[Federal Register Volume 62, Number 44 (Thursday, March 6, 1997)]
[Notices]
[Pages 10278-10284]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-5515]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Announcement Number 730]
State Capacity Projects for Assessing and Preventing Secondary
Conditions Associated With Disability and Promoting the Health of
Persons With Disabilities; Notice of Availability of Funds for Fiscal
Year 1997
Introduction
The Centers for Disease Control and Prevention (CDC) announces the
availability of fiscal year (FY) 1997 cooperative agreements to
establish and/or sustain capacity to assess the magnitude of disability
in States, prevent secondary conditions associated with disability, and
promote the health and wellness of persons with disabilities.
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 Healthy People 2000 category, Preventive
Services. (For ordering a copy of ``Healthy People 2000,'' see the
section ``WHERE TO OBTAIN ADDITIONAL INFORMATION.'')
Authority
This program is authorized by Section 301(a) (42 U.S.C. 241(a)) and
Section 317 (42 U.S.C. 247b) of the Public Health Service Act, as
amended.
Smoke-free Workplace
CDC strongly encourages all grant recipients to provide a smoke-
free workplace and promote the non-use of all tobacco products. 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 are the official public health departments of
States or other State agencies or departments. This includes the
District of Columbia, American Samoa, the Commonwealth of Puerto Rico,
the Virgin Islands, the Federated States of Micronesia, Guam, the
Northern Mariana Islands, the Republic of the Marshall Islands, the
Republic of Palau, and federally recognized Indian tribal governments.
State agencies applying under this announcement other than the
official State health department must provide written concurrence from
that agency and describe the proposed working relationship. Only one
application from each State may enter the review process and be
considered for an award under this program.
Availability of Funds
A total of $5,300,000 is estimated to be available in FY 1997 to
fund State capacity projects. CDC anticipates making 15-16 awards which
will not exceed $350,000 each. Awards are expected to be made in June
1997, for a 12-month budget period beginning on July 1, 1997, within a
project period of up to four years.
Funding estimates are subject to change, including funds to be
awarded in continuation budget years. The funding levels for each
continuation year of the project period are expected to remain constant
at $350,000. However, the actual amount of future year funding levels
will take into account documented progress toward objectives, the
quality of subsequent project work plans, evidence of cost sharing,
previous year expenditures, and the availability of funds.
Use of Funds and Project Costs
These awards may be used for personnel services, supplies,
equipment, travel, subcontracts, consultants, and services directly
related to project activities. Funds may not be used to supplant State
or local funds for the purpose of this cooperative agreement, for
construction costs, to lease or purchase space or facilities, or for
patient care. Awards made under this Announcement should also be used
to enhance/increase expenditures from State, local, and other funding
sources to augment program operations.
This program has no statutory matching requirement; however
applicants should demonstrate and document their capacity to support a
portion of project costs, increase cost-sharing over time, and identify
other funding sources for expanding the project.
Financial assistance should be utilized for the following State
capacity activities (refer to the attachment providing DEFINITIONS
included in the application kit and also appended to this Announcement
available through the CDC Home Page on the Internet http://
www.cdc.gov>):
1. The human resources needed to direct the statewide project,
including facilitating leadership, visibility, coordination, and
inclusion of the prevention of secondary conditions as a public health
priority, both within the applicant agency and in cross-agency
collaborations;
2. Support of an advisory function to assist in project guidance
and oversight;
3. Developing and implementing a State plan and/or policy document
for the prevention of secondary conditions that includes coordination
with other related planning functions;
4. Gathering and analyzing disability information from targeted
populations in the State and promoting the use of this data in
developing and implementing disability policy and the resulting program
direction;
5. Support of data collection using questions taken from BRFSS-
related modules and other instruments;
6. Sustaining collaborations and partnerships with constituency
organizations and individuals, and ensuring that access for persons
with disabilities to project activities and facilities will be
achieved;
7. Collecting and disseminating disability and health promotion
information;
8. Designing, promoting, and measuring the impact of efforts toward
informing the public, professionals, and persons with disabilities and
their family members regarding the disabling process and the
opportunities for intervention;
9. Providing technical assistance to disability service
organizations and community groups.
States may budget funds within their maximum request of $350,000 to
develop a university partnership which can expand the scope of the
State in defining and assessing the magnitude and impact of
disabilities at the State and community level. This partnership may
also include establishing and sustaining a resource and research
capacity to serve the State in identifying gaps and addressing unmet
disability data/information and service needs, and in assisting in
program evaluation.
Within their application, States should outline the rationale for
selecting and contracting with the proposed university (denoting
specific departments or programs), and describe the competencies and
relationships in place at the university that will blend with State
capacity to address and fulfill the proposed epidemiologic and program
evaluation agenda.
Such a partnership is not a requirement of this Announcement.
However, if State applicants elect not to
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pursue the university affiliation; they must indicate how and by whom
these enumerated tasks will be conducted (such as within the resources
of the applicant agency).
Given the limits on funding for State capacity activities, it is
important that applicants demonstrate their shared support in making a
resource commitment for the project. States should identify those staff
positions and other components of cost-sharing that will be supported
by the applicant agency or other organizations in helping to achieve
the objectives of the project. The sources and amounts of such
contributions should be specified in the budget narrative and those
amounts represented on the budget information sheet (Form 424A) under
non-Federal budget categories. States receiving awards are expected to
sustain (and make efforts to increase) that level of support throughout
the project period. Meeting those commitments will be taken into
account by CDC in funding level determinations for subsequent budget
years.
Background
The CDC Office on Disability and Health (proposed), current name-
Disabilities Prevention Program has provided financial assistance to
States since 1988. These awards have permitted State health departments
and other State agencies to build capacity in program identity,
planning, surveillance of targeted disabilities, conduct of community-
based interventions, training of providers, and providing health
education/promotion curricula and conferences. Awards resulting from
this Announcement are designed to assist States in shifting from
assessing and preventing condition-specific etiologies (e.g., spinal
cord injury, traumatic brain injury, fetal alcohol syndrome, mild
mental retardation, spina bifida, cerebral palsy, osteoporosis, etc);
toward building epidemiologic capacity to assess the magnitude of
disability in States, developing data systems that contribute to the
understanding of secondary conditions, and conducting other activities
noted in the PROGRAM REQUIREMENTS section.
This change in approach acknowledges that over 49 million Americans
have a disability and the national cost of disabilities is in excess of
$170 billion each year, of which an estimated $85 billion is spent in
federally-supported programs and services.
CDC has been assigned a Federal leadership role in assessing the
magnitude of disability and the prevention of secondary conditions.
Therefore, it is incumbent that this Announcement recognize that even
though specific conditions or etiologies are important, each
individually represents only a small portion of the total measure of
disability in America. Broader disability domains and associated
secondary conditions represent the major impact and effects of
disability in terms of human and economic cost. CDC wishes to give
priority to these broader effects of disability on Americans and
address the importance of health promotion among persons with
disabilities, preventing the loss of their independence and
participation, and reducing the economic and human costs of secondary
conditions. These are health and social concerns of great magnitude and
national significance.
This Announcement emphasizes expanding the capacity of States to
determine the magnitude of disability in their respective
jurisdictions. States should also conduct and measure the effectiveness
of programs to reduce or prevent secondary conditions, and assess the
risk and protective factors related to their selected disability
domain.
Disability domains are categories of activities that individuals
perform in everyday life. States should propose activities in at least
one of the following disability domains: (1) mobility (locomotion); (2)
personal care/home management; (3) communication; and (4) learning.
Descriptions and examples within these disability domains are as
follow:
1. Mobility (locomotion) refers to an individual's ability to
perform distinctive activities associated with moving; both himself and
objects, from place to place. Examples of underlying conditions or
diagnoses include persons with spinal cord injury, cerebral palsy,
lower limb loss, blindness, arthritis, or stroke. Secondary conditions
may include urinary tract infections, cardiovascular deficit due to
sedentary lifestyle, pressure sores, results from falls, bowel
obstruction, dependence on assistive devices and its economic impact,
lack of access to medical care, and social isolation.
2. Personal Care/Home Management refers to an individual's ability
to perform basic self-care activities such as feeding, bladder and
bowel care, personal hygiene, dressing, financial management, and
homemaking. Examples of underlying conditions or diagnoses include
persons with arthritis, asthma, stroke, osteoporosis, paraplegia, or
multiple sclerosis. Secondary conditions may include lack of physical
fitness, weight gain, incontinence, poor nutrition, and emotional
dependence.
3. Communication refers to an individual's ability to generate and
express messages, and to receive and understand messages. Examples of
underlying conditions or diagnoses include persons with cerebral palsy,
deafness, aphasia from varied pathology, or congenital speech
impediments. Secondary conditions may include family dysfunction,
isolation, and constraints and barriers in employment opportunity.
4. Learning refers to an individual's ability to profit from daily
experiences, and includes aspects of receiving, processing,
remembering, and using information. Examples of underlying conditions
or diagnoses include persons with mental retardation, spina bifida,
fetal alcohol syndrome, or traumatic brain injury. Secondary conditions
may include depression, behavioral problems, increased family stress,
and poor academic and vocational performance.
Note that the examples listed above are illustrative, and not
intended to be exhaustive. Several secondary conditions may apply to
more than one disability domain. Because of limited funds and other
resources available, this Announcement does not include disabilities
created by psychiatric diagnoses, although mental health issues may be
appropriately included as secondary conditions.
CDC will develop a set of questions taken from existing Behavioral
Risk Factor Surveillance System (BRFSS) modules and add additional
questions that must be asked by States funded under this Announcement.
This would include asking an expected range of 20 to 25 questions that
would take approximately 15-20 minutes to administer per interview.
This process would employ BRFSS-like survey methods, designed to
benefit the State in determining the magnitude of disability and
selected secondary conditions. CDC will identify and finalize the
survey questions by the time of issuance of awards in June 1997. The
survey questions will be discussed with the successful State applicants
in a start-up technical assistance conference to be held in Atlanta
within 60 days of award. States will be required to implement (at a
minimum) a point-in-time survey in the first year. The conduct of the
BRFSS-like survey is expected to begin in early 1998 and would be
repeated in the second and subsequent years of the project period,
whether as a point-in-time survey or as a continuous
[[Page 10280]]
surveillance system at approximately the same range of annual
expenditure.
For purposes of budgeting, applicants should set aside $50,000 of
their financial assistance request to conduct the survey each year and
describe the process, methods, and organizational structure within the
State for its implementation. Since the States to be funded are not yet
known, sample sizes for the survey based on population differences
among States cannot yet be determined. Thus, with each State proposing
$50,000 for this survey, adjustments to the awards will be made on an
individual State basis once the sample sizes and resulting costs are
determined. This will occur subsequent to the selection of States to be
funded and during award negotiations.
Purpose
The purpose of these cooperative agreements is to assist States to
develop highly visible programs for assessing the magnitude of
disability in the State, preventing secondary conditions, and fostering
health promotion among persons with disabilities within their own
agency and through statewide collaborations. Financial assistance is
being provided to allow States to work toward that goal by promoting
public health leadership; building program visibility statewide;
coordinating prevention services; using existing and emerging
disability data; establishing an external or internal mechanism to
enhance epidemiologic and program evaluation capabilities; providing
technical assistance; and facilitating training, education, and health
promotion programs directed to meet the needs of persons with
disabilities. State capacity awards are also designed to support
functions that promote and influence the activities of other
organizations regarding these goals.
Program Requirements
Under this Program Announcement, States should develop strategies
to identify the magnitude of a selected disability domain within the
State in addition to the BRFSS-like survey. States should also be able
to measure and characterize the incidence and prevalence of State-
selected secondary conditions related to that domain, implement
preventive interventions, and assess how participation is affected by
secondary conditions.
State projects must include an organizationally-defined prevention
office, an advisory function that includes broad representation with an
emphasis on persons with disabilities, a strategic planning and/or
policy development process, access to sound epidemiologic information
on the magnitude of disabilities in the State, competence in guiding
and overseeing education/health promotion activities for persons with
disabilities, and the ability to establish and sustain communications/
information dissemination systems.
To that end, applicants must propose a disability program office
that includes a full-time manager/coordinator position with the
authority to carry out all project requirements. Applicants who do not
include (and maintain) a full-time manager/coordinator position will
not be eligible for award or continuation funding. Applicants should
present their plan and time line for staffing the disability program
office and indicate how the proposed staff will function in
facilitating and promoting the activities required under this
Announcement. Applicants should describe the proposed staff disciplines
and professional competencies needed to meet these requirements, while
also coordinating and influencing those activities that reside outside
of this office.
Applicants should describe the organizational structure and
placement of the project and how this placement/location can maximize
the applicant's capacity to promote State level policy and priority
setting for the prevention of secondary conditions. CDC prefers that
State disability program offices have a program title and
organizational location that adequately conveys their State-level
coordination functions and responsibilities.
Applicants must cite the present and/or proposed composition and
structure of its advisory function, and indicate how maximum input by
persons with a disability, and their family members, and minority
populations will be achieved. CDC recommends as high ratios as
practical, but requires that applicants provide a specific plan to
maximize representation of persons with a disability, women, and
minorities. CDC requires that such a plan assures that the State
advisory function includes a minimum representation of 25 percent of
persons with a disability.
States must note the disability domain selected and the basis for
that determination. Within that domain, States should conduct
surveillance assessing the prevalence of the selected domain in
addition to the BRFSS-like survey. A variety of underlying conditions
may contribute to the selected disability domain. To work toward that
assessment, States should identify specific data sets which are
available, and could be accessed to help ascertain the magnitude of
disability within the selected domain.
Although separate State and other resources should be utilized for
condition-specific surveillance, applicants may request a portion of
cooperative agreement funds (up to a maximum of 15 percent of the total
budget) to sustain surveillance for conditions or surveillance systems
of importance (e.g., selected traumatic injuries, developmental
disabilities, chronic diseases) that will contribute to the
requirements of this Announcement.
Direct financing of interventions for primary prevention activities
at the State or community level should be supported from resources
apart from these awards; although the State disability program office
may appropriately be used to provide technical assistance for planning,
monitoring, and evaluation of these activities.
Cooperative Activities
In conducting activities to achieve the purposes of this program,
the recipient shall be responsible for activities under A. (Recipient
Activities) and CDC shall be responsible for activities listed under B.
(CDC Activities).
A. Recipient Activities
1. Develop a highly visible State-based program for the prevention
of secondary conditions (see attachment providing DEFINITIONS for the
list of State capacity activities included in the application kit and
also appended to this Announcement available through the CDC Home Page
on the Internet http://www.cdc.gov>);
2. Establish coordination with other disabilities-related agencies,
develop project objectives and time frames, provide technical
assistance, and establish a mechanism for computerized communications/
information systems;
3. Implement data collection using survey questions provided by CDC
from existing BRFSS-related modules and other instruments;
4. Use existing disability data and access other State information
in developing and implementing disability policy, including working
with populations within a disability domain; and
5. Promote prevention planning in communities, conduct or guide
education and health promotion activities (primarily for persons with
disabilities), and evaluate their effectiveness.
B. CDC Activities
1. Provide scientific and programmatic technical assistance in
[[Page 10281]]
the planning, operation, and evaluation of disability data and health
promotion activities;
2. Provide programmatic assistance in administrative and
organizational aspects of project operations and provide information on
project activities in other States and national initiatives;
3. Support project staff by conducting training programs,
conferences, and workshops to enhance skills and knowledge;
4. Provide a point of referral for coordinating State, regional
and/or national data pertinent to the disabling process; and
5. Provide survey questions to States from BRFSS-related modules
and assist in the analysis of the resulting data.
Application Contents for State Capacity Projects
1. Document the background and need for support, including an
overview (with evidence) of the disability problem in the State.
2. Describe the gaps in information and program services, and how
this award will help close those gaps.
3. Provide a synopsis of prevention services now in place including
those related to secondary conditions, denote other organizations with
similar interests, discuss efforts to identify populations at risk, and
provide an inventory of unmet needs that this award can help address.
4. Describe the plans to identify, designate, and utilize partner
organizations and other collaborators in the conduct of the project and
discuss their prospective roles in meeting agreed-upon objectives.
5. Describe the proposed structure of the advisory function and how
it will function as a viable component for program guidance and
oversight.
6. Present how the project will develop, disseminate, and implement
a strategic plan and/or policy directive for the prevention of
secondary conditions, and use it to advance this agenda within the
State.
7. Provide letters of endorsement and support confirming proposed
collaborations. These must represent specific, tangible commitments,
not merely convey general interest and imprecise future relationships.
Discuss how collaborations will function individually, and collectively
contribute to the overall success of the project.
8. Provide a detailed work plan for all State capacity activities.
The work plan should outline long-range goals for the four year project
period, but also include detailed specific, measurable, and time-phased
objectives by quarter the first two budget years of the project period.
9. Describe how the organizational linkages in place or to be
negotiated will be utilized for data access, analysis, data sharing,
and dissemination. Denote the internal State structure and the proposed
university partnership (if selected) to enhance epidemiologic
capability. Indicate the experience and competencies in place to assure
that these epidemiologic activities can be performed successfully and
within defined time frames.
10. Present the methods and organizational entities to be used for
developing and conducting surveys using CDC-supplied BRFSS-related
questions.
11. Describe and identify the information/data systems (including
their title, ownership, linkage opportunities, and potential benefit)
to be accessed for the selected disability domain. Outline how that
data will be utilized in the design of health promotion programs or
other interventions to prevent secondary conditions.
12. Indicate how the project will address the reliability and
validity of epidemiologic data collected, and how it will be used for
policy development and prevention practice.
13. Describe the plan, methods and structure (such as a university
partnership) to be enlisted for ongoing program evaluation, noting the
experience and competencies available, and how the evaluation component
will be integrated into project operations.
14. Present how, and by whom the advisory function and strategic
planning and policy activities of the project will be evaluated as to
process and results.
15. Discuss how the delivery of health promotion and technical
assistance activities will be measured and modified for greater
quality, acceptance, and improved outcomes.
16. Present the plan to establish the State disability program
office, clearly indicate the time frames for staff recruitment, and
provide curriculum vitae for the proposed Principal Investigator and
key project personnel.
17. Provide an organization chart of the proposed project
delineating its placement, and discuss how this location and resultant
linkages will serve to ensure the prominence of the program and its
influence within the applicant agency.
18. Discuss how and by whom the project will be directed. Designate
the responsibilities of all staff members in the State disability
program office. Present the rationale for outlined tasks, and identify
personnel (by positions) to be responsible for each identified
objective.
19. Describe the plan for assuring that persons with disabilities
as well as all racial, ethnic, gender, and cultural groups will have
access to all project services, facilities, and opportunities for
representation in the project.
20. Present the approach to design, influence, and/or provide
leadership in training and education programs for health professionals
and for the public, with an emphasis on groups at special risk.
Indicate the subject areas and target audiences to be included in such
programs. Describe the process for developing a system for
disabilities-related information sharing and communications.
21. Prepare a budget and narrative that clearly and fully justifies
all requested items, denoting the specific line categories for Federal
financial assistance. The budget form should also list categories of
non-CDC Federal funds and non-Federal funds that contribute to and
comprise the total budget for the project.
22. In addition to the budget justification, applicants should
denote the extent of State financial support of the project as
documented by budget and narrative information. Indicate the level of
full-time and majority-time staff and resources dedicated to this
project and the level of other tangible costs to be borne by the
applicant.
23. Human Subjects (if applicable): This section must describe the
degree to which human subjects may be at risk and the assurance that
the project will be subject to initial and continuing review by the
appropriate institutional review committees.
Evaluation Criteria for State Capacity (Total 100 Points)
1. Evidence of Need and Understanding of the Problem: (10 Points)
Evaluation will be based on:
a. The applicant's description and understanding of the magnitude
of disabilities showing evidence (as available) of estimates of
incidence and/or prevalence, demographic indicators, scope of
disabilities and their severity, and their associated costs.
b. The applicant's description of, and the extent of current
prevention activities related to disability, including those related to
the prevention of secondary conditions within the State. This
description should describe need, available resources, populations-at-
risk, knowledge gaps, and the use of this award in addressing those
needs.
2. Evidence of Collaboration: (15 Points)
Evaluation will be based on:
[[Page 10282]]
a. Evidence of collaboration with other principal partners in the
conduct of the project, including (if selected) the formal university
partnership.
b. The description of the proposed advisory function including
evidence of representation of persons with disabilities and its role
and capacity to influence State-level policy.
c. The approach to develop and implement a State strategic plan
and/or policy directive for the prevention of secondary conditions.
d. The description of the specific roles and responsibilities of
these working partners including the products and services to be
provided.
e. The presentation of evidence as to how these collaborations will
result in successful implementation of the project.
3. Goals and objectives: (15 Points)
Evaluation will be based on the quality of the proposed project
goals and objectives related to the conduct of the project. Objectives
must be specific, measurable, achievable, and time-phased; and based on
a formal work plan with descriptive methods and a timetable for
accomplishment.
4. Epidemiological Capacity: (25 Points)
Evaluation will be based on:
a. The epidemiologic capacity and structure in place to coordinate
and facilitate data collection, analysis, and dissemination.
b. The description of the approach and activities necessary to
conduct the survey taken from CDC-provided BRFSS-related
questionnaires.
c. The description of the approach to access other identified
applicable State disability information sources, and how such data will
be used.
d. The plan for how the university partnership (if selected) or
other agency will be employed to facilitate epidemiologic excellence
toward assessing the magnitude of disability and set intervention and
health promotion priorities.
e. The accounts of how the project will assess the reliability and
validity of epidemiological data collected and used for policy
development.
5. Program Evaluation: (15 Points)
Evaluation will be based on:
a. The overall plan for evaluation of the project, including
design, methods, partners, and process to be followed for
implementation.
b. The description of how the advisory committee functions and
planning activities of the project will be evaluated, and by whom.
c. The description of how the project will measure increases in
public awareness, knowledge, behavior, and the overall benefits of
health promotion delivery.
d. The description of how the project will assess changes in public
policy, and measure the effects of its technical assistance and
communications directed toward communities and special populations.
6. Project Management and Staffing: (20 Points)
Evaluation will be based on:
a. The description of the proposed staffing for the project,
including the plan to expedite filling of all positions.
b. The description of the responsibilities of individual staff
members including the level of effort and time allocation for each
project activity by staff position.
c. The extent to which the placement of the project within the
applicant organization assures maximum operational visibility and
influence.
d. The strength of the presentation citing that all project
facilities and services provided will be fully accessible to persons
with disabilities.
e. The extent to which the application demonstrates direct
involvement of personnel who reflect the racial, ethnic, gender, and
cultural composition of the population to be served.
f. The plan to provide technical assistance, education and
training, and health promotion programs; and the proposed design of a
shared information and communications dissemination system.
7. Budget Justification: (Not Scored)
The budget section must demonstrate reasonableness, a concise and
clear justification, accuracy, and full itemization of line categories
for Federal and non-Federal funds comprising the total budget. It also
must show consistency with the intended use of cooperative agreement
funds.
8. Human Subjects (if Applicable): (Not Scored)
The extent to which the applicant complies with the Department of
Health and Human Services Regulations (45 CFR Part 46) regarding the
protection of human subjects.
Funding Priorities
CDC intends that there be representation of all four listed
disability domains among its State capacity recipients nationally.
Therefore, to the extent that high quality and high ranking
applications are reviewed, CDC plans to have no fewer than two States
conducting prevention programs in each of the four disability domains.
As part of the funding decision process, CDC desires to achieve a
balance of States that are geographically and demographically
representative of the United States; and, to the extent practical, fund
States in most or all of the ten Department of Health and Human
Services Regions.
Priority for funding will be given to those States that both score
high in the review and can also provide substantial commitment and
evidence of tangible cost-sharing for financial and human resource
contributions to this cooperative agreement. This includes commitments
for both immediate and long-term support as the applicant's
participation in project costs.
Priority for funding will also be given to those States that score
high in the review and also demonstrate an organizational commitment to
meet the requirements of this Announcement by integrating key project
personnel within their agency personnelmerit system structure. In lieu
of that capability, applicants should provide evidence that key
personnel will be able to function effectively under an alternate
staffing plan, such as through a contract/consultant personnel
agreement, and present the basis and rationale for such action.
CDC considers it important that States expedite meeting the
requirements of this Announcement. Hence, special consideration will be
given to those applicants that demonstrate evidence of an immediate or
short term capability to address these requirements, as opposed to a
longer term approach for development of these components of the
project. While extra points are not set aside for that capability, the
objective review committee will view the tasks explicit in this
Announcement in light of the applicant's facility for implementation
and attainment over the short term, as opposed to not being in place
until late or at the conclusion of the four year project period.
Reporting Requirements
Project narrative reports will be required twice annually; and due
31 days after the close of each six month calendar period. An original
and two copies of the narrative progress report should be submitted to
the CDC Grants Management Branch by January 31 and July 31 of each
year. The January report should cover the period from July 1 to
December 31. The July report should cover the period from January 1 to
June 30. An original and two copies of the Financial Status Report is
required to be submitted to the CDC Grants Management Branch no later
than 90
[[Page 10283]]
days after the end of each budget period, or by September 30 of each
year.
Special Instructions
Applicants must submit a separate typed abstract or summary of
their proposal as a cover to their applications, consisting of no more
than two double-spaced pages. Applicants should also include a table of
contents for both the project narrative and attachments. The budget
narrative and full budget justification must be placed immediately
after the table of contents and abstract in the front of the
application. Applications must be developed in accordance with PHS Form
5161-1. Applicants should organize their proposals along the lines of
the application contents section for state capacity functions under
this Announcement, as those elements are arranged to be compatible with
the respective application review evaluation criteria.
The main body of the application narrative should not exceed 50
double-spaced pages. Pages must be numbered and printed on only one
side of the page. All material must be typewritten; with 10 characters
per inch type (12 point) on 8-\1/2\'' by 11'' white paper with at least
1'' margins, headers and footers (except for applicant-produced forms
such as organizational charts, photos, graphs and tables, etc.).
Applications must be held together only by rubber bands or metal clips.
Applications must not be bound together in any other way. Attachments
to the application should be held to a minimum in keeping to those
items required by this Announcement.
Applicants may contract with other entities for the conduct of the
project. These can include activities such as formal instruments with
universities and faculty members as part of State capacity,
facilitators for project meetings, training leaders/specialists,
consultants for strategic planning, data collection contracts, intra-
agency agreements in states for conducting surveys such as BRFSS-like
questions provided by CDC, health promotion curriculum and
communications/information systems development, questionnaire and
survey design, and workshops and conferences.
Applicants are invited by CDC to attend a one day technical
assistance meeting in Atlanta on Wednesday, March 26, 1997, to discuss
the requirements of this Announcement, and to ask questions regarding
its content. Interested State applicants should contact the official
listed for obtaining programmatic information in the ``WHERE TO OBTAIN
ADDITIONAL INFORMATION'' Section for the time and location.
CDC plans to hold a start-up conference for successful applicants
early in the project cycle. That meeting will be held in Atlanta within
60 days of award. Details regarding that conference will be provided at
the time of the issuance of grant awards. Applicants should include
travel funds in their budgets to participate in this start-up
conference, and for one additional workshop for key project staff late
in the first budget year.
CDC considers it critical that States participate in these and
future project meetings. By virtue of accepting an award, States are
understood to have agreed to use cooperative agreement funds for travel
by project staff selected by CDC to participate in CDC-sponsored
workshops and other called meetings.
Executive Order 12372
Applications are subject to the Intergovernmental Review of Federal
Programs as governed by Executive Order 12372. Executive Order 12372
sets up a system for State and local government review of proposed
Federal assistance applications. Applicants (other than federally
recognized Indian tribal governments) should contact their State Single
Point of Contacts (SPOCs) 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 SPOCs of each affected State. A
current list is included in the application kit. If SPOCs have any
State process recommendations on applications submitted to CDC, they
should forward them to Ron Van Duyne, Grants Management Officer, Grants
Management Branch, Procurement and Grants Office, Centers for Disease
Control and Prevention, 255 East Paces Ferry Road, NE., Room 321,
Mailstop E-13, Atlanta, Georgia 30305, no later than 60 days after the
deadline date for new and competing awards. The granting agency does
not guarantee to ``accommodate or explain'' State process
recommendations it receives after that date.
Public Health System Reporting Requirements
This program is not subject to the Public Health System Reporting
Requirements.
Catalog of Federal Domestic Assistance (CFDA)
The Catalog of Federal Domestic Assistance number is 93.184.
Other Requirements
Paperwork Reduction Act
Projects that involve the collection of information from 10 or more
individuals and funded by cooperative agreement will be subject to
review by the Office of Management and Budget (OMB) under the Paperwork
Reduction Act.
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. Assurance 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
forms provided in the application kit.
Animal Subjects
If the proposed project involves research on animal subjects, the
applicant must comply with the ``PHS Policy on Humane Care and Use of
Laboratory Animals by Awardee Institutions.'' An applicant organization
proposing to use vertebrate animals in PHS-supported activities must
file an Animal Welfare Assurance with the Office of Protection from
Research Risks at the National Institutes of Health.
Women and Minority Inclusion Policy
It is the policy of CDC to ensure that women and racial and ethnic
groups will be included in CDC-supported research projects involving
human subjects, whenever feasible and appropriate. Racial and ethnic
groups are those defined in OMB Directive Number 15 and include
American Indian, Alaska Native, Asian, Pacific Islander, Black, and
Hispanic. Applicants shall ensure that women, racial, and ethnic
minority populations are appropriately represented in applications for
research involving human subjects. Where clear and compelling rationale
exist that inclusion is inappropriate or 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
[[Page 10284]]
this policy is contained in the Federal Register, Vol. 60, No. 179,
Friday, September 15, 1995, pages 47947-47951.
Application Submission and Deadline
A. Pre-Application 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 name is
noted in section B. below. The letter should be postmarked no later
than 30 days prior to the submission deadline. The letter of intent
should identify the Announcement Number; name the proposed project
director; and in a paragraph, describe the scope of the proposed
project. The letter will not influence review or funding decisions, but
it will enable CDC to plan the review more efficiently and ensure that
applicants receive timely and relevant information prior to application
submission.
B. Application Submission
The original and two copies of the application PHS Form 5161-1 (OMB
Number 0937-0189) should be submitted to Mr. Ron Van Duyne, Grants
Management Officer, Grants Management Branch, Procurement and Grants
Office, Centers for Disease Control and Prevention (CDC), 255 East
Paces Ferry Road, NE., Room 321, Mailstop E-13, Atlanta, Georgia 30305,
on or before Thursday, May 1, 1997.
1. Deadline: Applications will 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 to the objective review group. (Applicants must 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 will not be acceptable as proof of timely mailing.)
2. Late Applications: Applications that 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.
Where To Obtain Additional Information
To receive additional written information call (404) 332-4561. You
will be asked your name, address, and telephone number and will need to
refer to Announcement Number 730. You will receive a complete program
description, information on application procedures, and application
forms. In addition, this announcement is also available through the CDC
Home Page on the Internet. The CDC Home Page address is http://
www.cdc.gov.
If you have questions after reviewing the contents of all the
documents, business management technical assistance may be obtained
from Georgia L. Jang, Grants Management Specialist, Grants Management
Branch, Procurement and Grants Office, Centers for Disease Control and
Prevention, 255 East Paces Ferry Road, NE., Room 321, Mailstop E-13,
Atlanta, Georgia 30305, telephone (404) 842-6814. (Internet address:
glj2@cdc.gov).
Programmatic and operational information may be obtained from
Joseph B. Smith, Office on Disability and Health, National Center for
Environmental Health, Centers for Disease Control and Prevention, 4770
Buford Highway, Building 101, Mailstop F-29, Atlanta, Georgia 30341,
telephone (770) 488-7082. (Internet address: jos4@cdc.gov).
Epidemiologic and surveillance-related technical assistance is
available from Donald J. Lollar, Ed.D. at the same address, telephone
(770) 488-7094. (Internet address: [email protected]).
An attachment to this Announcement provides definitions concerning
the conceptional model of disability, secondary conditions; and
includes a list and description of major State capacity activities
(included in the application kit and also appended to this Announcement
available through the CDC Home Page on the Internet http://
www.cdc.gov>).
Potential applicants may obtain a copy of ``Healthy People 2000''
(Full Report; Stock number 017-001-00474-0) or ``Healthy People 2000''
(Summary Report; Stock number 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington, DC
20402-9325, telephone (202) 512-1800.
Dated: February 28, 1997.
Joseph R. Carter,
Acting Associate Director for Management and Operations, Centers for
Disease Control and Prevention (CDC).
[FR Doc. 97-5515 Filed 3-5-97; 8:45 am]
BILLING CODE 4163-18-P
