94-16653. State Injury Intervention Programs; Notice of Availability of Funds for Fiscal Year 1994  

  • [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]
    
    
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    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
    
    
    

Document Information

Published:
07/11/1994
Department:
Centers for Disease Control and Prevention
Entry Type:
Uncategorized Document
Document Number:
94-16653
Pages:
0-0 (1 pages)
Docket Numbers:
Federal Register: July 11, 1994, Announcement Number 483