5055, fax 301-480-
    4543, internet jp149d@nih.gov
    George S. Malindzak, Ph.D., Division of Extramural Research and 
    Training, National Institute of Environmental Health Sciences, National 
    Institutes of Health (NIH), 79 T.W. Alexander Drive, MD EC-23, Research 
    Triangle Park, NC 27709, telephone 919-541-3289, fax 919-541-5064, 
    internet malindzak@niehs.nih.gov
    Gail Weinmann, M.D., Division of Lung Diseases, National Heart, Lung, 
    and Blood Institute, National Institutes of Health (NIH), Two Rockledge 
    Center, Suite 10018, 6701 Rockledge Drive, MSC 7952, Bethesda, MD 
    20892, telephone 301-594-0202, fax 301-480-3557, internet 
    weinmanng@gwgate.nhlbi.nih.gov
    
        Please Refer to Announcement Number 98044 When Requesting 
    Information and Submitting an Application.
        CDC will not send application kits by facsimile or express mail.
        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.
        Potential applicants may obtain a copy of the ``National 
    Occupational Research Agenda'' (HHS, CDC, NIOSH Publication No.96-115) 
    from the National Institute for Occupational Safety and Health, 
    telephone (800) 356-4674. It is also available on the internet at 
    ``http://www.cdc.gov/niosh/nora.html''.
    Linda Rosenstock,
    Director, National Institute for Occupational Safety and Health, 
    Centers for Disease Control and Prevention (CDC).
    Anthony L. Itteilag,
    Deputy Director for Management, National Institutes of Health.
    [FR Doc. 98-6869 Filed 3-16-98; 8:45 am]
    BILLING CODE 4163-19-P
    
    
    

Document Information

Published:
03/17/1998
Department:
National Institutes of Health
Entry Type:
Notice
Document Number:
98-6869
Pages:
13051-13057 (7 pages)
Docket Numbers:
Announcement 98044
PDF File:
98-6869.pdf