[Federal Register Volume 63, Number 92 (Wednesday, May 13, 1998)]
[Notices]
[Pages 26614-26620]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-12645]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Program Announcement 98046]
National Comprehensive Cancer Control Program; Notice of
Availability of Fiscal Year 1998 Funds
Introduction
The Centers for Disease Control and Prevention (CDC) announces the
availability of funds in fiscal year (FY) 1998 for cooperative
agreements to implement comprehensive cancer control plans.
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 to improve the quality of life.
This announcement is related to the priority area of Cancer. (To order
a copy of ``Healthy People 2000,'' see the section ``Where To Obtain
Additional Information.'')
Authority
This program is authorized by Sections 317 and 1507 [42 U.S.C.
247b] and [42 U.S.C. 300n-3] of the Public Health Service Act, as
amended.
Smoke-Free Workplace
CDC strongly encourages all grant recipients to provide a smoke-
free workplace and to promote the nonuse 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
Assistance will be provided only to the official public health
agencies of States or their bona fide agents, including the District of
Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, the
Commonwealth of the Northern Mariana Islands, American Samoa, Guam,
federally recognized Indian tribal governments, the Federated States of
Micronesia, the Republic of the Marshall Islands, and the Republic of
the Palau. In consultation with States, assistance may be provided to
political subdivisions of States.
Applicants must complete the Eligibility Assurance Form included in
the application packet and must attach a reproducible copy of the
State/Tribe/Territory's comprehensive Cancer Control Plan to that form.
Only one eligible application from a State/Tribe/Territory will be
funded. Applicants from each State/Tribe/Territory are encouraged to
coordinate and combine their efforts prior to submitting the
application for their State/Tribe/Territory.
Availability of Funds
Approximately $1.5 million is available in FY 1998 to fund
approximately 5 awards. It is expected that the average award will be
$300,000 ranging from $250,000 to $350,000. It is expected that these
awards will begin on or about September 30, 1998, and will be made for
12-month budget periods within a project period of up to 4 years.
Funding estimates may vary and are subject to change.
Continuation awards within the project period will be made on the
basis of satisfactory progress as evidenced by required reports and the
availability of funds.
Use of Funds
These funds are intended for comprehensive cancer control and
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should not be used to directly support other existing programs such as
breast and cervical cancer programs, cancer registry programs,
laboratory or clinical services, or tobacco control programs. These
funds should be used to assist with the coordination of these and other
categorical programs into comprehensive cancer control activities.
Funds awarded under this program announcement may not be used to
supplant existing program efforts.
Comprehensive cancer control activities should adhere to current
accepted public health recommendations by the U.S. Preventive Services
Task Force, or current Division of Cancer Prevention and Control (DCPC)
guidance (See Section on Where To Obtain Additional Information).
In the event that additional federal categorical funding becomes
available under this announcement, Grantees must coordinate and
integrate newly funded activities into the existing National
Comprehensive Cancer Control Program.
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. Section 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
(Public Law 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 relationships, 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 the United States, cancer is the second leading cause of death,
exceeded only by heart disease. Among adults younger than 65 years,
cancer is the leading cause of death and is rapidly overtaking heart
disease as the primary cause of death among older Americans (Kennedy
1994). One of every four deaths in the United States is from cancer
with approximately 564,800 people expected to die of cancer this year
(American Cancer Society 1998). The overall cancer death rate has been
steadily rising in the United States during the last 50 years. The age-
adjusted death rate in 1950 was 127.7 per 100,000 population (National
Center for Health Statistics 1968); it rose to 129.9 per 100,000 in
1995 (National Center for Health Statistics 1997).
While cancer currently is a major cause of morbidity and mortality
in the United States, a large proportion of cancer could be controlled
through prevention, early detection, and treatment. In recent years,
DCPC has worked with state and local health agencies to increase the
number and quality of cancer-related programs that are available to the
U.S. population. New organizational structures, increased professional
expertise, improved understanding of the challenges of delivering
community-based health education and health promotion and an increased
ability to demonstrate program accountability to program funders have
reinforced the public health infrastructure available for cancer
prevention and control at the national, State and community levels. In
addition, in 1997, an American Cancer Society-appointed Blue Ribbon
Advisory Group on Community Cancer Control recommended that prevention
be a primary goal and focus. (American Cancer Society 1997).
The majority of the programs developed by CDC are categorical in
nature, i.e., built around specific cancer sites or risk factors. For
example, CDC has developed important initiatives and programs to
address breast and cervical cancer, skin cancer, colorectal cancer,
prostate cancer, oral cancer, nutrition and physical activity, and
tobacco control; these categorical programs indicate impressive
accomplishments in their areas. However, coordination and collaboration
among these programs are uncommon, often leading to duplication of
effort and missed opportunities for cancer prevention and control at
the community level.
In 1994, DCPC initiated discussions related to the coordination and
integration of cancer prevention and control programs across
categorical boundaries. DCPC sponsored a number of activities to
explore options for comprehensive cancer control. One of the key tasks
was to develop a working definition of comprehensive cancer control.
The following definition was determined to be encompassing and
appropriate for future planning and implementation activities:
Comprehensive cancer control--an integrated and coordinated
approach to reduce the incidence, morbidity and mortality [of cancer]
through prevention, early detection, treatment, rehabilitation, and
palliation.
Purpose
The purpose of this program is to support States/Tribes/Territories
in the implementation of up-to-date State/Tribe/Territory wide
comprehensive cancer control plans. (See Glossary for definitions of
comprehensive cancer control plan and comprehensive cancer control
program.)
Program Requirements
Recipients of this funding should adhere to current accepted public
health recommendations based on the U.S. Preventive Services Task
Force, or current DCPC guidance (See Section on Where To Obtain
Additional Information).
In conducting activities to achieve the purpose of this program,
the recipient of this cooperative agreement will be responsible for the
activities under A. (Recipient Activities), and CDC will be responsible
for conducting activities under B. (CDC Activities).
A. Recipient Activities
1. Identify and hire necessary key staff to implement the
comprehensive cancer control plan.
2. Maintain or enhance a broad-based state/tribe/territorywide
cancer control coalition that includes representation from throughout
the state/tribe/territory health department, as well as key private,
professional, voluntary, and nonprofit cancer control organizations,
policymakers, consumers (including cancer survivors), payors, media,
State and federal agencies, cancer registries, research and academic
institutions, schools, etc.
3. Implement priorities as established by the State/Tribe/
Territory's comprehensive cancer control plan, which provides a
framework for
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planning and action to reduce the burden of cancer in the State/Tribe/
Territory. Implementation should be guided by goals and objectives
documented in the implementation plan included in this application.
4. Promote collaboration and coordination among existing State/
Tribe/Territory-based surveillance systems (e.g., the statewide Central
Cancer Registry, Surveillance, Epidemiology, and End Results, (SEER),
vital statistics, and other databases, including Behavioral Risk Factor
Surveillance System (BRFSS), for use in monitoring changes in cancer
disease burden and programmatic impact of the comprehensive cancer
control efforts. Data should be used for program modifications and
improvements, evaluation, and updating the comprehensive cancer control
plan, as appropriate.
5. Evaluate progress and impact of the program based on a
systematic evaluation plan. In addition to evaluating progress in
meeting goals, process and impact objectives as stated in the
implementation plan, the programs should develop performance indicators
to use as benchmarks for improvement and to determine the success of
the overall comprehensive cancer control effort.
6. Promote the development and dissemination of information and
education programs that will contribute to comprehensive cancer
control; and participate in CDC-developed national cancer prevention,
early detection, and control campaigns. Programs should use existing
education resources as well as develop materials and activities that
address specific needs of their populations, as necessary and
appropriate. School health education and policies should be considered
as part of these strategies. In addition to addressing educational
needs of the targeted populations, programs should also consider
activities that attempt to make individual, policy, organizational or
environmental interventions and changes that can encourage primary
prevention at all levels, e.g., organizational changes that can
reinforce and support individual behavior changes.
7. Participate in CDC-sponsored trainings, meetings, site visits,
and conferences.
B. CDC Activities
1. Convene meetings for information-sharing or training among
recipients of cooperative agreements.
2. Facilitate the exchange of information and collaboration among
recipients.
3. Disseminate to recipients relevant state-of-the-art research
findings and public health recommendations related to comprehensive
cancer control.
4. Provide ongoing guidance, consultation, and technical assistance
in conducting Recipient Activities.
5. Conduct site visits to assess program progress, and mutually
resolve problems, as needed, and coordinate reverse site visits to CDC
in Atlanta, Georgia.
6. Identify and develop national cancer prevention and control
campaigns and materials that can be integrated into comprehensive
cancer control programs; facilitate coordination between programs and
CDC on national campaigns.
Technical Reporting Requirements
An original and two copies of an annual progress report must be
submitted 30 days after the end of each budget period. These progress
reports must include: (1) a comparison of actual accomplishments to the
goals and objectives established for the period; (2) activities and
other issues to be addressed during the subsequent reporting period.
The final performance report is required no later than 90 days after
the end of the project period.
Annual financial status report (FSR) must be submitted no later
than 90 days after the end of each budget period. The final financial
status and progress reports are required no later than 90 days after
the end of the project period. All reports are submitted to Grants
Management Branch, CDC.
Application Content
All applicants must develop their applications in accordance with
information contained in this program announcement and the instructions
below. Applications should not exceed 30 double-spaced pages (no
smaller than 10 point type) including budget and justification.
Applicants should also submit appendices (including CVs, job
descriptions, organizational chart, and any other supporting
documentation), which should not exceed an additional 20 pages. All
materials must be provided in an unbound, one-sided, 8\1/2\ x 11''
print format, suitable for photocopying (i.e., no audiovisual
materials, posters, tapes, etc.). A reproducible copy of the State/
Tribe/Territory's comprehensive cancer control plan (attached to the
Eligibility Assurance Form), and the letters of support should be
included in separate tabbed sections of the application. (The
comprehensive cancer control plan and letters of support are not
included in the page limit for the application or appendices.)
I. Executive Summary
The applicant should provide a clear, concise one to two page
written summary to include:
A. The need for implementing the comprehensive cancer control plan.
B. The major proposed objectives and activities for implementation
of the comprehensive cancer control plan.
C. The requested amount of federal funding.
D. Applicant's capability to implement the comprehensive cancer
control plan.
II. Background and Need
The applicant should describe:
A. The cancer disease burden for their State/Tribe/Territory:
1. The most recently available State/Tribe/Territory, age-adjusted,
overall cancer incidence and mortality rates by age, gender, and racial
and ethnic groups. Please cite the source for and time period covered
by these data.
2. The estimated State/Tribe/Territory cancer incidence and
mortality rates for 1998.
(Please refer to the section on ``Where To Obtain Additional
Information'' for possible data sources.)
B. Relevant experiences in the development and implementation of
cancer prevention and control programs.
C. Relevant experiences in coordination and collaboration between
and among existing programs.
D. Existing initiatives, capacity, and infrastructure (e.g.,
coalition and partnerships; surveillance activities and systems;
evaluation activities; information, media and health communications,
education and outreach strategies) on which a coordinated comprehensive
cancer control program will be established.
E. Description of the need for comprehensive cancer control funding
to enhance existing efforts.
III. Collaborative Partnership and Community Involvement
The applicant should include:
A. A description of proposed linkages to coordinate within the
State/Tribe/Territory health department (e.g., across risk factors,
categorically funded programs, disciplines), with other key private,
professional, voluntary, and non-profit cancer control organizations,
policymakers, consumers (including cancer survivors), payors, federal,
State and local agencies, research and academic institutions, schools,
and other groups, agencies, and businesses in the community that
provide health care and related human services.
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B. A description of the proposed broad-based State/Tribe/Territory
wide coalition that will advise and support the program, including the
identification of current members or proposed representatives, their
charge, and proposed roles and responsibilities. Taking a broad cancer
prevention and control perspective, the State/Tribe/Territory should
consider including a wide range of representatives from risk factor and
other public health programs that address cancer-related issues such
as, nutrition, environmental, oral health, and school health
activities. Specific subcommittees and the rationale for these
subcommittees of the coalition should be described.
C. Letters of support (in a separate tabbed section of the
application) that indicate the nature and extent of existing or planned
collaborative support.
IV. Cancer Control Plan
The applicant should:
A. Submit a copy of the (a) current existing state/tribe/territory
wide comprehensive cancer control plan, or (b) a current detailed final
draft plan. Attach a reproducible, one-sided, 8\1/2\ x 11'' unbound
copy of the plan, to the completed Eligibility Assurance Form. A
comprehensive cancer control plan should include:
1. An assessment of cancer burden in the State/Tribe/Territory
using population-based data.
2. Short-term and long-term goals and objectives to address cancer
control issues within the State/Tribe/Territory based on identified
needs.
3. Proposed strategies to meet the objectives.
4. An assessment of existing and needed resources to implement the
comprehensive cancer control priorities.
5. The full range of cancer prevention and control activities,
including primary prevention, early detection, diagnosis, treatment,
rehabilitation and palliation.
B. Describe the process by which the plan was developed. (If the
plan is in draft, describe the process for assuring readiness for
implementation by September 30, 1998.) Include a description of the
participating agencies' and organizations' involvement in the
development of the plan. Clearly describe a mechanism to review,
evaluate, and update the plan to meet evolving needs.
C. Describe who will be responsible for maintaining the
comprehensive cancer control plan and assuring that the coalition is
involved throughout the process, and that comprehensive cancer control
efforts proceed according to the State/Tribe/Territory's plan.
V. Implementation of the Comprehensive Cancer Control Plan
The successful coordination and integration of cancer activities,
based on the comprehensive cancer control plan, requires that
priorities be determined based on a clear data-driven rationale and
justification.
The applicant should include an implementation plan that:
A. Describes the process for determining priorities to be addressed
in implementing the comprehensive cancer control plan, the process for
assuring that these decisions are data-based and grounded in sound
science, and the role of the coalition and/or collaborators in the
priority-setting process.
B. Includes specific, measurable, attainable, realistic, and time-
framed process and outcome objectives designed to achieve goals
identified in the comprehensive cancer control plan. The implementation
plan for this RFA need not address each goal and objective outlined in
the comprehensive cancer control plan; the applicant should make clear
how goals and objectives resulting from the priority-setting process
relate to the comprehensive cancer control plan.
C. Provides a description of the process for implementing goals and
objectives for the identified priorities of the comprehensive cancer
control plan. This should include discrete timeframes; responsible
agencies, organizations, or organizational units; and activities
proposed to meet the objectives within the comprehensive cancer control
plan. It should also include a description of how the proposed
activities will facilitate coordination and cooperation among existing
categorical program efforts. The applicant should include goals for all
four years, and specific objectives for Year 01.
D. Describes how surveillance data will be integrated into program
activities and used to assess program progress, and inform program
decision making.
Description should include evidence that existing surveillance
systems enable programs to do the following:
1. Collect population-based information on the demographics,
incidence, staging of cancer at diagnosis, morbidity and mortality from
cancer. Mechanisms should be in place to ensure timeliness, quality,
and completeness of data.
2. Identify segments of the population who are at higher risk for
incidence, morbidity, and mortality.
3. Identify factors contributing to the disease burden, such as
behavioral risk factors and limited or inequitable access to services.
4. When appropriate, monitor the number and characteristics of
people served by relevant programs.
5. When appropriate, develop linkages between the above-mentioned
data bases and routinely monitor to determine the effectiveness of
interventions.
E. Includes the current or proposed plan for evaluating (1) the
program's progress in meeting specific objectives outlined in the
implementation plan, and (2) overall success of the comprehensive
cancer control effort, based on indicators established by the
applicant. Describe the types of indicators to be used to assess
outcomes such as coordination, integration and collaboration that have
occurred as a result of this funding. Such indicators might assess
organizational or institutional changes, reduced duplication of effort,
environmental and policy changes. Baseline measures should be
identified and assessed, to allow for comparisons after implementation
has begun. For each type of evaluation, specify the kind of data/
indicator that will be used, how the data will be obtained, how
information will be used to improve the overall program, as well as
individual program components, who is responsible for each evaluation
task, and a time line for accomplishing each evaluation task.
F. Describes proposed information and education efforts. Identify
the mechanisms through which information, material, and successful
strategies will be consistently and systematically shared and
disseminated at the State/Tribe/Territory and local levels, as well as
with other cooperative agreement recipients. Include in this
description a discussion of plans for collaborating with CDC on
national campaigns or educational efforts.
G. Describes mechanism for assuring that the core components of a
comprehensive cancer control program including primary prevention/risk
factor reduction; education, outreach, health communications;
screening, diagnostic, and treatment services; surveillance; and
evaluation are consistent with accepted science and prevailing
standards of public health practice. The primary prevention components
should address risk factors that will have the greatest impact on
reducing the overall disease burden of cancer and are not limited to
prevention activities of the specific cancers addressed in the State/
Tribe/Territory's comprehensive cancer control program.
[[Page 26618]]
H. Describes existing programs funded by other sources that will be
coordinated with the comprehensive cancer control effort.
VI. Management and Organization
The applicant should:
A. Submit a management plan that includes a description of the
proposed management structure that addresses the use of qualified and
diverse technical, program, and administrative staff (including in-kind
staff), organizational relationships including lines of authority,
internal and external communication systems, and a system for sound
fiscal management. Minimal staffing should include a full-time program
coordinator. The management structure description should include
discussion of the integration and coordination of risk factor and
cancer-related programs and activities. It is important that the
management plan address how coordination and cooperation among existing
categorical program efforts will be facilitated, while allowing each
program to maintain individual integrity and identity.
B. Provide (in the appendices) a copy of the organizational chart
indicating the placement of the proposed program in the department or
agency. The chart should clearly demonstrate internal linkages
necessary for comprehensive cancer control planning, implementation and
evaluation.
C. Provide (in the appendices) CVs and job descriptions of key
staff to be partially or fully funded through this RFA, as well as any
staff to be providing in-kind support. Applicant should clearly
indicate who is responsible for overall direction of the program.
VII. Budget With Justification
The applicant should provide a detailed budget request and complete
line item justification of all proposed operating expenses consistent
with the Recipient Activities. If in-kind contributions are being
provided by the applicant, these should be documented.
The annual budget should include funds for two staff members to
make two two-day trips to Atlanta.
Non-Competing Continuation Application Content
In compliance with 45 C.F.R. 92.10(b)(4), as applicable,
noncompeting continuation applications submitted within the project
period need only include:
A. A progress report describing the accomplishments made from award
date to the date of the continuation application. These progress
reports must include: (1) a comparison of actual accomplishments with
the goals and objectives established for the period, and
(2) other activities and issues to be addressed during the
subsequent reporting period.
B. Any new or significantly revised items or information
(objectives, scope of activities, operational methods, evaluation,
etc.) not included in the Year 01 application.
C. An annual budget and justification. Existing budget items that
are unchanged from the previous budget period do not need
rejustification. Simply list the items in the budget and indicate that
they are continuation items. Supporting justification should be
provided where appropriate.
Evaluation Criteria (Total 100 Points)
Objective Review panels evaluate the scientific and technical merit
of applications and their responsiveness to the information requested
in the Application Content section above. Applications will be reviewed
and evaluated according to the following criteria:
I. Background and Need (10 points)
The extent of need based on disease burden by age, gender, and
racial and ethnic groups, mortality rates, incidence, cancer program
experience, existing capacity and infrastructure, and funding need.
II. Collaborative Partnership and Community Involvement (15 points)
The comprehensiveness and appropriateness of:
A. Existing or proposed linkages within and outside the State/
Tribe/Territory health department to coordinate diverse cancer control,
risk factor and other primary prevention programs and activities among
various agencies, organizations, professional groups, and individuals.
B. The current or proposed broad-based State/Tribe/Territory wide
coalition to advise and support the program, including defined roles,
responsibilities, and specified subcommittees.
C. Letters of support that indicate the nature and extent of
existing or planned collaborative support.
III. Cancer Control Plan (15 points)
The quality of the comprehensive cancer control plan in terms of:
A. An integrated and coordinated State/Tribe/Territory wide
approach to prevention, early detection, treatment, rehabilitation, and
palliation of cancer; assessment of the State/Tribe/Territory's cancer
burden; short-term and long-term goals, objectives, and strategies to
address cancer control issues; assessment of existing and needed
resources to develop the comprehensive cancer control program; the full
range of cancer prevention and control activities, including primary
prevention, early detection, diagnosis, treatment, rehabilitation and
palliation.
B. The extent to which a broad range of partners and stakeholders
are included throughout the process to develop, implement, review, and
update the plan; mechanisms to review, evaluate and update the plan to
meet evolving needs, and personnel who will be responsible for
maintaining the plan, assuring that it is current and regularly
reviewed and updated are clearly identified.
IV. Implementation of the Comprehensive Cancer Control Plan (35 points)
The extent to which the applicant's implementation plan describes:
A. Process, justification, and rationale for priorities established
for implementation.
B. Specific, measurable, realistic, time-framed objectives based on
the comprehensive cancer control plan.
C. The process for implementing priorities identified in the plan,
to include discrete time frames, responsible agencies and
organizations, linkages of activities to objectives, and how the
proposed activities will facilitate coordination and collaboration
among existing categorical program efforts.
D. How surveillance data will be integrated into program activities
and used to assess program progress and assist program decision making;
the surveillance systems and collection of relevant and appropriate
population-based information on the demographics, behavioral, disease
burden and incidence, etc.; and any linkages between databases and
routine monitoring to determine effectiveness of interventions.
E. Plans for evaluating the program's progress in meeting specific
objectives outlined in the implementation plan, and overall success of
the comprehensive cancer control effort.
F. Proposed information and education efforts, including
collaborating with CDC on national campaigns.
G. Methods for assuring that: the core components of a
comprehensive cancer control program including primary prevention/risk
factor reduction; education, outreach, and health communications;
screening, diagnostic, and treatment services; surveillance;
[[Page 26619]]
and evaluation are consistent with accepted science and prevailing
public health practice; the primary prevention components address risk
factors that will have the greatest impact on reducing the overall
disease burden of cancer and are not limited to prevention activities
of the specific cancers addressed in the State/Tribe/Territory's
comprehensive cancer control program.
H. Description of other existing programs funded by other sources
that will be coordinated with the comprehensive cancer control effort.
V. Management and Organization (25 points)
A. The feasibility and clarity of the proposed management plan that
addresses the use of qualified and diverse technical, program, and
administrative staff, organizational relationships including lines of
authority, internal and external communication systems, cooperation and
coordination among categorical cancer-related programs, and a system
for sound fiscal management.
B. The appropriateness of the organizational structure and the
existing and proposed internal and external linkages.
C. The quality and appropriateness of CVs and job descriptions of
current and proposed key staff, to include who is responsible for
overall direction of the program.
VI. Budget With Justification (Not Weighted)
The extent to which the proposed budget is adequately justified,
reasonable, and consistent with this program announcement.
Executive Order 12372 Review
Applications are subject to Intergovernmental Review of Federal
Programs as governed by Executive Order 12372. This order sets up a
system for State/Territory/Tribe and local review of proposed federal
assistance applications. Applicants should contact their State Single
Point of Contact (SPOC) as early as possible to alert them to expected
announcements of cooperative agreement funds and receive any necessary
instructions on the State process. For proposed projects serving more
than one State, the applicant is advised to contact the SPOC of each
State. A current list of SPOCs is included in the application kit.
Indian territories are strongly encouraged to request tribal government
review of the proposed application. If tribal governments have any
tribal process recommendations or if SPOCs have any State process
recommendations on applications submitted to CDC, they should send them
to Sharron P. Orum, Grants Management Officer, Grants Management
Branch, Procurement and Grants Office, Centers for Disease Control and
Prevention (CDC), 255 East Paces Ferry Road, NE., Room 305, Mailstop E-
18, Atlanta, GA 30305, no later than 60 days after the application
deadline date. The Program Announcement Number and Program Title should
be referenced on the document. The granting agency does not guarantee
to accommodate or explain the State or tribal 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 Number
The Catalog of Federal Domestic Assistance Number is 93.919.
Other Requirements
Paperwork Reduction Act
Projects that involve the collection of information from 10
individuals or more and funded by cooperative agreement will be subject
to review by the Office of Management and Budget (OMB) under the
Paperwork Reduction Act.
Application Submission and Deadline
The original and two copies of the completed application Form CDC
0.1246(E) (OMB Number 0348-0043) must be submitted to Sharron P. Orum,
Grants Management Officer, Grants Management Branch, Procurement and
Grants Office, Centers for Disease Control and Prevention (CDC), 255
East Paces Ferry Road, NE., Room 314, Mailstop E-18, Atlanta, GA 30305
on or before July 1, 1998.
1. Applications shall be considered as meeting the deadline if they
are either:
a. Received on or before the stated 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 shall not be accepted 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.
3. Acceptable Materials. Applicants must send all materials in an
unbound, one-sided 8\1/2\ x 11'' printed format, suitable for
photocopying. All other application materials will not be reviewed.
4. Only one eligible application from a State/Tribe/Territory will
be funded. Applicants from each State/Tribe/Territory are encouraged to
coordinate and combine their efforts prior to submitting the
application for their State/Tribe/Territory.
Where To Obtain Additional Information
Complete information on application procedures is contained in the
application package. Business management technical assistance may be
obtained from Gladys T. Gissentanna, Grants Management Specialist,
Grants Management Branch, Procurement and Grants Office, Centers for
Disease Control and Prevention (CDC), 255 East Paces Ferry Road, NE.,
Room 314, Mailstop E-18, Atlanta, GA 30305, telephone (404) 842-6801;
by fax (404) 842-6513; by Internet or CDC WONDER electronic mail at
gcg4@cdc.gov.
Programmatic technical assistance may be obtained from Jeannette
May, MPH, or Diane Narkunas, MPH, Program Services Branch, Division of
Cancer Prevention and Control, National Center for Chronic Disease
Prevention and Health Promotion, Centers for Disease Control and
Prevention (CDC), 4770 Buford Highway, NE., Mailstop K-57, Atlanta, GA
30341-3717, telephone (404) 488-4880 and by fax (404) 488-4727; by
Internet or CDC WONDER electronic mail at jxm5@cdc.gov or dxn3@cdc.gov.
Please refer to Program Announcement Number 98046 when requesting
information and submitting an application.
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) referenced in the
Introduction through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325; telephone (202) 512-1800.
Copies of the U.S. Preventive Services Task Force Guide to Clinical
Preventive Services, 2nd ed. (Williams & Wilkins, October 1995)
referenced above may be obtained by calling 1-800-358-3538, or from the
world wide web at http://www.wwilkins.com/books/data/0-683-08508-
5.html.
[[Page 26620]]
Data on cancer incidence and mortality can be obtained from the
following sources:
1. The State Cancer Registry.
2. The American Cancer Society, Facts and Figures, 1998. 1-800-ACS-
2345.
3. Mortality Statistics Branch, Division of Vital Statistics,
National Center for Health Statistics, Centers for Disease Control and
Prevention at (301) 436-8884, fax (301) 436-7066. Available at http://
www.cdc.gov/nchswww/about/major/dvs/mortdata.htm.
4. SEER Cancer Statistics Review, 1973-1994, NIH Pub. No. 97-2789.
Available at http://www-seer.ims.nci.nih.gov/Publications/CSR7394/
index.html or by calling the Cancer Statistics Branch Cancer Control
Research Program Division of Cancer Prevention and Control, National
Cancer Institute at (301) 496-8510.
CDC suggests using the Internet, following all instructions in this
announcement and leaving messages on the contact person's voice mail
for more timely responses to any questions.
Eligibility Assurance Form
All applicants MUST complete this check-list and attach appropriate
documentation supporting eligibility (the state/tribe/territory wide
comprehensive cancer control plan). The plan must be attached to this
check-list, should not be incorporated into the body of the application
or the appendices, and therefore does not affect the page limit for the
application (30 pages) or appendices (20 pages). A copy of this form,
with an attached reproducible plan, should be included with each copy
of the application as a separate tabbed section.
____A state/tribe/territory wide comprehensive cancer control plan has
been developed. Plan is either:
____an existing up-to-date plan ready for implementation, or
____an up-to-date detailed final draft ready for implementation by
September 30, 1998.
At a minimum,
____Plan documents an integrated and coordinated state/tribe/
territory wide approach to prevention, early detection, treatment,
rehabilitation, and palliation of cancer (i.e., not a summation or
compilation of categorical risk factor/specific cancer programs).
____ Plan identifies priorities to be addressed based on needs
identified through assessment of the burden of the major detectable/
preventable cancers in the State/Tribe/Territory.
____Copy of the State/Tribe/Territory wide comprehensive cancer control
plan document is attached. (A reproducible, unbound, one-sided, 8\1/2\
x 11'' copy of the plan should be attached to this form.)
Glossary
Terms are defined by DCPC in this Glossary to clarify issues for
applicants under this RFA only. They are not meant to apply to all DCPC
or CDC programs, activities, or RFAs.
Comprehensive Cancer Control: An integrated and coordinated
approach to reduce the incidence, morbidity, and mortality [of cancer]
through prevention, early detection, treatment, rehabilitation, and
palliation.
Comprehensive Cancer Control Plan: Document that is developed as an
optimal blueprint for achieving comprehensive cancer control in that
State/Tribe/Territory. It should address information on cancer burden;
short-and long-term goals and objectives; proposed strategies to meet
objectives; assessment of existing and needed resources; and a plan for
promoting access to full range of cancer control services.
At a minimum, a Comprehensive Cancer Control Plan: (1) documents an
integrated and coordinated state/tribe/territory wide approach to
prevention, early detection, treatment, rehabilitation, and palliation
of cancer (i.e., not a summation or compilation of categorical risk
factor/specific cancer programs); and (2) identifies the priorities to
be addressed based on an assessment of the burden of the major
detectable/preventable cancers in the State/Tribe/Territory.
Comprehensive Cancer Control Program: Based on goals and objectives
established in the comprehensive cancer control plan, the overall set
of actions that are conducted with available resources to translate the
optimal plan into feasible reality.
Implementation: Conducting activities that are designed to achieve
goals and objectives outlined in the Comprehensive Cancer Control Plan.
Implementing the Plan is the same thing as conducting comprehensive
cancer control activities or programs. For the purposes of programs
funded under this RFA, implementation of the plan does not require that
all goals and objectives in the State/Tribe/Territory wide
comprehensive cancer control plan be implemented; implementation will
be guided by the goals and objectives in the implementation plan
developed for this RFA.
Indicator: A performance measure used to track critical processes
over time to signify progress toward a particular desired outcome of
the program. For example, one ``indicator'' for better coordination
among categorical programs might be a certain number of meetings held
among categorical program staff to assure that efforts are being
coordinated. Another ``indicator'' for the same outcome might be that
each related program has a representative on the coalition that advises
and directs the program.
State/Tribe/Territory wide: Covering the entire State/Tribe/
Territory, rather than just limited 34 metropolitan or county areas
within the State/Tribe/Territory. For example, State/Tribe/Territory
wide comprehensive cancer control plan addresses cancer, programs,
activities, and services throughout the State/Tribe/Territory.
U.S. Preventive Services Task Force Guide to Clinical Preventive
Services, 2nd ed.: The Guide clearly outlines and establishes, for the
clinician, the current state of research on the efficacy of the major
preventive interventions. A well-specified methodology based on
scientific evidence is used to assess efficacy. Based on the work of a
distinguished panel of nationally recognized experts, and reviewed by
more than 650 federal and nonfederal experts, it provides
recommendations on screening, counseling, and immunizations according
to patients' personal characteristics and health risk factors.
Dated: May 7, 1998.
Joseph R. Carter,
Acting Associate Director for Management and Operations, Centers for
Disease Control and Prevention (CDC).
[FR Doc. 98-12645 Filed 5-12-98; 8:45 am]
BILLING CODE 4163-18-P
