[Federal Register Volume 59, Number 180 (Monday, September 19, 1994)]
[Unknown Section]
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From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-23135]
[[Page Unknown]]
[Federal Register: September 19, 1994]
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Part IV
Office of Management and Budget
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Cumulative Report on Rescissions and Deferrals; Notice
OFFICE OF MANAGEMENT AND BUDGET
Cumulative Report on Rescissions and Deferrals
September 1, 1994.
This report is submitted in fulfillment of the requirement of
Section 1014(e) of the Congressional Budget and Impoundment Control Act
of 1974 (Public Law 93-344). Section 1014(e) requires a month report
listing all budget authority for this fiscal year for which, as of the
first day of the month, a special message has been transmitted to
Congress.
This report gives the status of 65 rescission proposals and 12
deferrals contained in six special messages for FY 1994. These messages
were transmitted to Congress on October 13, November 1, and November
19, 1993; and on February 7, May 2, and June 8, 1994.
Rescissions (Attachments A and C)
As of September 1, 1994, 65 rescission proposals totaling $3,172.2
million had been transmitted to the Congress. Congress approved 45 of
the Administration's rescission proposals in P.L. 103-211. A total of
$1,286.7 million of the rescissions proposed by the President was
rescinded by that measure. There are no rescission proposals pending
before the Congress. Attachment C shows the status of the FY 1994
rescission proposals.
Deferrals (Attachments B and D)
As of September 1, 1994, $1,199.6 million in budget authority was
being deferred from obligation. Attachment D shows the status of each
deferral reported during FY 1994.
Information From Special Messages
The special messages containing information on the rescission
proposals and deferrals that are covered by this cumulative report are
printed in the Federal Register cited below:
58 FR 54256, Wednesday, October 20, 1993
58 FR 59517, Tuesday, November 9, 1993
58 FR 63264, Tuesday, November 30, 1993
59 FR 7122, Monday, February 14, 1994
59 FR 24006, Monday, May 9, 1994
59 FR 32068, Tuesday, June 21, 1994
Alice M. Rivlin,
Acting Director.
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Part VI
Department of Health and Human Services
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National Institutes of Health
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National Institutes of Health Acquired Immunodeficiency Syndrome (AIDS)
Research Loan Repayment Program; Notice
DEPARTMENT OF HEALTH AND HUMAN SERVICES
National Institutes of Health
RIN 0905-ZA59
National Institutes of Health Acquired Immunodeficiency Syndrome
(AIDS) Research Loan Repayment Program
AGENCY: National Institutes of Health, Public Health Service, HHS
ACTION: Notice.
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SUMMARY: The National Institutes of Health (NIH) announces the
availability of educational loan repayment under the National
Institutes of Health Acquired Immunodeficiency Syndrome (AIDS) Research
Loan Repayment Program. The Program, which is authorized by section
487A of the Public Health Service (PHS) Act (42 U.S.C. 288-1), as added
by the Health Omnibus Programs Extension Act of 1988 (Pub. L. 100-607)
and amended by the National Institutes of Health Revitalization Act of
1993 (Pub. L. 103-43), provides for the partial repayment of the
accumulated educational loan debt of health professionals who agree to
conduct, as employees of the NIH, research with respect to AIDS. The
Program provides for the repayment of up to $20,000 of the principal
and interest of the educational loans of such health professionals for
each year of obligated service. The purpose of the program is the
recruitment and retention of highly qualified health professionals
conducting AIDS research as NIH employees. The NIH, through this
notice, invites health professionals interested in engaging in AIDS
research as NIH employees to apply for participation in the NIH AIDS
Research Loan Repayment Program.
DATES: Interested persons may request information about the Program
beginning on September 19, 1994.
ADDRESSES: Information regarding the requirements and application
procedures for the Program may be obtained by calling or writing: Mr.
Marc Horowitz, Director, NIH AIDS Research Loan Repayment Program,
Office of AIDS Research, National Institutes of Health, Federal
Building, Suite 102, 7550 Wisconsin Avenue, Bethesda, Maryland 20892-
9905 (1-800-528-7689).
SUPPLEMENTARY INFORMATION: The National Institutes of Health
Revitalization Act of 1993 (Public Law 103-43) was enacted on June 10,
1993, amending section 487A of the Public Health Service (PHS) Act (42
U.S.C. 288-1). Section 487A directs the Secretary to continue a program
of entering into agreements with appropriately qualified health
professionals under which such health professionals agree to conduct,
as employees of the NIH, research with respect to acquired
immunodeficiency syndrome (AIDS) in consideration of the Federal
Government agreeing to repay, for each year of service, not more than
$20,000 of the principal and interest of the educational loans of such
health professionals. This program is known as the NIH AIDS Research
Loan Repayment Program.
Under the Program, the NIH will repay qualified educational loan
debt incurred by health professionals to pay for their undergraduate,
graduate, and/or medical educational expenses. Upon application,
individuals must have total qualified debt which will exceed 20% of
their anticipated annual NIH salary (``debt threshold'') on the date of
program eligibility. Half of this debt threshold amount will not be
repaid by the Program and will remain the obligation of the
participant.
The remaining repayable debt of qualified health professionals will
be satisfied at the rate of one-third per year, subject to a statutory
limit of $20,000 per year, for each year of obligated service EXCEPT
for individuals with repayable debt equal to or less than $10,000.
These individuals will receive repayment of their repayable debt at the
rate of one-half per year. Obligated service requires individuals
selected to participate in the Program to agree to serve at least 2
years as an NIH employee engaged in qualified AIDS research.
Participants may apply for renewal contracts in one-year increments to
satisfy their remaining repayable debt.
In return for the repayment of their educational loans,
participants must agree to (1) Engage primarily in qualified AIDS
research as employees of the NIH for a minimum period of 2 years; (2)
make payments to lenders on their own behalf for periods of Leave
Without Pay (LWOP); (3) pay monetary damages as required for breach of
contract; and (4) satisfy other terms and conditions of the Program's
contract and application procedures. Applicants must submit a signed
contract, prepared by the NIH, agreeing to obligated service at the
time they apply for consideration under the Program. Substantial
monetary penalties will be imposed for breach of contract.
Since program participation is contingent upon employment with the
NIH, an individual who wishes to apply must obtain a written commitment
from an Institute, Center, or Division (ICD) Personnel Office of the
NIH to be employed in a qualified AIDS research position. Current
deadlines, sources for assistance, and additional details regarding
application procedures are published in an annual Applicant Information
Bulletin which is available from the Director, AIDS Research Loan
Repayment Program.
The Loan Repayment Committee (LRC), whose members are appointed by
the Director, NIH, review, rank, and approve or disapprove the
scientific portions of Loan Repayment Program applications. The LRC is
composed of NIH scientific staff and chaired by the Associate Director
for AIDS Research, NIH. Review and selection of applications for
approval is based upon the following:
(1) The appropriateness of the research assignment to qualified
AIDS research;
(2) The scientific merit of the research assignment; and
(3) The credentials of both applicant and supervisor and other
criteria the Secretary deems appropriate.
Initial contracts will be executed to cover a two-year service
period. At the conclusion of this initial contract, participants may be
recommended for a one-year renewal contract, subject to review of their
AIDS research accomplishments. These continuation contracts may be
approved on a year-to-year basis. Funding of all contracts is
contingent upon appropriation and/or allocation of funds from the U.S.
Congress and/or the NIH.
The NIH will repay lenders for the principal, interest, and related
expenses (such as the required insurance premiums on the unpaid
balances of some loans) of qualified Government (Federal, State, local)
and commercial educational loans obtained by participants for the
following:
(1) Undergraduate, graduate, and health professional school tuition
expenses;
(2) Other reasonable educational expenses required by the school(s)
attended, including fees, books, supplies, educational equipment and
materials, and laboratory expenses; and
(3) Reasonable living expenses, including the cost of room and
board, transportation and commuting costs, and other reasonable living
expenses as determined by the Secretary.
Repayments will be authorized quarterly for direct payment to
lenders, following receipt of (1) The supervisor's verification of
completion of the prior period of obligated service and (2) lender
verification of the crediting of prior loan repayments, including the
resulting account balances and current account status. The NIH will
repay loans in the following order unless significant savings would
result from repaying loans in a different priority order:
(1) Health Education Assistance Loans (HEAL);
(2) Other loans guaranteed by the Federal Government; and
(3) Other qualifying loans.
The following loans are NOT repayable under the Program:
(1) Loans not obtained from a Government entity or commercial
lending institution, such as loans from friends and relatives, or other
private individuals;
(2) Loans for which contemporaneous documentation is not available;
and
(3) Loans, or those portions of loans, obtained for educational or
living expenses which exceed a ``reasonable'' level as determined by a
review of the standard school budget for the year in which the loan was
made.
In addition, for other programs which provide loans, scholarships,
loan repayments, or similar awards in exchange for a future service
obligation, the NIH will NOT repay any sums that may result from
failure to serve as required or conversion of the obligation to a loan
under these programs. This includes, but is not limited to the
following:
(1) Physicians Shortage Area Scholarship Program;
(2) National Research Service Award Program;
(3) Public Health Service and National Health Service Corps
Scholarship Programs;
(4) Armed Forces (Army, Navy, or Air Force) Health Professions
Scholarship Programs; and
(5) Indian Health Service Scholarship Program.
Finally, payments will not be made under the Program for loans
which participants have already repaid, delinquent loans, loans in
default, loans not current in their payment schedule, or loans for
which promissory notes have been signed after the program eligibility
date. During lapses in loan repayments, due either to administrative
complications or a break in service, Program participants are wholly
responsible for making payments or other arrangements which maintain
loans in a current payment status such that increases in either
principal or interest do not occur. Penalties assessed participants as
a result of NIH administrative complications may be considered for
reimbursement.
Activities Constituting AIDS Research
The following parameters define whether a proposed research
assignment meets the criteria for coverage under the NIH AIDS Research
Loan Repayment Program--that is, whether the incumbent will be
``primarily'' engaged in AIDS research. ``Primarily'' engaged in AIDS
research is defined as AIDS research activities that constitute at
least 80% of a researcher's time. Clinical Associates, whose intent is
to primarily engage in AIDS research, must engage in qualified AIDS
research for at least three months in the first year of their program,
with a total of fifteen months of qualified AIDS research during their
two-year contract. AIDS researchers include registered nurses who are
principal or associate investigators in AIDS research studies.
(1) AIDS research includes studies of the human immunodeficiency
virus (HIV), the pathophysiology of HIV infection, the development of
models of HIV infection and its sequelae, cofactors predisposing to HIV
infection and AIDS, or its sequelae, and the development of vaccines
and therapeutics. Specifically, the following research activities are
included:
a. Studies of HIV and related retroviruses;
b. Studies of the mechanism(s) by which HIV and related
retroviruses establish infection and infect host cells;
c. Studies of the mechanism(s) by which HIV and related
retroviruses cause disease, including studies of the immune deficiency
induced by HIV and related retroviruses;
d. Studies of the pathophysiology of host response to HIV
infection;
e. Studies of in vivo or in vitro models of human HIV infection and
its sequelae;
f. Epidemiologic studies of HIV and related retrovirus infection;
g. Clinical trials involving prophylaxis or therapy for HIV
infection or its sequelae;
h. Preclinical studies aimed at the development of therapy for or
prevention of HIV infection and the immunodeficiency caused by HIV
infection and its sequelae;
i. Cofactors predisposing to acquiring HIV infection and/or the
progression of HIV-related disease;
j. Basic studies and clinical trials involving vaccines, or other
immunological or chemotherapeutic interventions for the prevention of
HIV infection and its sequelae;
k. Studies into the transmission of HIV involving high risk
behaviors and research concerning the interruption of transmission by
behavioral change and pharmacologic intervention; and
l. Basic studies of the societal impact of and response to the HIV/
AIDS epidemic, including subgroups within the population.
(2) AIDS researchers include scientists who are intellectually
engaged in the process of providing scientific direction and guidance
in programs of original AIDS research, specifically, epidemiologists,
statisticians, and others who are involved in the design and conduct of
research studies. The duties of such scientists may include the
generation and design of studies and collation and analysis of data;
and/or the preparation and publication, as author or co-author, of
studies in peer-reviewed journals.
(3) AIDS researchers include physicians and registered nurses who
are providing care for HIV-infected individuals who are subjects of
HIV-related research.
Eligibility Criteria
Specific eligibility criteria with regard to participation in the
NIH AIDS Research Loan Repayment Program include the following:
(1) Participants must be U.S. citizens, nationals, or permanent
residents;
(2) Participants must have a Ph.D., M.D., D.O., D.D.S., D.M.D.,
D.V.M., B.S.N. or A.D.N., or equivalent degree;
(3) Participants must have qualifying educational debt in excess of
20 percent of their annual NIH salary at their expected date of program
eligibility. In the case of U.S. Commissioned Corps employees, their
NIH salary includes base pay plus quarters, subsistence, and variable
housing allowances. Special and bonus pays, such as board certified,
contract, and variable incentive pays, are not considered in the LRP's
calculation of salary. For those employed under the Civil Service
General Schedule, salary does not include Physicians Comparability
Allowances (PCAs). However, PCA recipients who are accepted into the
LRP will have their PCAs reduced by the amount of loan repayments to be
received. The expected date of program eligibility is the date by which
the following conditions will be met: (a) An applicant agrees to begin
qualified AIDS research as a NIH employee, and (b) the Secretary is
expected to execute their LRP contract;
(4) Participants must be considered employees of the NIH. The
following are among those NOT considered NIH employees: (a) Visiting
fellows (i.e. foreign scientists), (b) Intramural Research Training
Award (IRTA) recipients, (c) National Research Service Award (NRSA)
recipients, (d) Guest Researchers or Special Volunteers, (e) NIH-
National Research Council (NRC) Biotechnology Research Associates
Program participants, and (f) Intergovernmental Personnel Act (IPA)
participants;
(5) Participants may be appointed under a temporary or permanent
employment mechanism, so long as their employment in an LRC-approved
AIDS research assignment has the potential to last a minimum of 2
years;
(6) Individuals with existing service obligations to Federal,
State, or other entities will not be considered for the Program unless
and until the existing service obligation is discharged or deferred for
the length of Program participation;
(7) Applicants will not be excluded from consideration under the
Program on the basis of age, race, culture, religion, gender,
disability, or other non-merit factors.
Additional Program Information
This program is not subject to the provisions of Executive Order
12372, Intergovernmental Review of Federal Programs.
This program is subject to OMB clearance under the requirements of
the Paperwork Reduction Act of 1980. A Request for OMB Review and
Approval of information collection associated with the program is being
prepared by the NIH.
The Catalog of Federal Domestic Assistance number for the Program
is 93.936.
Dated: June 17, 1994.
Ruth L. Kirschstein,
Deputy Director, NIH.
[FR Doc. 94-23135 Filed 9-16-94; 8:45 am]
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