. Department of Health and Human Servces 
OFFICE OF 
INSPECTOR GENERAL 
INJURY CONTROL 
.. SERVfC't.. 
Richard P. Kusserow 
INSPECTOR GENERA 
b'''d'3'a  NOVEMBER 1991  OFFCE OF INSPECTOR GENERA 
The mission of the Offce of Inspector General (OIG), as mandated by Public Law 95-
452, as 
amended, is to protect the integrty of the Department of Health and Human Servces' (HHS)
programs as well as the health and welfare of beneficiaries served by those programs. This 
statutory mission is carried out through a nationwide network of audits, investigations, and 
inspections conducted by three OIG operating components: the Offce of Audit Services, the 
Offce of Investigations, and the Offce of Evaluation and Inspections. The OIG also informs 
the Secretary of HHS of program, and management problems, and recommends courses to 
correct them. 
OFFCE OF AUDIT SERVICE 
. The DIG' s Office of Audit Servces (OAS) provides all auditing servces for HHS, either by 
conducting audits with its own audit resources or by overseeing audit work done by others. 
Audits examine the performance of HHS programs and/or its grantees and contractors in 
carryng out their respective responsibilities and are intended to provide independent 
assessments of HHS programs and operations in order to reduce waste, abuse, and 
mismanagement and to promote economy and effciency throughout the Department. 
INTIGATIONS 
OFFICE OF 
The OIG's Offce of Investigations (01) conducts crinal, civil, and administrative 
investigations of allegations of wrongdoing in HHS programs or to HHS beneficiaries and of 
unjust enrichment by providers. The investigative efforts of 01 lead to criminal convictions 
administrative sanctions, or civil money penalties. The 01 also oversees State Medicaid fraud 
control units which investigate and prosecute fraud and patient abuse in the Medicaid program. 
AN 
OFFICE OF EVALUATION  INSPECTONS 
The OIG's Office of Evaluation and Inspections (OEI) conducts short-term management and 
program evaluations (called inspections) that focus on issues of concern to the Department 
the Congress, and the public. The findings and recmmendations contained in these inspection 
reports generate rapid, accurate, and up-to-date information on the effciency, vulnerability, 
and effectiveness'of departmental programs. This report was prepared in the New York 
Regional Offce under the direction of Regional Inspector General Thomas F. 
Tully. Project 
staff included: 
Joseph J. Corso Jr, Project Leader 
Joseph Benkoski 
Lucille M. Cop

Mary Beth Clarke, Headquarters
 '"  '''
Department of Health and Human Servces 
OFFICE OF 
INSPECTOR GENERAL 
INJURY CONTROL 
.. SERVrCt.. 
Richard P. Kusserow 
INSPECTOR GENERA 
;f1fd:m 
OEI-02-92-00310  EXECUTIVE  SUMMAR Y

PURPOSE 
To determine the nature and extent of possible overlap between the injury control 
program administered by the Centers for Disease Control (CDC) and other such 
programs within or outside the Department of Health and Human Servces (DHHS). 
BACKGROUND 
This inspection was requested by the Secretary of DHHS. 
The CDC's injury control program is operated by its Division of Injury Control (DIC) 
within the Center for Environmental Health and Injury Control. The DIC works to 
prevent mortality, morbidity and disability due to injuries outside the workplace, with 
assistance from the Secretary s Advisory Committee for Injury Prevention and Control. 
The CDC also has primary Federal responsibility for dealing with injuries in the 
workplace through its National Institute of Occupational Safety and Health. 
The DIC's mission is accomplished through extramural and intramural research 
programs and coordination with other Federal, State and private-sector agencies. Its 
FY 1991 budget was just over $24 millon, about $16 million of which was used for 
funding and admistering extramural injury research and intervention in a wide 
variety of areas. Today, injury is the leading cause of death among persons 1-44 years 
old in the United States and the fourth leading cause in the total population 
according to the CDC. As a result, injury is seen by CDC as the principal public 
health problem in America today. 
METODOLOGY 
Following preliminary discussions with representatives of CDC and DIC, we conducted 
structured personal and telephone intervews with a total of 25 representatives of 
Federal and non-Federal agencies and organizations outside DIC and CDC. These 
respondents were chosen because most of them represent their agencies and 
s Advisory Committee for Injury Prevention and 
organizations on the Secretary 
Control or have close ties to the injury control community. We also collected 
documents on the statutory authority of DIC and other public agencies to perform or 
fund related research. We examined budget documents from those agencies for the 
last few years; reviewed mission statements, grants and annual reports; and identified 
and verified the use of procedures to prevent overlap. In addition, we obtained their 
perceptions as to whether DIC's injury prevention and control activity overlapped with 
their own agency s efforts or with that of organizations other than their own. We 
asked whether DIC was carrng out leadership and coordination roles in the injury 
control community and how well they were being carred out. Lastly, it should be  noted that it was not our intent to assess the effectiveness of DIC's injury control 
program and such perceptions and documents were not gathered. 
FIINGS 
OVE 
AUTORI 
SOME  EXISTS IN TI LEGISLATI  OF DIC 
OTIR FEDERA AGENCI 
The legislative authority of DIC spans the general area of injury, 
while the 
legislative authorities of other agencies call for broad research or research related to 
specific subject areas or groups. 
TI 
DIC AN OTIR FEERA AGENCI AR BOTH WORKG IN 
GENE 
SOME 
The DIC promotes research and intervention in various areas, including suicide and 
homicide, family violence, vehicle crashes, alcohol-related injuries, farm-related 
injuries, falls among the elderly, head and spinal cord injuries, house fires and 
drownings. Other Federal agencies' research activity includes many of the same areas 
in which DIC is also working. 
HOWEVER, NO DUPLICATION OF EFFORT WAS FOUN WI REGAR 
TO SPECIC PROJECT 
Although there was not sufficient time to thorougWy review every injury-related 
project funded by DIC and the other Federal agencies, there was no duplication of 
effort found with regard to specific projects in the documents we received from them. 
The other Federal agencies also report that there has been no duplication of effort 
with regard to specific projects. 
TI 
AN LEERSHI  THT 
DIC PLAYS A COORDINATION  ROLE 
COMM 
VALUED IN TI INJUY CONTOL 
Documents reviewed, as well as information from respondents, indicate that within the 
injury control community, DIC is performing well-received roles in coordinating injury 
prevention and control research, and in providing leadership in that community. Most 
respondents believe the absence of DIC would have a major and negative impact on 
their agencies and on the injury control community in general.  TABLE OF CONTENTS 
SUMMARY 
EXECUTE 
INODUCTON .......................................................................................... 
Purose ...................................................................................................... 
Background ........................................................................................... 
Methodology ....................................................................................... 
FIINGS ................................................................................................ 
APPENDIX A .............................................................................................A- INTRODUCTION
PUROSE 
To determne the nature and extent of possible overlap between the injury control 
program administered by the Centers for Disease Control (CDC) and other such 
programs within or outside the Department of Health and Human Servces (DHHS).
BACKGROUN 
This inspection was requested by the Secretary of DHHS.
The CDC's injury control program is operated by its Division of Injury Control (DIC) 
as part of the Center for Envionmental Health and Injury Control. The DIC works 
to prevent mortality, morbidity and disability due to injuries outside the workplace 
with assistance from the Secretary s Advisory Committee for Injury Prevention and 
Control. The Committee was established and chartered by the Secretary on October 
, 1988. The CDC also has priary Federal responsibilty for dealing with injuries in 
the workplace through its National Institute of Occupational Safety and Health. 
The DIC's mission is accomplished through extramural and intramural research 
programs and coordination with other Federal, State and private-sector agencies. Its 
FY 1991 budget was just over $24 millon, about $16 milion of which was used for 
funding and administerig extramural injury research and intervention in a wide 
variety of areas. Ths is achieved in part through 37 Injury Control Research Project 
Grants, 8 Injury Control Research Centers in universities and 2 research project 
program grants. In addition, DIC funds 15 State/local capacity-building grants, 7 injury 
surveilance grants and 6 intervention incentive grants. The intramural activities focus 
on injury surveilance, technical assistance for investigations of injury outbreaks or 
clusters and epidemiologic analysis of priority injury problems. 
in;wv as a vu  th vroTl 
The  evolvif! verevtion  of 
, there was a perception that injuries were caused by accidents 
Prior to the 1960s
which occurred suddenly and usually unexpectedly. They were seen as random events 
and even public health offcials felt that they were caused by carelessness or even 
questionable behavior. The evolution of thought since that time has demonstrated 
that health care practitioners can use the same epidemiological techniques for injury 
control as with infectious diseases. Today, injury is the leading cause of death among 
persons 1-44 years old in the United States and the fourth leading cause in the total 
population, according to the CDC. The total lifetime cost to the nation of injury is 
estimated by CDC to have been $180 bilion for 1988. Over half the cost comes from 
injuries related to motor vehicles and falls.  The recent history of the iniurv control program 
In 1983, the Department of Transportation s (DOT) National Highway Traffic Safety 
Administration (NHSA) worked with Congress to obtain authorization for DOT to 
request a study of trauma by the National Academy of Sciences. The study sought to 
determine what was known about injury, what future research needs were and what 
the Federal government could do to increase and improve knowledge of injury. The 
Committee on Trauma Research of the National Research Council's Commission on 
Life Sciences was established in collaboration with the Institute of Medicine to conduct 
the study. Its 1985 report Iniury in America  stated that injury was the leading public 
health problem in America. However, although injuries were responsible for the loss 
of more economically productive years of lie than cancer and heart disease combined 
the Federal expenditure for research in injury control, about $25 millon in Fiscal Year 
1983 , was about one-tenth that for cancer and less than one-fifth that for heart disease 
and stroke. 
The Commttee concluded that the mortality, morbidity and disabilty 
associated with 
injury could be reduced if adequate funding, direction and support were given to injury 
research and control. The lack of focus of existing research activity and resources was 
seen as a major impediment. The Committee said: 
Injury research is fragmented, diffse, and insufficiently 
organied and administered. Resources are not allocated 
on the basis of any overall assessment of need and 
feasibility of achievig new knowledge and technology. 
The potential is high for duplication of effort. There is no 
leadership or oversight to avoid inappropriate duplication. 
To remedy this problem, the Committee reco=ended the following: 
A new agency of the federal governent, the Center 
for Injury Control (CIC), should be established in 
the Centers for Disease Control (CDC) to administer 
the planng, solicitation, funding, and evaluation 
of coordinated research and development directed at 
control of injury. 
develovment and fuinf! of in;ur control at CDC 
The 
, Congress responded to the report by appropriating $10 milion for the DOT 
In 1986
to initiate a three' year pilot project to develop injury control programs. Research and 
extramural grants were to be coordinated through the CDC. P.L. 99-649, the Injury 
Prevention Act of 1986, amended the Public Health Servce Act (PHSA), officially 
placing an injury control program in CDC. Up to $2 miIlon of the $10 milion from 
DOT was used to establish the program in CDC, with the remaining funds designated  ---------
for grants on trauma research. Half of the research fuding was to be made avaiable 
only with the specifc concurrence of NHSA. 
The breakdown of actual funding for injury control from DHHS\CDC and DOT 
budgets coverig Fiscal Years 1986 through 1991, is as follows: 
FY 1986  $ 1 000 000  DHHS\CDC 
785 000  DOT 
FY 1987  $ 1 279 000  DHHS\CDC 
065 000  DOT 
FY 1988  $ 2 936 000  DHHS\CDC 
383 000  DOT 
FY 1989  $20 777 000  DHHS\CDC 
946 000  DOT 
FY 1990  $22,660 000  DHHS\CDC 
000  DOT 
FY 1991  $24 036 000  DHHS\CDC 
DOT 
TOTAL 
$72 688 000  DHHS\CDC 
194 000  DOT 
$100 882 000 
The  Injurv Control Act of 1990 (P.L. 101-558), was passed in November 1990 and 
reauthoried funding through FY 1993. Section 
393 of the PHSA requires that the 
Secretary submit, no later than September 30, 1992, an injury research activities report
to the Congressional Commttees on Energy and Commerce of the House of 
Representatives and Labor and Human Resources of the Senate. The 
report would
include inormation regarding the practical applications of research conducted and 
funded by DIe. 
MEODOLOY 
Followig prelimary discussions with representatives of CDC and DIC
, we conducted
structured personal and telephone intervews with a total of 25 representatives of 
Federal and non-Federal agencies and organiations outside DIC and CDe. 
These
respondents were chosen because most of them represent their agencies and 
organitions on the Secretary s Advisory Commttee for Inury Prevention and
Control, or are members of, or have close ties to, the injury control community. 
From the non-Federal sector, the group included 11 respondents representing the
General Motors Research Laboratory, George Washigton University, the 
University
of Oklahoma, The Jewish HeaIthcare Foundation, Youth Development, Inc., ICF, Inc.  the National Academy of Science, the Association of State and Territorial Health
Officials and three Injury Control Research Centers. The 14 Federal respondents
represent 11 agencies within three Federal departments and the Federal Consumer
Product Safety Commission. The agencies and Commission are listed in Table 1
below.
We collected and reviewed documents on the statutory authority of DIC and other
public agencies to perform or fund related research. We also examined budget
documents from those agencies for the last few years; reviewed mission statements 
grants and annual reports; and identifed and verified the use of procedures to prevent 
overlap.
In addition, we also obtained the perceptions of both Federal and non-Federal 
respondents as to whether DIC's injury prevention and control activity overlapped with 
their own agency s efforts or with that of organiations other than their own. We also 
carg 
asked whether DIC was  out leadership and coordination roles in the injury 
control community and how well they carred them out. 
While the individuals representing the non-
Federal sector had experience with injury 
control activity, they did not always represent organizations directly involved with this 
activity. Consequently, the fidings below are sometimes based on fewer than 25 
respondents because they either lacked sufficient knowledge to offer an opinion or 
some questions did not apply. 
Lastly, it should be noted that it was not our intent to assess the effectiveness of DIe's
injury control program and such perceptions and documents were not gathered. FEDERA DEPARTMNTS AN 
, AGENCIES  OPERATING 
TABLE 1 (cid:1)
DIVSIONS CONTACTED AND THEIR ACRONYS 
HU 
AN 
DEPARTMENT OF HEALTH  SERVICES  DHHS
The Anmini.tration for Chdren and Fames:  ACF\ 
The National Center on Child Abuse and Neglect  NCCAN 
The Public Health Servce  PHS
Anmini.tration:  HRSA\
The Health Resource and Servces 
The Maternal and Chid Health Bureau  MCHB
The Health Resources Development Bureau  HRDB
The Alcohol, Drg Abuse, and Menta Health  ADAMHA\ 
nmini.trtion: 
NIA 
The National Institute on Alcohol Abuse and 
Alcoholism
The National Institute of Mental Health  NIMH
The National Intitutes of Health:  NIH
The National Institute on Agig,  NIA
The National Institute of Chid Health and Human  NICHHD
Development
The National Institute of Arhrtis and  NIASD
Musculoskeletal and Ski Diseases
The Indian Health Servce:  IHS\
The Injury Prevention Program  IPP
The Agency for Health Cae Policy and Research  AHCPR 
DEPARTMNT OF EDUCATION
The Ofce of Special Education and Rehabiltation Servces:  OSERS\
The National Institute on Disabilty and  NIDRR
Rehabiltation Research
DEPARTMENT OF TRSPORTATION  DOT
The National Highway Trafc Safety Anmini.tration  NHTSA 
CONSUMER PRODUCT SAFETY COMMISSION  CPSC FINDINGS
AUTORI 
SOME OVERL EXISTS IN TI LEGISLATI  OF DIC
OTH 
FEDERA AGENCI 
authoriC 
wans the f!eneral area of iniwv 
Iniurv in America, referenced earlier in this report, states in a prefatory section that 
Injury is the principal public health problem in America today...." That realization 
resulted in the report s recommendation " that a Center for Injury Control (CIC) 
00. 
should be established as part of CDC. Ths would take advantage of the existing 
mission-oriented epidemiologic interests and data-collecting abilities of CDC." The 
legislation which created the injury control program in CDC in 1986 was based largely 
IniUlY in America  findings and reco=endations. 
upon 
The CDC\IC has legislative authority to conduct, fund and coordinate research 
related to the broad area of injury prevention and control. Part J, Title III of the 
PHSA, Sections 391 through 394, provides statutory language for "Injury ControL" 
Sections 391 and 392 require the Secretary, through the Director of the CDC, to: 
conduct, and give assistance to public and non-profit private entities, scientific 
institutions, and individuals engaged in the conduct of, research related to the 
causes, mechanisms, prevention, diagnosis, treatment of injuries, and 
rehabiltation from injuries; 
make grants to public and non-profit private entities (including academic 
institutions, hospitals, and laboratories) and individuals for the conduct of such 
research; 
coIIect and disseminate, through publications and other appropriate means 
information concerning the practical applications of research conducted or 
assisted; 
assist States and political subdivisions of States in activities for the prevention 
of injuries; and 
encourage regional activities between States designed to reduce injury rates.  lemlatie authoriti of other af!enci call for broad research or research related to 
The (cid:1)
ifc sub;ect areas or f!OUTJ 
Other Federal agencies outside CDC\IC, which were included in this study, have 
legislative authority to conduct or fund research. However, it differs from that of 
CDC\IC in that it is either very broadly concerned with the health of the nation or 
concerned with particular areas, like highway safety, or to specific groups, such as 
children and Native Americans, which may be liked to injury-related research. The 
Appendix contains a su=ary of subject areas covered in the legislative authority of 
these agencies and lists Fiscal Year 1990 funding related to injury, where the 
information was available and where such distinctions could be made. It also 
describes each agency s purpose as it relates to specific areas of research activity. 
TI 
DIC AN OTIR FEDERA AGENCI AR BOTH WORKG IN 
SOME GENERA 
The DIC promotes research and intervention in various areas, including suicide and
homicide, famiy violence, vehicle crashes, alcohol-related injuries, farm-related 
injuries, falls among the elderly, head and spinal cord injuries, house fires and 
drownngs. Table 2 below identifes the injury-related subject areas and foci of other 
Federal agencies' activity in areas in which DIC is also working. 
HOWEVER, NO DUPLICATION OF EFFORT WAS FOUN WI REGAR 
TO SPECIFC PROJECT 
Eight of 12 Federal agencies provided materials related to funded research activity, in 
response to requests for budget inormation, annual reports and mission statements 
covering the period 1985 to present. In most instances, the material concerned FY 
1990 activities, and described research projects and grant programs in various formats 
and detail, ranging from lists of titles only to comprehensive, multi-page accounts. 
Only several of the agencies identified projects specificaIly related to injury. 
All the 
documents were reviewed, but particular attention was given to the smaIl number of 
projects designated as injury-related. These were reviewed in detail, along with similar 
information provided by DIC. Although there was not sufficient time to thoroughly 
review all this material, there was no duplication of effort noted with regard to specific 
projects.  AN  OTIR 
SUBJECT AREAS  FOCI OF  AGENCIES
TABLE 2 
SUBJECT AREAS AGENCIES FOCI
VIOLENCE: ACF\CCAN Prevent and treat family violence
provide shelter and servces to victims.
HOMICIDE, SUICIDE Combat child abuse and neglect.
AN 
FAMILY  CHILD
ABUSE HRSA\MCHB Prevent injury to children and
adolescents.
NIHICHH
Prevent childhood injuries.
ADAM\
Prevent youth suicide.
NIM
Research traumatic victimization.
ADAM\
SUBSTANCE ABUSE Monitor drug abuse and recommend
NIA
programs to decrease drug abuse.
The same for alcohol abuse. Identify
and treat mental disorders.  Identify
and treat antisocial behavior and
violence.
TRAUM: HRSA\HDB Fund trauma centers in States.
FALLS, AUTO AND IHS\IPP Examie trends of
OTHER intentional/unintentional injuries on
reservations.
NIIA
Research injuries related to the aging
process, specifically from falls and
auto crashes. 
DOT\TSA
Maintain a crash database and motor
vehicle safety records for regulatory
development; fund contract research.
NIHIASD
Identify mechanisms of trauma leading
ED\NIDRS to injury; study the healing process
and the use of physical therapy and
rehabilitation for those with spinal
cord- related disabilities.
AHCPR Improve emergency medical servces.
OTHER CPSC Test and regulate the safety of
consumer products. Providing core funding for eight centers of excellence in injury control 
research at leading universities.
Al 22 respondents offerig an opinon say DIC facilitates coordination in the injury 
control co=unity, and all feel DIC plays this role very well (45 percent) or fairly well 
(55 percent). 
All 24 respondents offering an opinion report that DIC plays a leadership role in the 
injury control community; virtually all believe that DIC plays this role very well (38 
percent) or fairly well (58 percent). 
Seventeen of 22 respondents (77 percent) who gave an opinion believe that the 
absence of DIC would have a signicant and negative impact on their own agency or 
organization. Included in this group are 10 Federal and 7 non-
Federal respondents. 
The remaing five (including four Federal respondents) say there would be minimal 
or no impact. Of these four Federal respondents, two represent agencies with very 
specific statutory mandates concernng injury to chidren and child abuse. The former 
has lited funding to prepare a long range research program to develop interventions 
and preventions. The latter has greater funding to provide 
grants to States for 
prevention and treatment programs. The two others include an agency whose 
program has yet to be funded and one whose priary concern is in improvig clinical 
practice and the delivery of health care servces. 
Eleven of the 17 feel it would represent a signifcant setback to their injury control 
efforts. Among them are four Federal and seven non-Federal respondents, including 
those representing three injury control research centers. Among the concerns of the 
other six is that the central focus of injury control in the Federal government would be 
lost; they cannot do the work DIC was doing for them and would have to go outside 
government where the costs would be higher; and relationships in the injury control 
community would come apart. 
AU 25 respondents believe the absence of DIC would have a major and negative 
impact on the injury control community in general. 
Various respondents indicate that DIC is a crucial cog in the area of injury control
and has brought a higher level of awareness concerning injury to the public. Several 
recommended that DIC needs to have time to mature and continue its important
work.  G
Y
Y 1990NJURUNDIN $17.6 M  $3.4 M  $1.7 M  Not Yet Funded
FI
F
A ORY AUTHORITYDING PURPOSE To conduct and support researchand training; the dissemination of  health information with respect to arthritis and musculoskeletaldiseases, including sports-relateddisorders. To establish broad base of , promote scientific researchimprovements in clinical practice and in the organization, financing and delivery of health care services. To fund maternal and child health services through block grants toStates; fund research related to maternal and child health.  To address the increasing death rate due to trauma and to develop modern systems of trauma care; grants, cooperative agreements and contracts wil beawarded.
TN
  UU e  e  e 
PPENDIX  AGENCIES' STATFY 1990 INJURY F STATUTE , Titlc Health Service Actubpart 4  c Health Service Act, Titl al Securit Act, Title V , Paragraph 2B 502 c Health Service Act, Titl A- 1
A ERAAND  PubliIV, S Publi SociSec.  Publi XII
D
 
E h
F lt
  a
e
R H
d  
. . OTHE AGENCY The National Institute of Arthritis and Musculoskeletal and Skin Diseases The Agency for Health Care Policy anResearch The Heaith Resources and ServicesAdministrationfThe Maternal and ChildBureau The Heaith Resources and ServicesAdministrationfThe Heaith Resources Development Bureau  G
FY 1990INJURYUNDIN $3.7 M Unable to break out $5.4 M Unable estimate 2 M$4. $2 M
F
PURPOSE To administer the programs andauthorities relating to alcoholabuse and alcoholism. To provide a focal point forfunding or administering researchgrants on victims of traumaticevents, perpetrators of violentbehavior and issues of law andmental health. To develop and publishinformation about causes andprevention of suicide and makethis information available. To improve technical capabiltiesin epidemiological analysisexamine trends in injuries andevaluate effectiveness of injuryintervention projects. To conduct and supportbiomedical, social and behavioralresearch and training relating tothe aging process. To develop a contract program toelucidate mechanisms ofchildhood injury; to developinterventions aimed at preventionand to evaluate theseinterventions.
e e e
Titl Titl Titl ortr
STATUTE , Public Health Service Act513; Title IIIII, Sec. 502- , Public Health Service ActV; Title III , Public Health Service Act, Section 504XIX Indian Health CareImprovement Act of 1976 Public Health Service Act, Sec. 443Subpart 5 No Specific Statute;Requested by Senate Rep#99-408 to Develop 5 YeaResearch Plan A - 2
e
h d al
GENCY , and Mental HealtbuseNational Institute onsm e of Mental e of Mental Health/Suici ervice e on Aging es of HealthfThe Nationalth and Human
A The Alcohol, Drug AAdministrationfThe Alcohol and Alcoholi The National InstitutHealthNiolence The National Institut The Indian Health S The National Institut The National InstitutInstitute of Child HeDevelopment G
FY 1990INJURYUNDIN $16-17 M  Unable toBreak Out  Unable to Break Out  Unable toBreak out 
F
PURPOSE To provide leadership and support for a comprehensive ancoordinated national program of research regarding the  rehabiltation of individuals withdisabilties. To create a national center on , an child abuse and neglectadvisory board, an inter-agency , a national clearing task forcehouse for information relating to child abuse and provides grants to states for prevention and treatment programs.  To fund highway safety research;development of improved accident investigation procedures and research to develop appropriate regulations.  To collect national data on consumer products (including data on injury control) and test consumer products to regulatetheir safety, efficacy and use.
STATUTE Rehabiltation Act, Title II  Child Abuse PreventionAdoption, and Family Services Act of 1988 Highway Safety Act of 1966Revised April 1990  Consumer Product Safety Act 16 CFR Part 1000; Title XVI , Commercial , CFR Chapter 2Practices A - 3
e 
us al 
b n
, , AGENCY Department of Educationrrhe National Institute on Disabilit and RehabiltationResearch The Administration for Children and Familiesrrhe National Center on Child Aand Neglect  Department of Transportationrrhe NatioHighway Traffic Safety Administration  Consumer Product Safety Commission  G
0YN M out en en
FY 199INJURFUNDI $16.17  Unable tBreak O Not BrokOut Not BrokOut
PURPOSE To provide leadership andsupport for a comprehensive ancoordinated national program ofresearch regarding the rehabiltation of individuals withdisabilties. To create a national center on, anchild abuse and neglectadvisory board, an inter-agencytask force, a national clearinghouse for information relating tochild abuse and provides grantsto states for prevention andtreatment programs. To fund highway safety research;development of improvedaccident investigation proceduresand research to developappropriate regulations. To collect national data onconsumer products (includingdata on injury control) and testconsumer products to regulatetheir safety, efficacy and use.
es ct l
STATUTE Rehabiltation Act, Title II Child Abuse PreventionAdoption, and Family ServicAct of 1988 Highway Safety Act of 1966Revised April 1990 Consumer Product Safety A16 CFR Part 1000; Title XVI,Chapter 2, CFR, CommerciaPractices A - 3
e
s
u al
b n
onalation dhild A Natioon sion
Natiabilt n anon C The strati mmis
. c AGENCY Department of EducationfThe Institute on Disabilit and RehResearch The Administration for ChildreFamilesfThe National Center and Neglect Department of TransportationfHighway Traffic Safety Admini Consumer Product Safety Co