[Federal Register Volume 59, Number 131 (Monday, July 11, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-16653]
[[Page Unknown]]
[Federal Register: July 11, 1994]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Announcement Number 483]
State Injury Intervention Programs; Notice of Availability of
Funds for Fiscal Year 1994
Introduction
The Centers for Disease Control and Prevention (CDC), announces the
availability of fiscal year (FY) 1994 funds for cooperative agreements
for State Injury Intervention Programs. These programs will develop,
implement, and evaluate multi-faceted, injury prevention and/or
surveillance programs to reduce the incidence of injuries and deaths in
the following areas: bicycle-related head injuries, fire-related burn
injuries, motor vehicle injuries, firearm-related injuries, violence
against women, and alcohol-related injuries.
The Public Health Service (PHS) is committed to achieving the
health promotion and disease prevention objectives described in
``Healthy People 2000,'' a PHS-led national activity to reduce
morbidity and mortality and improve the quality of life. This
announcement is related to the priority areas of Violent and Abusive
Behavior and Unintentional Injuries. (For ordering a copy of ``Healthy
People 2000,'' see the Section Where to Obtain Additional Information.)
Authority
This program announcement is authorized under Sections 301, 317,
and 391-394 (42 U.S.C. 241, 247b, and 280b-280b-3) of the Public Health
Service Act as amended.
Smoke-Free Workplace
The Public Health Service strongly encourages all grant recipients
to provide a smoke-free workplace and promote the non-use of all
tobacco products. This is consistent with the PHS mission to protect
and advance the physical and mental health of the American people.
Eligible Applicants
Assistance will be provided only to the official public health
agencies of States or their bona fide agents. 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, and the
Republic of Palau. In addition, official public health agencies of
county or city governments with jurisdictional populations greater than
3,500,000 (based on 1990 census data) are eligible.
Availability of Funds
Approximately $3,500,000 is available in FY 1994 to fund up to
twenty projects to implement and evaluate injury intervention and
surveillance programs in five priority areas: bicycle-related head
injuries (4-5 to be awarded), fire-related burn injuries (4-5 to be
awarded), motor vehicle injuries (4-5 to be awarded), firearm-related
injuries (6 to be awarded), and alcohol-related injuries (1 to be
awarded). Awards are expected to range from $150,000 to $200,000 with
an average award of $175,000 for each 12-month budget period.
In addition, approximately $750,000 will be available to fund up to
three projects to perform activities for the prevention of violence
against women. Awards are expected to range from $225,000 to $275,000,
with an average award of $250,000.
Funds are expected to be awarded on or about September 1, 1994, and
will be made for a 12-month budget period. Programs addressing bicycle-
related head injuries, fire-related burn injuries, motor vehicle
injuries, firearm-related injuries, and alcohol-related injuries will
have a 3-year project period and those addressing violence against
women will have a 5-year project period. Funding estimates may vary and
are subject to change. Continuation awards within the project periods
will be made on the basis of satisfactory progress as evidenced by
required reports and the availability of funds.
Note: At the request of the applicant, Federal personnel may be
assigned in lieu of a portion of the financial assistance.
Purpose
The purpose of this cooperative agreement is to enable State public
health agencies to implement and evaluate priority injury prevention
and control activities. Specifically, State public health agencies may
submit applications to develop programs in EACH OR ANY of six areas:
1. Prevention of bicycle-related head injuries through increased
usage of bicycle helmets;
2. Prevention of fire-related burns through increased installation
and utilization of smoke detectors;
3. Prevention of motor vehicle injuries through increased usage of
occupant protection, including seat belts, child safety seats, and air
bags;
4. Identification of firearm-related injuries;
5. Identification and prevention of violence against women; and
6. Identification and prevention of alcohol-related injuries.
Programs in any of these six areas will develop, implement, and
evaluate targeted activities designed to accurately measure and reduce
morbidity, mortality, severity, disability, and costs associated with
injuries. This funding will allow the applicant to establish or
strengthen a lead capacity for prevention and control of the targeted
injury (e.g., bicycle-related head injuries). It is expected that any
program developed will function as a component of the public health
agency's injury control program, will coordinate related activities
both within the agency and within the jurisdiction, and will mobilize,
seek input from, and utilize broad coalitions.
Bicycle-Related Head Injuries
Awards for prevention of bicycle-related head injuries are to be
used to develop, implement, and evaluate the effectiveness of multi-
faceted bicycle injury prevention programs in increasing helmet use and
reducing morbidity, mortality, severity, disability, and costs
associated with bicycle injuries for which helmets are effective. This
program will facilitate the development, expansion, and improvement of
bicycle injury control programs, and in particular, bicycle helmet
usage programs within State public health agencies. Programs within
State public health agencies are expected to define and monitor the
extent of the bicycle-related injury problem, develop intervention
strategies, including public education programs, and evaluate the
program's effectiveness in terms of reduced morbidity, mortality,
severity, disability, and cost. Specifically, bicycle helmet usage
programs are intended to:
A. Develop or improve injury surveillance activities to identify
bicycle-related head injuries, including data describing the magnitude
of the problem, who is affected, utilization of bicycle helmets, costs
associated with bicycle-related head injuries, and to identify and
monitor health outcomes to measure the impact of the program;
B. Implement and evaluate multifaceted prevention activities to
address and define the bicycle injury problem using evaluation
guidelines for State injury control programs developed by CDC/National
Center of Injury Prevention and Control (NCIPC);
C. Enact legislation and implement community-based prevention
programs (including educational, promotional and legislative
strategies) to encourage the use of bicycle helmets.
D. Determine the effectiveness of strategies for increasing bicycle
helmet use.
Fire-Related Burns
Awards for prevention of fire-related burns are to be used to
develop, implement, and evaluate the effectiveness of smoke detector
promotion programs in increasing installation and utilization of smoke
detectors and in reducing morbidity, mortality, severity, disability,
and costs associated with fire-related burns which are preventable by
utilization of smoke detectors. This program will facilitate the
development, expansion, and improvement of smoke detectors programs
within State public health agencies. Programs within State public
health agencies are expected to define and monitor the fire-related
burn problem, develop and implement intervention strategies, including
public education programs, and evaluate the program's effectiveness in
terms of increased smoke detector installation and use, and reduced
morbidity, mortality, severity, disability, and cost of fire-related
burns.
Specifically, smoke detector usage programs are intended to:
A. Develop or improve injury surveillance activities for fire-
related burn injuries, including data describing the magnitude of the
problem, who is affected, and utilization of smoke detectors;
B. Implement and evaluate multi-faceted prevention activities to
address and define the fire-related burn problem using evaluation
guidelines for State injury control programs developed by CDC/NCIPC.
C. Enact legislation and implement community prevention programs
(including educational, promotional, legislative and maintenance
strategies) to encourage the use of smoke detectors.
D. Determine the effectiveness of strategies for increasing smoke
detector installation and use.
Motor Vehicle Injuries
Awards for prevention of motor vehicle injuries are designed to
develop, implement, and evaluate the effectiveness of occupant
protection programs in increasing occupant protection and reducing
morbidity, mortality, severity, disability, and costs associated with
motor vehicle injuries. This program will facilitate the development,
expansion, and improvement of programs to increase the use of occupant
protection within State public health agencies. Programs within State
public health agencies are expected to define and monitor the motor
vehicle injury problem, develop intervention strategies, including
programs in highway safety, and evaluate the program's effectiveness in
terms of increased usage patterns and reduced morbidity, mortality,
severity, disability, and cost associated with motor vehicle injuries.
Specifically, occupant protection usage programs are intended to:
A. Develop or improve injury surveillance activities to identify
motor vehicle-related injuries, including linkage with other data
systems to describe the magnitude and cost of the problem, who is
affected, and use of occupant protection (seat belts, child safety
seats, air bags, or some combination of these). These data should be
collected in a manner that allows for the evaluation of progress toward
the Year 2000 Objectives for the nation;
B. Implement and evaluate multi-faceted prevention activities to
address and define the motor vehicle injury problem using evaluation
guidelines for State injury control programs developed by CDC/NCIPC;
C. Enact and strengthen legislation to cover all ages and seating
positions and implement community-based interventions (including
education, behavioral change, and policy development) to encourage the
use of occupant protection;
D. Determine the effectiveness of specific interventions in
increasing occupant protection.
Firearm-Related Injury Surveillance
Awards for development of firearm-related injury surveillance
systems are designed to develop, implement, and evaluate such
surveillance systems. This program will enable State public health
agencies to define and monitor the firearm-related injury problem in
their jurisdictions, and to evaluate the program's effectiveness in
terms of surveillance sensitivity, timeliness, representation,
predictive value positive, and ability to measure the impact of
specific interventions on morbidity, mortality, severity, disability,
and cost of firearm-related injury.
Specifically, firearm-related injury surveillance programs are
intended to:
A. Develop or improve injury surveillance activities to identify
firearm-related injuries, including data describing the magnitude of
the problem, who is affected, areas and persons at greatest risk, and
the type and source of the firearm and ammunition used;
B. Link data from various sources to form a more complete picture
of firearm-related injuries (e.g., linkage of emergency department or
hospital discharge data with police data).
C. Measure the effectiveness of specific interventions in reducing
firearm-related injuries.
Violence Against Women
Awards for identification and prevention of violence against women
are designed to develop, implement, and evaluate a surveillance system
for injuries due to violence against women, define the role of the
State public health agency in preventing violence against women, and
develop, implement and evaluate the effectiveness of strategies to
prevent violence against women. Programs will define and monitor this
injury problem and evaluate the surveillance system's effectiveness in
terms of sensitivity, timeliness, representativeness, and predictive
value positive. Programs will evaluate the effectiveness of the
interventions in reducing morbidity, mortality, severity, disability,
and cost of injury.
Specifically, programs to prevent violence against women are
intended to:
A. Identify data sources and develop or improve existing
surveillance systems for violence against women. Field test violence
against women surveillance guidelines developed by a drafting group
convened by CDC/NCIPC.
B. Assess the State public health agency's ability to address
violence against women issues, including conducting inventories of
existing violence against women prevention programs.
C. Develop collaborative relationships with voluntary, community-
based, and public and private organizations already involved in
preventing violence against women.
D. Determine the effectiveness of specific interventions in
preventing violence against women, including evaluation of existing
interventions and development and evaluation of new interventions, and
determine how to combine specific interventions into effective
programs. (Emphasis should be placed on violence against women that is
committed by family members and intimates rather than by strangers.)
Alcohol-Related Injuries
An award for identification and prevention of alcohol-related
injuries is designed to develop, implement, and evaluate a surveillance
system based at acute care hospitals and to increase the effectiveness
of hospital-based screening, intervention, and treatment referral for
injured individuals with alcohol problems. This program will establish
or strengthen the ability of the State public health agency to work
with acute care hospitals and other organizations in efforts to
facilitate access and improve treatment outcomes for injured
individuals in need of alcohol treatment services. State public health
agencies will define the nature and extent of alcohol-related injuries,
provide leadership in developing and implementing essential clinical
prevention services, and evaluate the effectiveness of these services
in terms of their impact on the incidence of alcohol-related injuries.
Specifically, programs to prevent alcohol-related injuries are
intended to:
A. Develop or improve surveillance activities to identify alcohol-
related injuries treated in inpatient or outpatient departments of
acute care hospitals, including data describing the magnitude of the
problem, who is affected, and the costs of associated acute care.
B. Promote collaborative working relationships among community and
voluntary organizations. State alcohol and drug abuse treatment
agencies, treatment providers and other mental health professionals,
professional organizations, insurance companies, and other parties
involved in delivering or improving clinical prevention services for
individuals with alcohol-related injuries.
C. Establish or enhance statewide programs based in acute care
hospitals designed to improve identification, reduce alcohol
consumption, achieve necessary referrals to specialized alcohol
treatment, and assure continuity of care of drinkers with alcohol-
related injuries.
D. Determine the effectiveness of specific components of new or
enhanced clinical prevention services provided to patients with
alcohol-related injuries, including methods of screening and
intervening at acute care hospitals. Emphasis should be placed on using
the surveillance system to measure the impact of these services on the
incidence of recurrent alcohol-related injuries.
Program Requirements
In conducting activities to achieve the purpose of this program,
the recipient will be responsible for the activities under A.
(Recipient Activities), and CDC will be responsible for the activities
listed under B. (CDC Activities).
A. Recipient Activities
In conducting activities to achieve the purpose of this program,
the recipient shall:
1. For Bicycle-Related Head Injury Prevention Programs
a. Provide a full-time director/coordinator and staff who have
authority, responsibility, and expertise to carry out the program.
b. Define the magnitude of the bicycle-related head injury problem;
define the population at risk, and collect adequate injury data. These
data include deaths and injuries attributable to bicycle-related head
injury, helmet use rates among various age groups in the community, and
barriers to helmet use. Potential data sources include: E-coded
hospital discharge data, emergency department data, head and spinal
cord injury registries, and random digit dial phone surveys of
community residents to obtain information on behaviors.
c. Develop and implement community-based prevention programs to
encourage the use of bicycle helmets. These include educational,
promotional, and legislative strategies utilized in a multifaceted
approach.
d. Promote and develop local and statewide legislation requiring
bicycle helmet usage for all riders and passengers under 16 years of
age.
e. Form partnerships with highway safety officials (e.g.,
Governor's Highway Safety Representative, police) to promote bicycle
helmet usage.
f. Seek community input and generate community support for bicycle
helmet usage promotion activities. Coalitions of appropriate
individuals, agencies, and organizations with experience and interest
in bicycle helmet usage campaigns may be established in support of
intervention activities.
g. Evaluate the effectiveness of each intervention activity and the
program as a whole using evaluation guidelines for State injury control
programs developed by CDC/NCIPC.
h. Perform related injury demonstration projects. These may be
related by population at risk, nature of the injury, causal chain, or
intervention methodology.
2. For Fire-Related Burn Prevention Programs
a. Provide a full-time director/coordinator and staff who have
authority, responsibility, and expertise to carry out the program.
b. Define the magnitude of the fire-related burn problem; define
the population at risk and areas affected, and collect adequate injury
data. These data include deaths and injuries attributable to fire-
related burns, smoke detector use rates for various geographic areas of
the community, and barriers to smoke detector use. Potential data
sources include: E-coded hospital discharge data, emergency department
data, public safety data (e.g., fire department data), and random digit
dial phone surveys of community residents to obtain information on
behaviors.
c. Develop and implement community-based prevention programs to
encourage the installation, use, and maintenance of smoke detectors.
These include promotional, educational, and legislative (State and
local) strategies utilized in a multifaceted approach.
d. Form partnerships with public safety officials (e.g., fire
departments) to promote smoke detector installation and maintenance.
e. Seek community input and generate community support for smoke
detector installation and maintenance. Coalitions of appropriate
individuals, agencies, and organizations with experience and interest
in smoke detector campaigns may be established in support of fire-
related burn prevention activities.
f. Evaluate the effectiveness of each intervention activity and the
program as a whole using evaluation guidelines for State injury control
programs developed by CDC/NCIPC.
g. Perform related injury demonstration projects. These may be
related by population at risk, nature of the injury, causal chain, or
intervention methodology.
3. For Motor Vehicle Injury Prevention Programs
a. Provide a full-time director/coordinator and staff who have
authority, responsibility, and expertise to carry out the program.
b. Define the magnitude of the motor vehicle injury problem; define
the population at risk and associated costs and collect adequate injury
data. These data include deaths and injuries attributable to motor
vehicle crashes, use of occupant protection (seat belts, child safety
seats, air bags, or a combination of these), and barriers to occupant
protection use. These data might best be derived through linkage of
various data systems (e.g., hospital discharge and police data).
c. Develop and implement or enhance existing State and community-
based programs to encourage the use of occupant protection devices.
These include legislative (State and local), promotional, and
educational strategies utilized in a multifaceted approach.
d. Form partnerships with highway safety officials (e.g.,
Governor's Highway Safety Representative, law enforcement) to promote
motor vehicle occupant protection use.
e. Seek community input and generate community support for motor
vehicle occupant protection. Coalitions of appropriate individuals,
agencies, and organizations with experience and interest in prevention
of motor vehicle injuries may be established in support of occupant
protection campaigns.
f. Evaluate the effectiveness of each intervention activity and the
program as a whole using evaluation guidelines for State injury control
programs developed by CDC/NCIPC.
g. Perform related injury demonstration projects. These may be
related by population at risk, nature of the injury, causal chain, or
intervention methodology.
4. For Firearm-Related Injury Surveillance Programs
a. Provide a full-time director/coordinator and staff who have
authority, responsibility, and expertise to carry out the program.
b. Collect adequate injury data on firearm-related injuries. These
data include who is affected, areas and persons at greatest risk, the
type and source of firearm used, and characteristics of perpetrators.
c. Implement or enhance a surveillance system to define the
magnitude of the firearm-related injury problem in at least one of the
following areas:
(1) Link vital statistics data with other data (e.g., medical
examiner data, police data) to provide a more complete description of
firearm-related mortality, or
(2) Conduct surveillance of nonfatal firearm-related injuries
(e.g., through hospital emergency department data, E-coded hospital
discharge data), or
(3) Define risk behaviors, utilizing risk behavior surveys (e.g.,
gun carrying, availability, storage practices).
d. Form partnerships with public safety officials (e.g., police) to
ensure the completeness of surveillance data.
e. Demonstrate the utility of the surveillance system in measuring
the effectiveness of specific interventions designed to reduce firearm-
related injuries.
f. Evaluate the surveillance system in terms of sensitivity,
timeliness, representation and predictive value positive.
g. Perform related injury demonstration projects. These may be
related by nature of the injury or surveillance methodology.
5. For Programs To Prevent Violence Against Women
a. Provide a full-time director/coordinator and staff who have
authority, responsibility, and expertise to carry out the program.
b. Establish an advisory structure to address issues related to
violence against women, to ensure community input, and to generate
community support. This advisory structure should consist of
individuals (internal and external to the State public health agency),
agencies, and organizations with experience, expertise and interest in
preventing violence against women. If a State Injury Advisory Committee
exists, this advisory structure should be constituted as a subcommittee
for violence against women issues.
c. Develop collaborative relationships with voluntary, community-
based public and private organizations and agencies already involved in
preventing violence against women.
d. Conduct an inventory of existing data sources and prevention
programs within the State which address violence against women.
e. Assess the State public health agency's organizational capacity
and available resources, as well as other public and private resources,
to address violence against women.
f. Design, pilot test, and implement a surveillance system to track
the incidence of violence against women in selected geographic areas
within the State, and expand this surveillance system statewide.
g. Evaluate the usefulness of the surveillance system for assessing
violence against women.
h. Identify, implement and evaluate specific interventions to
prevent violence against women. Evaluate existing interventions or
implement and test new interventions. Examples of existing
interventions include, but are not limited to:
(1) Public awareness campaigns to change knowledge, attitudes, and
beliefs conducive to violence against women.
(2) School-based curricula that teach strategies for developing and
maintaining nonviolent dating relationships.
(3) Home health visitation to reduce partner abuse in targeted
families and thereby reduce the likelihood of children witnessing such
violence.
(4) Shelters for battered women to reduce prevalence of physical
abuse.
(5) Victim identification and referral protocols in hospital
emergency rooms, STD clinics, prenatal care clinics, and family
planning clinics.
(6) Behavior motivation programs for men.
(7) Rape crisis centers to help in prevention recurrence of sexual
assault by someone the victim knows.
(8) Hotlines as tools to provide crisis intervention counseling.
i. Develop, implement, and evaluate multi-faceted programs to
prevent violence against women (Year-03 and beyond).
j. Develop and produce replication guidelines describing all
aspects of the violence against women program. This includes processes,
lessons, results, and products (Year-03 and beyond).
k. Perform related injury demonstration projects. These may be
related by population at risk, nature of the injury, causal chain, or
surveillance or intervention methodology.
6. For Alcohol-Related Injury Prevention Program
a. Provide a full-time director/coordinator and staff who have
authority, responsibility, and expertise to carry out the program.
b. Develop or improve an alcohol-related injury surveillance system
to identify alcohol-related injuries treated in inpatient or outpatient
departments of acute care hospitals. This includes a definition of the
nature and extent of the alcohol-related injury problem. These data
include alcohol-related injury rates of various age groups, description
of the population at risk, types of injury, and acute care costs.
c. Develop and implement community-based programs located in acute
care hospitals which will improve identification of persons at risk for
alcohol-related injuries, reduce alcohol consumption in a target group,
achieve referrals to specialized alcohol treatment, and assure
continuity of care of drinkers with alcohol related injuries.
d. Evaluate the effectiveness of new or enhanced acute care
hospital prevention services provided to patients with alcohol-related
injuries.
e. Collaborate with community and voluntary organizations, State
alcohol and drug abuse treatment agencies, treatment providers and
other mental health providers, professional organizations, insurance
companies, and others interested in clinical prevention services to
coordinate and support alcohol-related injury prevention activities.
f. Perform related injury demonstration projects. These may be
related by population at risk, nature of the injury, causal chain, or
surveillance or intervention methodology.
B. CDC Activities
1. Collaborate in the design of all phases of the program. Provide
consultation on data collection instruments and procedures, and provide
coordination and a standardized approach to research, evaluation, and
intervention activities between and among the sites for each program
topic area.
2. Provide consultation and assistance in problem assessment and
target population identification, the evaluation of coverage, cost, and
impact of current and potential interventions, and design of scientific
protocols.
3. Provide evaluation guidelines for State injury control programs
in bicycle-related head injuries, fire-related burn injuries, and motor
vehicle occupant protection, and provide violence against women
surveillance definition and guidelines.
4. Provide consultation on selection of interventions and future
demonstration projects and surveillance systems for State
implementation, and an implementing intervention activities and
disseminating results.
5. Collaborate in the analysis and dissemination of surveillance
data.
6. Provide up-to-date scientific information about injury
prevention and coordinate with related activities in CDC's national
injury prevention program.
7. Assist in the transfer of information and methods developed in
these programs to other prevention programs.
Review and Evaluation Criteria
Applications will be reviewed and evaluated according to the
following criteria (maximum 100 total points):
A. Background and Need (15%)
The extent to which the applicant presents data justifying need for
the program in terms of magnitude of the related injury problem, and
identifies suitable target populations. The extent to which a
description of current and previous related experiences:
(a) is inclusive in terms of surveillance activities, prevention
activities (if applicable) and success, evaluation capability and
coordination activities, and (b) demonstrates capacity to conduct the
program.
B. Goals and Objectives (10%)
The extent to which the applicant has included goals which are
relevant to the purpose of the proposal and feasible to be accomplished
during the project period, and the extent to which these are specific
and measurable. The extent to which the applicant has included
objectives which are feasible to be accomplished during the budget
period, and which address all activities necessary to accomplish the
purpose of the proposal. The extent to which the objectives are
specific, timeframed, and measurable. The extent to which the
applicant's intention to undertake related injury demonstration
projects, should additional funds become available is documented.
C. Methods (30%)
The extent to which the applicant provides a detailed description
of proposed activities which are likely to achieve each objective and
overall program goals and which includes designation of responsibility
for each action undertaken. The extent to which the applicant provides
a reasonable and complete schedule for implementing all activities. The
extent to which roles of each unit, organization, or agency are
described, and coordination and supervision of staff, organizations and
agencies involved in activities is apparent. The extent to which
documentation of program organizational location is clear, and shows a
coordinated relationship among injury-related components forming the
applicant's injury prevention program. The extent to which position
descriptions, CVs, and lines of command are appropriate to
accomplishment of program goals and objectives. The extent to which
concurrence with the applicant's plans by all other involved parties,
including consultants, is specific and documented.
D. Evaluation (30%)
The extent to which the proposed evaluation system is detailed and
will document program process, effectiveness, impact, and outcome and,
if applicable, measure surveillance system sensitivity, timeliness,
representativeness, predictive value positive, and ability to detect
the impact of specific intervention on morbidity, mortality, severity,
disability, and cost of related injuries. The extent to which the
applicant demonstrates potential data sources for evaluation purposes,
and documents staff availability, expertise, and capacity to perform
the evaluation. The extent to which a feasible plan for reporting
evaluation results and using evaluation information for programmatic
decisions is included. The extent to which a description of how CDC/
NCIPC-developed evaluation guidelines (if applicable) will be utilized
is included.
E. Collaboration (15%)
The extent to which relationships between the program and other
organizations, agencies, and health department units that will relate
to the program or conduct related activities are clear, complete and
provide for complementary or supplementary working interactions. The
extent to which coalition (if any) membership and roles are clear and
appropriate. The extent to which relationships with the Governors
Office of Highway Safety, public safety officials, or Maternal and
Child Health (MCH) (if applicable), and Injury Control Research
Center's (ICRC's) or local academic institutions are completely
described, are activity-specific, and show evidence of specific
support. The extent to which relationships with local communities, if
intervention activities are to be carried out there, are completely
described, are activity-specific and show evidence of specific support.
F. Budget and Justification (not weighted)
The extent to which the applicant provides a detailed budget and
narrative justification consistent with stated objectives and planned
program activities.
Note: At the request of the applicant, Federal personnel may be
assigned to a program area in lieu of a portion of the financial
assistance.
Executive Order 12372 Review
Applications are subject to Intergovernmental Review of Federal
Programs as governed by Executive Order (E.O.) 12372. E.O. 12372 sets
up a system for State and local government review of proposed Federal
assistance applications. Applicants should contact their State Single
Point of Contact (SPOC) as early as possible to alert them to the
prospective applications and receive any necessary instructions on the
State process. For proposed projects serving more than one State, the
applicant is advised to contact the SPOC of each affected State. A
current list of SPOCs is included in the application kit. If SPOCs have
any State process recommendations on applications submitted to CDC,
they should forward them to Henry S. Cassell, III, Grants Management
Officer, Grants Management Branch, Procurement and Grants Office,
Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry
Road, NE., Room 300, Mailstop E-13, Atlanta, Georgia 30305, no later
than 30 days after the application deadline date. (A waiver for the 60-
day requirement has been requested.) The granting agency does not
guarantee to ``accommodate or explain'' for 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 Number
The Catalog of Federal Domestic Assistance Number is 93.136.
Other Requirements
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.
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
form provided in the application kit.
Application Submission and Deadline
The original and two copies of the application PHS Form 5161-1 must
be submitted to Henry S. Cassell, III, Grants Management Officer,
Grants Management Branch, Procurement and Grants Office, Centers for
Disease Control and Prevention (CDC), 255 East Paces Ferry Road, NE.,
Room 300, Mailstop E-13, Atlanta, Georgia 30305, on or before August 1,
1994.
1. Deadlines:
Applications shall be considered as meeting the deadline if they
are either:
a. Received on or before the deadline date; or
b. Sent on or before the deadline date and received in time for
submission to the independent review committee. For proof of timely
mailing, 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. Late applications will not be considered in the
current competition and will be returned to the applicant.
Where to Obtain Additional Information
A complete program description, information on application
procedures, an application package, and business management technical
assistance may be obtained from Georgia Jang, Grants Management
Specialist, Grants Management Branch, Procurement and Grants Office,
Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry
Road, NE., Mailstop E-13, Atlanta, Georgia 30305, telephone (404) 842-
6634. Programmatic assistance may be obtained from James S. Belloni,
M.A., National Center for Injury Prevention and Control, Centers for
Disease Control and Prevention (CDC), 4770 Buford Highway, NE.,
Mailstop F-36, Atlanta, Georgia 30341-3724, telephone (404) 488-4400.
Please refer to Announcement Number 483 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) through the Superintendent
of Documents, Government Printing Office, Washington, DC 20402-9325,
telephone (202) 783-3238.
Dated: June 29, 1994.
Arthur C. Jackson,
Associate Director for Management and Operations, Centers for Disease
Control and Prevention (CDC).
[FR Doc. 94-16653 Filed 7-8-94; 8:45 am]
BILLING CODE 4163-18-P