98-18667. Notice of Availability of Funds; Applied Research Program in Emerging Infections Novel Diagnostic Tests for Infections of Public Health Significance  

  • [Federal Register Volume 63, Number 134 (Tuesday, July 14, 1998)]
    [Notices]
    [Pages 37884-37889]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 98-18667]
    
    
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    DEPARTMENT OF HEALTH AND HUMAN SERVICES
    
    Centers for Disease Control and Prevention
    [Announcement Number 99012]
    
    
    Notice of Availability of Funds; Applied Research Program in 
    Emerging Infections Novel Diagnostic Tests for Infections of Public 
    Health Significance
    
    Introduction
    
        The Centers for Disease Control and Prevention (CDC) announces the 
    availability of fiscal year (FY) 1999 funds for competitive grants and/
    or cooperative agreements to support applied research on emerging 
    infections. This announcement addresses the development of novel 
    diagnostic tests for infections of public health significance.
        CDC is committed to achieving the health promotion and disease 
    prevention objectives of Healthy People 2000, a national activity to 
    reduce morbidity and mortality and improve the quality of life. This 
    announcement is related to the priority area of Immunization and 
    Infectious Diseases. (For ordering a copy of Healthy People 2000, see 
    the section WHERE TO OBTAIN ADDITIONAL INFORMATION.)
    
    Authority
    
        This program is authorized under Sections 301(a) and 317(k)(2) of 
    the Public Health Service Act, as amended [42 U.S.C. 241(a) and 
    247b(k)(2)].
    
    Smoke-Free Workplace
    
        CDC strongly encourages all grant recipients to provide a smoke-
    free workplace and to promote the non-use of all tobacco products, and 
    Pub. L. 103-227, the Pro-Children's 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
    
        Applications may be submitted by public and private nonprofit 
    organizations and governments and their agencies. Thus, universities, 
    colleges, research institutions, hospitals, other public and private 
    organizations, including State and local governments or their bona fide 
    agents, federally recognized Indian tribal governments, Indian tribes 
    or Indian tribal organizations.
        Only one application will be accepted from any single applicant, 
    organization, government, or agency in each focus area.
    
    Availability of Funds
    
        Approximately $500,000 is available in FY 1999 to fund two to three 
    awards, ranging from $160,000 to $250,000. It is expected the awards 
    will begin on or about February 1, 1999, and will be made for a 12-
    month budget period within a project period of up to three years. (The 
    funding amounts listed above are for the first 12-month budget period 
    and include both direct and indirect costs.) The funding estimate is 
    subject to change.
        Continuation awards within an approved project period will be made 
    on the basis of satisfactory progress and availability of funds.
        Specifically, applications are solicited for projects addressing 
    any of the following three areas:
    1. Diagnostic Tests of High Sensitivity and Specificity for Use in 
    Clinical Settings
        The objective is to encourage the development of highly sensitive 
    and specific diagnostic tests for infectious disease agents of high 
    public health significance for which such tests are not currently 
    available.
    2. Development and Evaluation of Improved Tests for Malaria Diagnosis 
    in the U.S.
        The objective is to develop and evaluate a malaria diagnostic test 
    that does not require microscopic examination of blood smears and: (a) 
    is at least as sensitive as microscopy (4 parasites per ul. of blood); 
    (b) can detect all 4 known species of human malaria parasites; (c) has 
    a specificity of at least 95 percent; (d) is simple to perform; and (e) 
    can provide results in less than 1 hour.
    3. Diagnostic Tests for Field Use
        The objective is to encourage the development of field tests for 
    infectious disease agents of high public health significance. 
    Attributes sought in these field tests are: low cost; use with 
    noninvasive or easy to collect specimens; short time-to-result; stable 
    reagents; minimum risks to technicians; sensitivity and specificity 
    appropriate for setting.
        Applicants may submit separate applications for projects in one or 
    more of the three focus areas. (See Application Process Section, 
    Application Content area, for detailed instructions.)
    Determination of Which Instrument to Use
        Applicants must specify the type of award for which they are 
    applying, either grant or cooperative agreement. CDC will review the 
    applications in accordance with the evaluation criteria. Before issuing 
    awards, CDC will determine whether a grant or cooperative agreement is 
    the appropriate instrument based upon the need for substantial CDC 
    involvement in the project. To assist applicants in making a 
    determination as to which type of award to apply for, the following 
    information is provided:
    1. Research Project Grants
        A research project grant is one in which substantial programmatic 
    involvement by CDC is not anticipated by the recipient during the 
    project period. Applicants for grants must demonstrate an ability to 
    conduct the proposed research with minimal assistance, other than 
    financial support,
    
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    from CDC. This would include possessing sufficient resources for 
    clinical, laboratory, and data management services and a level of 
    scientific expertise to achieve the objectives described in their 
    research proposal without substantial technical assistance from CDC.
    2. Cooperative Agreements
        A cooperative agreement implies that CDC will assist recipients in 
    conducting the proposed research. The application should be presented 
    in a manner that demonstrates the applicant's ability to address the 
    research problem in a collaborative manner with CDC.
    
    Use of Funds
    
    Restrictions on Lobbying
        Applicants should be aware of restrictions on the use of the 
    Department of Health and Human Services (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 relations, for publicity or 
    propaganda purposes, for the preparation, distribution, or use of any 
    kit, pamphlet, booklet, publication, radio, television, or video 
    presentation designed to support or defeat legislation pending before 
    the Congress or any State legislature, except in presentation to the 
    Congress or any State legislature itself. No part of any appropriation 
    contained in this Act shall be used to pay the salary or expenses of 
    any grant or contract recipient, or agent acting for such recipient, 
    related to any activity designed to influence legislation or 
    appropriations pending before the Congress or any State legislature.
    
    Background
    
        Once expected to be eliminated as a public health problem, 
    infectious diseases remain the leading cause of death worldwide. In the 
    United States (U.S.) and elsewhere, infectious diseases increasingly 
    threaten public health and contribute significantly to the escalating 
    costs of health care.
        In 1992, the Institute of Medicine of the National Academy of 
    Sciences published a report entitled Emerging Infections, Microbial 
    Threats to Health in the United States highlighting the threat of 
    emerging infections and making specific recommendations to address the 
    threat. This report emphasized a critical leadership role for CDC in a 
    national effort to detect and control infectious disease threats.
        In partnership with other Federal agencies, State and local health 
    departments, academic institutions, and others, CDC has developed a 
    plan for revitalizing the nation's ability to identify, contain, and 
    prevent illness from emerging infectious diseases. The plan, 
    ``Addressing Emerging Infectious Disease Threats; A Prevention Strategy 
    for the United States,'' includes applied research as a major 
    objective, stressing the importance of integrating laboratory science 
    and epidemiology to optimize public health practice in the United 
    States (U.S.). CDC has developed an Extramural Applied Research Program 
    in Emerging Infections (EARP) designed to fill gaps in existing support 
    for research in emerging infectious disease surveillance, epidemiology, 
    and prevention. This announcement specifically addresses novel 
    diagnostic methods for infections of public health significance.
        Proposals sought under this announcement may span the range from 
    highly sophisticated, sensitive and specific tests that require a well-
    equipped laboratory and highly trained personnel to robust field tests 
    that are simple, rapid, and can be performed without equipment by 
    minimally trained persons yet provide reliable results. Examples of 
    infections and issues of public health significance to be addressed 
    include, but are not limited to, tuberculosis, malaria, dengue, 
    enterohemorrhagic Escherichia coli other than E. coli O157:H7, 
    antimicrobial resistance (e.g., detecting vancomycin resistance genes 
    in enterococci), and prion disease (e.g., Bovine Spongiform 
    Encephalitis). This announcement focuses on three specific areas:
    1. Diagnostic Tests of High Sensitivity and Specificity for Use in 
    Clinical Settings
        Despite the recent advances in molecular biology and its 
    applications to diagnostics, significant gaps still remain in 
    infectious disease diagnostics. Commercial companies tend to focus in 
    areas of diagnostics that have a potential for high-volume sales of 
    diagnostic kits. Many published methods have not been adequately 
    validated. Sample preparation procedures tend to be complex and time-
    consuming; many of the proposed simple sample preparation methods do 
    not yield consistent results. Applications are encouraged that address 
    these and similar issues and target those infectious agents for which 
    there is clear need for better and more rapid diagnostic methods.
        Polymerase Chain Reaction (PCR) amplification is being used to 
    detect and identify unculturable organisms directly in human clinical 
    specimens, such as blood, urine, cerebrospinal fluid, and tissues 
    obtained by biopsy or at autopsy. Unfortunately, the success rate of 
    this method is quite low when identification is attempted directly from 
    clinical samples. This is due to the presence of PCR inhibitors in 
    blood and other clinical samples and also, in part, to the often low 
    number of organisms in the samples. For PCR amplification tests to 
    become a valuable rapid identification method for uncultured bacteria, 
    the inhibitors must be identified and removed or overcome, and the 
    sensitivity of the method for a wide variety of human pathogenic 
    bacteria in various clinical samples must be determined.
        For many infectious agents, new non-culture methods have been 
    developed that facilitate rapid detection of the pathogen in clinical 
    specimens without its isolation. Because many local, State and Federal 
    surveillance programs depend on the continued availability of 
    pathogenic microorganisms isolated by culture, the Council of State and 
    Territorial Epidemiologists (CSTE) has recently developed a new 
    position statement on this topic. In its position statement, CSTE 
    recommends the Food and Drug Administration require each manufacturer 
    of non-culture tests for infectious agents of public health importance 
    and for which routine characterization (speciation, subtyping or 
    antimicrobial susceptibility testing) provides essential information 
    for public health surveillance or investigation, include in their 
    product insert a statement that positive results must be confirmed by 
    culture. Almost all currently available non-culture
    
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    diagnostic tests require the laboratorian to go back to the original 
    specimen or an enrichment culture to attempt to isolate the pathogen. 
    Public health programs will greatly benefit from rapid non-culture 
    diagnostic methods that have built-in algorithms that facilitate the 
    isolation of the pathogen without having to go back to the specimen or 
    an enrichment broth. Such approaches are feasible in techniques that 
    involve selective removal or immobilization of the target pathogen from 
    the specimen without causing its inactivation.
    2. Improved Tests for Malaria Diagnosis in the U.S.
        Every year, approximately 1,000 cases of malaria are reported in 
    the U.S. Nineteen deaths due to malaria were recorded in the U.S. 
    during the period 1992-1994. Of particular concern, cases of locally-
    transmitted malaria have been reported on practically an annual basis 
    in densely populated areas (New York City, Houston, and Palm Beach 
    County, Florida). The substantial U.S. public health impact of malaria 
    is very likely to increase in the future due to increased international 
    travel combined with a worldwide resurgence of malaria. Available 
    information indicates that malaria diagnosis is not optimally performed 
    in the U.S. In a recent survey of samples sent to CDC's National 
    Malaria Reference Laboratory (NMRL) by various health institutions 
    (including State health departments, hospitals, and commercial 
    laboratories), the diagnosis made by the NMRL differed from that made 
    at the health institution in 21 percent of the samples. This is due 
    mainly to the fact that the internationally accepted method for 
    diagnosing malaria (the microscopic examination of a Giemsa-stained 
    blood smear) requires a degree of microscopy experience that most 
    clinical laboratorians in the U.S. lack due to their infrequent contact 
    with malaria samples.
        One solution to this problem would be a diagnostic test that 
    depends, not on the experience and skills of a microscopist, but on 
    more objective, quantifiable criteria. Several malaria diagnostic tests 
    that follow this approach are currently on the market or in various 
    development phases. Such tests identify malaria parasites by nucleic 
    acid fluorescence or by detecting parasite-specific antigens or 
    enzymes. However, none of these tests satisfy all desirable criteria 
    for a malaria diagnostic tool applicable to clinical laboratory 
    practice in the U.S. Such criteria include: (a) sensitivity at least 
    equal to that of microscopy (4) parasites per ul. of blood); (b) 
    detection of all 4 known species of human malaria parasites; (c) 
    specificity above 95 percent; (d) simplicity of performance; and (e) 
    rapidity of execution (results available in less than 1 hour). In 
    addition, none of these tests have been adequately evaluated under 
    strictly controlled conditions in U.S. health facilities.
    3. Diagnostic Tests for Field Use
        For many infectious agents, there is a critical need for rapid, 
    simple tests that can be performed in the field without access to a 
    sophisticated laboratory and for which minimal sample preparation is 
    required. In the past, many of these tests have been configured on the 
    basis of specific antigen-antibody interactions (e.g., latex 
    agglutination tests, dipstick immunoassays, immunoprecipitation tests) 
    using polyclonal or monoclonal antibodies. However, for the purpose of 
    this announcement, any tests that meet the following criteria will be 
    considered: low cost; use with noninvasive or easy to collect 
    specimens; short time-to-result; stable reagents; minimum risks to 
    technicians; sensitivity and specificity appropriate for setting, and 
    demonstrated need for such tests for the proposed target pathogen.
    
    Purpose
    
        The purpose of the EARP is to provide financial and technical 
    assistance for applied research projects on emerging infections in the 
    U.S. As a component of EARP, the purpose of this grant/cooperative 
    agreement announcement is to provide assistance for projects addressing 
    novel methods for identification of emerging infections.
    
    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 conducting 
    activities under B. (CDC Activities) for cooperative agreements only:
    A. Recipient Activities
    1. Diagnostic Tests of High Sensitivity and Specificity for use in 
    Clinical Settings
        a. Develop diagnostic tests for use in clinical settings for one or 
    more infectious diseases of high public health significance for which 
    such tests do not currently exist or significantly improve an existing 
    test; OR
        b. Develop rapid diagnostic tests for use in clinical settings for 
    one or more infectious diseases of high public health significance. 
    Design the test in such a manner that the etiologic agent may be 
    directly isolated from the matrix that is used for rapid detection of 
    the etiologic agent; OR
        c. Systematically develop optimal conditions for the detection of 
    uncultured bacteria from blood, serum, and other clinical specimens, 
    specifically addressing the problem of inhibition of the polymerase 
    chain reaction by sample components. Complete Phase I evaluation of the 
    diagnostic test in a clinical setting and compare against a method 
    which has been previously validated. Demonstrate that the sensitivity 
    and specificity of the test are significantly better than the current 
    benchmark tests. For a.2. and a.3., demonstrate that the target 
    pathogen can be consistently isolated from clinical specimens.
        d. Organize independently or collaborate with CDC (for cooperative 
    agreements) to organize more extensive Phase II evaluation of the test 
    in multiple laboratories.
        e. Publish and/or otherwise disseminate findings.
    2. Development and Evaluation of Improved Tests for Malaria Diagnosis 
    in the U.S.
        a. Develop a new diagnostic test or improve currently available 
    test(s) that does not require microscopic examination of blood smears 
    and is:
        (1) At least as sensitive as microscopy (4) parasites per ul. of 
    blood).
        (2) Can detect all 4 known species of human malaria parasites.
        (3) Has a specificity of at least 95 percent.
        (4) Is simple to perform.
        (5) Can provide results in less than 1 hour.
        b. Conduct a first phase of evaluation of the new or improved 
    test(s). This should involve testing clinical samples for malaria under 
    blinded conditions and should use mainly samples collected from non-
    human primates experimentally infected with human malaria parasites and 
    malaria-infected human blood samples, both of which can be made 
    available by CDC.
        c. Collaborate with CDC (for cooperative agreements) to conduct 
    field evaluations of the test(s) in endemic countries (e.g. a large-
    scale assessment in a short time period where n > = 500) and in U.S. 
    facilities. (The actual U.S. field testing will likely require a longer 
    time period due to low frequency of malaria and should involve 
    collaboration with State health departments, hospitals, and commercial 
    laboratories.)
        d. Publish and/or otherwise disseminate results.
    
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    3. Diagnostic Tests for Field Use
        a. Develop diagnostic tests for use under field conditions for one 
    or more infectious diseases of high public health significance for 
    which such tests are needed but do not currently exist or significantly 
    improve an existing test.
        b. Complete limited evaluation of the diagnostic test under field 
    conditions and compare against a method which has been previously 
    validated. Demonstrate that the sensitivity and specificity of the test 
    are acceptable and appropriate for use in field settings.
        c. Organize independently or collaborate with CDC (cooperative 
    agreements) to organize more extensive Phase II evaluation of the test.
        d. Publish and/or otherwise disseminate findings.
    B. CDC Activities (for Cooperative Agreements)
        1. Provide technical assistance in the design and conduct of the 
    research.
        2. Perform selected laboratory tests, as appropriate and necessary.
        3. Participate in data management, the analysis of research data, 
    and the interpretation and presentation of research findings.
        4. Provide biological materials (e.g., strains, reagents, etc.) as 
    necessary for studies.
    
    Technical Reporting Requirements
    
        Narrative progress reports are required semiannually. The first 
    semiannual report is required with each year's noncompeting 
    continuation application and should cover program activities from date 
    of the previous report (or date of award for reporting in the first 
    year of the project). The second semiannual report is due along with 
    the Financial Status Report (FSR) (see next paragraph) 90 days after 
    the end of each budget period and should cover activities from the date 
    of previous report. Progress reports should address the status of 
    progress toward specific project objectives and should include copies 
    of any publications resulting from the project.
        An original and two copies of the FSR are required no later than 90 
    days after the end of each budget period. A final performance report 
    and FSR are due no later than 90 days after the end of the project 
    period.
    
    Application Process
    
    1. Pre-Application Letter of Intent
        In order to assist CDC in planning and executing the evaluation of 
    applications submitted under this Program Announcement, all parties 
    intending to submit application(s) are encouraged to inform CDC of 
    their intention to do so as soon as possible but not later than 10 
    business days prior to the application due date. Notification should 
    include: (1) name and address of institution; (2) name, address, and 
    phone number of contact person; and (3) which focus area(s) 
    application(s) will be submitted under. Notification can be provided by 
    facsimile, postal mail, or electronic mail (E-mail) to Bala 
    Swaminathan, Ph.D., National Center for Infectious Diseases, Centers 
    for Disease Control and Prevention (CDC), 1600 Clifton Road, N.E., 
    Mailstop C-7, Atlanta, GA 30333, Facsimile (404) 639-3333, Internet 
    bas5@cdc.gov.
    2. Application Content
        Applicants may apply for assistance for projects in one or more of 
    the three separate focus areas identified under PURPOSE and PROGRAM 
    REQUIREMENTS sections. IF APPLICANT IS APPLYING FOR ASSISTANCE FOR MORE 
    THAN ONE FOCUS AREA, A SEPARATE AND COMPLETE APPLICATION MUST BE 
    SUBMITTED FOR EACH FOCUS AREA AND INDICATE WHETHER APPLYING FOR A GRANT 
    OR COOPERATIVE AGREEMENT.
        All applicants must develop their application(s) in accordance with 
    PHS Form 398, information contained in this grant/cooperative agreement 
    announcement, AND the attached errata sheet instructions. In order to 
    ensure an objective, impartial, and prompt review, applications must 
    conform to these instructions:
    a. General Instructions
        1. The original and five (5) complete copies of the application 
    must be UNSTAPLED and UNBOUND.
        2. ALL pages must be clearly numbered, and a complete index to the 
    application and its appendices must be included.
        3. All typewritten materials must be single-spaced, using a font no 
    smaller than size 12. All supplemental pages of the application (i.e., 
    in addition to the PHS 398 form) must be on the 8 \1/2\'' by 11'' white 
    paper.
        4. All pages must be printed on ONE side only, with at least 1'' 
    margins, headers, and footers.
    b. Special Instructions
        The application narrative must not exceed 10 pages (excluding 
    budget and appendices). Unless indicated otherwise, all information 
    requested below must appear in the narrative. Materials or information 
    that should be part of the narrative will not be accepted if placed in 
    the appendices. The application narrative must contain the following 
    sections in the order presented below. (REMINDER: IF PROPOSING PROJECTS 
    UNDER MULTIPLE FOCUS AREAS, SUBMIT A SEPARATE AND COMPLETE APPLICATION 
    FOR EACH PROJECT AND INDICATE WHETHER APPLYING FOR GRANT OR COOPERATIVE 
    AGREEMENT):
    3. Abstract
        a. Provide a brief (two pages maximum) abstract of the project. 
    Clearly identify:
        1. The specific focus area being addressed;
        2. The project period proposed (not to exceed three years as 
    indicated in AVAILABILITY OF FUNDS section); and
        3. The type of award that is being applied for, grant or 
    cooperative agreement.
    4. Background and Need
        Discuss the background and need for the proposed project. 
    Demonstrate a clear understanding of the background, purpose, and 
    objectives of the focus area.
    5. Capacity and Personnel
        Describe applicant's past experience in conducting activities 
    similar to that being proposed. Describe applicant's resources, 
    facilities, and professional personnel that will be involved in 
    conducting the project. Include in an appendix curriculum vitae for all 
    professional personnel involved with the project. Describe plans for 
    administration of the project and identify administrative resources/
    personnel that will be assigned to the project. Provide in an appendix, 
    letters of support from all key participating non-applicant 
    organizations, individuals, etc. (if any), which clearly indicate their 
    commitment to participate as described in the operational plan. Do not 
    include letters of support from CDC personnel. Letters of support from 
    CDC will not be accepted. Award of a cooperative agreement implies CDC 
    participation as outlined in the PROGRAM REQUIREMENTS section of this 
    announcement.
    6. Objectives and Technical Approach
        Present specific objectives for the proposed project which are 
    measurable and time-phased and are consistent with the Background, 
    Purpose, and Recipient Activities for the specific focus area. Present 
    a detailed operational plan for initiating and conducting the project 
    which clearly and appropriately addresses these objectives (if 
    proposing
    
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    a multi-year project, provide a detailed description of first-year 
    activities and a brief overview of subsequent-year activities). Clearly 
    identify specific assigned responsibilities for all key professional 
    personnel. Include a clear description of applicant's technical 
    approach/methods which are directly relevant to the above objectives. 
    Describe specific study protocols or plans for the development of study 
    protocols. Describe the nature and extent of collaboration with CDC (if 
    proposing a cooperative agreement) and/or others during various phases 
    of the project. Describe in detail a plan for evaluating progress 
    toward achieving process and outcome project objectives.
    7. Budget
        Provide a line-item budget and accompanying detailed, line-by-line 
    justification for the first year of the project that demonstrates the 
    request is consistent with the purpose and objectives of this program. 
    If requesting a multi-year project, provide estimated total budget 
    (direct plus indirect) for subsequent years. If requesting funds for 
    any contracts, provide the following information for each proposed 
    contract: (1) Name of proposed contractor; (2) breakdown and 
    justification for estimated costs; (3) description and scope of 
    activities to be performed by contractor; (4) period of performance; 
    and (5) method of contractor selection (e.g., sole-source or 
    competitive solicitation).
    8. Human Subjects
        Whether or not exempt from DHHS regulations, if the proposed 
    project involves human subjects, describe adequate procedures for the 
    protection of human subjects. Also, ensure that women, racial and 
    ethnic minority populations are appropriately represented in 
    applications for research involving human subjects.
    
    Evaluation Criteria
    
        The applications will be reviewed and evaluated according to the 
    following criteria:
    1. Background and Need (10 Points)
        Extent to which applicant demonstrates a clear understanding of the 
    background, purpose, and objectives of the focus area being addressed. 
    Extent to which applicant demonstrates that the proposed project 
    addresses an emerging infectious disease issue of public health 
    importance.
    2. Capacity (45 Points)
        Extent to which applicant describes adequate resources and 
    facilities (both technical and administrative) for conducting the 
    project. Extent to which applicant documents that professional 
    personnel involved in the project are qualified and have past 
    experience and achievements in research related to that proposed as 
    evidenced by curriculum vitae, publications, etc. If applicable, extent 
    to which applicant includes letters of support from participating non-
    applicant organizations, individuals, etc., and the extent to which 
    such letters clearly indicate the author's commitment to participate as 
    described in the operational plan. If requesting a grant (versus a 
    cooperative agreement), the extent to which applicant demonstrates that 
    they can accomplish the project without substantial technical 
    assistance from CDC.
    3. Objectives and Technical Approach (45 Points Total)
        a. Extent to which applicant describes measurable and time-phased 
    objectives of the proposed project which are consistent with the 
    purpose of the focus area being addressed. (10 points)
        b. Extent to which applicant presents a detailed operational plan 
    for initiating and conducting the project which clearly and 
    appropriately addresses all recipient activities for the specific 
    programmatic focus area being addressed. Extent to which applicant 
    clearly identifies specific assigned responsibilities of all key 
    professional personnel. Extent to which the plan clearly describes 
    applicant's technical approach/ methods for conducting the proposed 
    studies and extent to which the approach/methods are feasible, 
    appropriate, and adequate to accomplish the objectives. Extent to which 
    applicant describes specific study protocols or plans for the 
    development of study protocols that are appropriate for achieving 
    project objectives. Extent to which applicant clearly describes 
    collaboration with CDC (if proposing a cooperative agreement) and/or 
    others during various phases of the project. If the proposed project 
    involves human subjects, whether or not exempt from the Department of 
    Health and Human Services (DHHS) regulations, the extent to which 
    adequate procedures are described for the protection of human subjects. 
    Note: Objective Review Group (ORG) recommendations on the adequacy of 
    protections include: (1) protections appear adequate and there are no 
    comments to make or concerns to raise, or (2) protections appear 
    adequate, but there are comments regarding the protocol, or (3) 
    protections appear inadequate and the ORG has concerns related to human 
    subjects, or (4) disapproval of the application is recommended because 
    the research risks are sufficiently serious and protection against the 
    risks are inadequate as to make the entire application unacceptable, 
    and (5) protections appear adequate that women, racial and ethnic 
    minority populations are appropriately represented in applications 
    involving human research. (30 points)
        c. Extent to which applicant provides a detailed and adequate plan 
    for evaluating progress toward achieving project process and outcome 
    objectives. (5 points)
    4. Budget (not Scored)
        Extent to which the proposed budget is reasonable, clearly 
    justifiable, and consistent with the intended use of grant/cooperative 
    agreement funds.
    
    Executive Order 12372 Review
    
        This program is not subject to Executive Order 12372 Review.
    
    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 93.283.
    
    Other Requirements
    
    Paperwork Reduction Act
        Projects that involve the collection of information from ten or 
    more individuals and funded by the grant/cooperative agreement will be 
    subject to review and approval by the Office of Management and Budget 
    (OMB) under the Paperwork Reduction Act.
    Human Subjects
        If the proposed project involves research on human subjects, the 
    applicant must comply with the Department of Health and Human Services 
    Regulations (45 CFR Part 46) regarding the protection of human 
    subjects. Assurance must be provided to demonstrate that the project 
    will be subject to initial and continuing review by an appropriate 
    institutional review committee. The applicant will be responsible for 
    providing evidence of this assurance in accordance with the appropriate 
    guidelines and form provided in the application kit.
        In addition to other applicable committees, Indian Health Service 
    (IHS) institutional review committees also must review the project if 
    any
    
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    component of IHS will be involved or will support the research. If the 
    Native American community is involved, its tribal government must also 
    approve that portion of the project applicable to it.
    Women, Racial and Ethnic Minorities
        It is the policy of the Centers for Disease Control and Prevention 
    (CDC)and the Agency for Toxic Substances and Disease Registry (ATSDR) 
    to ensure that individuals of both sexes and the various racial and 
    ethnic groups will be included in CDC/ATSDR-supported research projects 
    involving human subjects, whenever feasible and appropriate. Racial and 
    ethnic groups are those defined in OMB Directive No. 15 and include 
    American Indian or Alaska Native, Asian, Black or African American, 
    Hispanic or Latino, Native Hawaiian or Other Pacific Islander. 
    Applicants shall ensure that women, racial and ethnic minority 
    populations are appropriately represented in applications for research 
    involving human subjects. Where clear and compelling rationale exist 
    that inclusion is inappropriate or not feasible, this situation must be 
    explained as part of the application. This policy does not apply to 
    research studies when the investigator cannot control the race, 
    ethnicity, and/or sex of subjects. Further guidance to this policy is 
    contained in the Federal Register, Vol. 60, No. 179, pages 47947-47951, 
    and dated Friday, September 15, 1995.
    Animal Subjects
        If the proposed project involves research on animal subjects, the 
    applicant must comply with the ``PHS Policy on Humane Care and Use of 
    Laboratory Animals by Awardee Institutions.'' An applicant organization 
    proposing to use vertebrate animals in PHS-supported activities must 
    file an Animal Welfare Assurance with the Office for Protection from 
    Research Risks at the National Institutes of Health.
    
    Application Submission and Deadline
    
        The original and five copies of each application PHS Form 398 must 
    be submitted to Sharron Orum, Grants Management Officer, Grants 
    Management Branch, Procurement and Grants Office, Centers for Disease 
    Control and Prevention (CDC), 255 East Paces Ferry Road, N.E., Room 
    300, Mailstop E-18, Atlanta, GA 30305, on or before October 1, 1998.
        1. Deadline: 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 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 U.S. Postal Service. Private 
    metered postmarks shall not be acceptable as proof of timely mailing.)
        2. Late Applications: Applications which do not meet the criteria 
    in 1. a. or 1. b. above are considered late applications. Late 
    applications will not be considered and will be returned to the 
    applicant.
    
    Where to Obtain Additional Information
    
        To receive additional written information and to request an 
    application kit, call 1-888-GRANTS (1-888 472-6874). You will be asked 
    to leave your name and address and will be instructed to identify the 
    Announcement number of interest. (Please refer to Announcement Number 
    99012.) You will receive a complete program description, information on 
    application procedures and application forms. If you have questions 
    after reviewing the contents of all the documents, business management 
    technical assistance may be obtained from Oppie M. Byrd, Grants 
    Management Specialist, Grants Management Branch, Procurement and Grants 
    Office, Centers for Disease Control and Prevention (CDC), 255 East 
    Paces Ferry Road, N.E., Room 314, Mailstop E-18, Atlanta, GA 30305, 
    telephone (404) 842-6546, Facsimile (404) 842-6513, Internet 
    oxb3@cdc.gov.
        Programmatic technical assistance may be obtained from Bala 
    Swaminathan, Ph.D., National Center for Infectious Diseases, Division 
    of Bacterial and Mycotic Diseases, Centers for Disease Control and 
    Prevention (CDC), 1600 Clifton Road, N.E., Mailstop C-07, Atlanta, GA 
    30333, Telephone (404) 639-3669, Facsimile (404) 639-3333, Internet 
    bas5@cdc.gov.
        Please refer to Announcement Number 99012 when requesting 
    information regarding this program.
        You may obtain this announcement from one of two Internet sites on 
    the actual publication date: CDC's homepage at http://www.cdc.gov or at 
    the Government Printing Office homepage (including free on-line access 
    to the Federal Register at http://www.access.gpo.gov).
        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.
    
        Dated: July 8, 1998.
    John L. Williams,
    Director, Procurement and Grants Office, Centers for Disease Control 
    and Prevention (CDC).
    [FR Doc. 98-18667 Filed 7-13-98; 8:45 am]
    BILLING CODE 4163-18-P
    
    
    

Document Information

Published:
07/14/1998
Department:
Centers for Disease Control and Prevention
Entry Type:
Notice
Document Number:
98-18667
Dates:
CDC's homepage at http://www.cdc.gov or at the Government Printing Office homepage (including free on-line access to the Federal Register at http://www.access.gpo.gov).
Pages:
37884-37889 (6 pages)
Docket Numbers:
Announcement Number 99012
PDF File:
98-18667.pdf