[Federal Register Volume 69, Number 191 (Monday, October 4, 2004)]
[Notices]
[Pages 59231-59237]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-22259]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention


National Program To Promote Diabetes Education Strategies in 
Minority Communities: The National Diabetes Education Program

    Announcement Type: New.
    Funding Opportunity Number: RFA 05014.
    Catalog of Federal Domestic Assistance Number: 93.945.

Key Dates

    Letter of Intent (LOI) Deadline: October 14, 2004.
    Application Deadline: November 18, 2004.

Executive Summary

    Diabetes is a serious and costly public health problem in the 
United States. In November 2003, the number of Americans with diabetes 
rose to an all time high with an estimated 18.2 million people. 
Diabetes continues to be the sixth leading cause of death in the United 
States. An estimated 13 million Americans have been diagnosed with 
diabetes and about 5.2 million additional Americans have the disease 
but have not been diagnosed. Diabetes disproportionately affects some 
ethnic populations such as American Indians/Alaskan Natives, blacks or 
African Americans, Hispanics or Latinos, Asian Americans, Native 
Hawaiians and other Pacific Islanders. The Centers for Disease Control 
and Prevention (CDC) and the National Institutes of Health (NIH) joined 
forces in 1995 to develop the National Diabetes Education Program 
(NDEP). The NDEP is a collaborative effort based on a partnership of 
public and private organizations that are concerned about the health 
status of their constituents. The NDEP is designed to improve treatment 
and outcomes for people with diabetes, to promote early diagnosis and 
to prevent the onset of diabetes. The NDEP aims to change the way 
diabetes is treated by working through its Partnership Network to 
increase awareness via media campaigns, create tools for community 
interventions, and promote health systems change for better diabetes 
management and prevention. It is through this commitment that the NDEP 
focuses on working with national and regional organizations that 
demonstrate the ability to reach populations disproportionately 
affected by diabetes. These organizations are critical partners of the 
NDEP, and it is through them and other partners that partnerships are 
formed to extend the reach of NDEP and its impact on reducing the 
burden of diabetes among racial and ethnic minority populations.

I. Funding Opportunity Description

    Authority: This program is authorized under Sections 301(a) and 
317(k)(2) of the Public Health Service (PHS) Act, [42 U.S.C. 241(a) 
and 247b(k)(2)] as amended. Applicable program regulations are found 
in 45 CFR part 74.

Purpose

    The purpose of this program announcement is to support the National 
Diabetes Education Program (NDEP) activities that strengthen the 
capacity of national and regional organizations to reduce the 
disproportionate burden of diabetes among high-risk populations (e.g., 
American Indians/Alaskan Natives, blacks or African Americans, 
Hispanics or Latinos, Asian Americans, Native Hawaiians and other 
Pacific Islanders). This announcement is consistent with CDC's 
Government Performance and Results Act (GPRA) performance plan. This 
program addresses the ``Healthy People 2010'' focus areas of Diabetes, 
Heart Disease and Stroke, Nutrition and Overweight, Physical Activity 
and Fitness http://www.healthypeople.gov. Online information describing 
Healthy People 2010 as well as other requirements can be found in 
section VI.2. Administrative and National Policy Requirements of this 
document.
    Measurable outcomes of the program will be in alignment with the 
following performance goal for the National Center for Chronic Disease 
Prevention and Health Promotion (NCCDPHP) that relates to the NDEP: 
Increase the capacity of national and regional organizations to address 
the prevention of diabetes for those at risk and prevention of 
complications and premature mortality among people with diabetes 
through awareness and education efforts, including identification and 
dissemination of lifestyle interventions proven to be effective in 
preventing or delaying type 2 diabetes.

Activities

    Recipient activities for this program are as follows:
    A. Implement strategies for promoting diabetes awareness and 
delivering diabetes education messages, interventions and products to 
targeted populations using a variety of culturally effective community-
based approaches that increase and improve health care utilization 
within communities. This should include but is not limited to 
presentations at CDC conferences/meetings and having CDC present at the 
recipient's conferences/meetings.
    B. Establish coalitions and partnerships with community-based 
organizations (CBOs), State and local health departments, other 
national and regional organizations and other appropriate 
organizations. Partner with and engage State diabetes prevention and 
control programs (DPCPs) to expand programs that capitalize on current 
diabetes education efforts. Actively bring together members to identify 
community needs, barriers to care and resources using community 
mobilization models such as Diabetes Today and Racial and Ethnic 
Approaches to Community Health (REACH). More information on these 
programs can be found at http://www.cdc.gov/diabetes/projects/index.htm.
    C. Develop program activities that are consistent with those proven 
to be effective for diabetes education within community settings such 
as Diabetes Today. Include the development of action plans and identify 
activities to engage affiliates, chapters and community-based 
organization (CBO)

[[Page 59232]]

partners. More information on Diabetes Today can be found at http://www.diabetestodayntc.org/program_info.htm.
    D. Identify and address the capacity-building needs of your program 
with the goal of long-term sustainability of activities.
    E. Attend and participate in CDC sponsored training and meetings 
and serve as an active participant on NDEP Workgroups. See section 
VIII. A. Other Information for a description of NDEP Workgroup member 
roles and responsibilities.
    F. Develop and implement community-based intervention strategies 
which include lifestyle interventions to prevent or delay diabetes that 
can be designed to improve the knowledge, attitude, skills and 
behaviors related to the prevention, early detection and control of 
diabetes complications. These intervention strategies can include new 
and creative approaches that are coordinated with NDEP Workgroups, 
supportive of the NDEP Strategic Plan, workgroup goals and objectives. 
The materials and messages should be linguistically and culturally 
appropriate.
    G. Describe the activities that will be conducted to ensure that 
proposed activities with partners will work synergistically with 
existing effective diabetes intervention and strategies.
    H. Promote and disseminate NDEP and local diabetes health care 
resources and educational materials, translate and/or tailor materials 
into specific languages and utilize existing diabetes awareness 
messages, interventions, products and strategies that are culturally 
and linguistically appropriate for the targeted population based on 
current science.
    I. Develop strategies that strengthen relationships with health 
care providers and assist them in providing culturally and 
linguistically appropriate diabetes education and support to diverse 
racial and ethnic minority populations. This may include the production 
of materials providing current scientific information regarding 
diabetes (if these materials do not already exist), other chronic 
diseases linked to diabetes such as cardiovascular disease (heart 
disease and stroke), high blood pressure and high cholesterol. Provide 
up-to-date, comprehensive diabetes resource guides, as well as general 
information on the populations served (i.e., customs, norms and 
languages spoken). Development of new materials should be coordinated 
with NDEP Workgroups so that the materials have maximal reach as joint 
products with NDEP. Any new materials developed should be supportive of 
the NDEP Strategic Plan, workgroup goals and objectives.
    J. Develop a well-designed evaluation plan to monitor the progress 
and to evaluate the impact of activities and strategies and to measure 
the accomplishments of the applicant and funded partner CBOs. The 
evaluation plan should include (but need not be limited to) the 
following:
    1. Identify existing data sources that can be used to establish 
baseline and evaluate the impact of interventions, possibly including 
Behavioral Risk Factor Surveillance System (BRFSS) data; hospital 
discharge data; medical care practice data; vital statistics data; 
Women, Infants, and Children (WIC) data; community health center data; 
Medicaid and Medicare data; and other sources of information about 
community health status, needs, and resources relevant to the NDEP 
Strategic Plan.
    2. Participate in the evaluation of NDEP. The cooperative agreement 
recipients will be involved in gathering and submitting information on 
process and impact measures surrounding NDEP initiatives. Recipients 
will also contribute to other evaluation activities that may include 
development of tools to assess individual workgroup products and share 
success stories to support evaluation capacity building within NDEP.
    3. Evidence-Based Decisionmaking. Recipients are expected to use 
all the information above to design and modify program objectives and 
intervention strategies; participate in pilot testing and implement and 
evaluate revised materials and interventions created in conjunction 
with NDEP Workgroups; revise budgets and work plans as needed; and 
recruit new members to the NDEP Partnership Network.
    K. Disseminate pertinent program information to appropriate partner 
organizations and other agencies at the national, regional, State and 
local levels.
    1. Identify and share promising practices and results including 
successful strategies for building community engagement, mobilization, 
ownership, and organization with other NDEP partner organizations in an 
effort to sustain the program in lieu of NDEP funding.
    2. Ensure effective, timely communication and exchange of 
information, experiences, and results through the use of the Internet 
(e.g., the NDEP Web Board and http://www.cdc.gov/diabetes/ndep); 
documentation in the CDC Management Information System (MIS), see 
section M; presentations at regional and national meetings on 
activities including NDEP promotion; workshops relevant to NDEP 
objectives; and other activities.
    L. Respond to public inquiries regarding program activities as 
appropriate.
    M. Management Information System (MIS): The MIS will be used to 
assist in the post award administration, technical assistance and 
programmatic decisionmaking processes. Programs will be expected to 
ensure that information is entered into the MIS in a timely manner. 
Note: Currently, NDEP funded organizations are not using this system; 
however, a MIS specifically designed for programs funded under this 
announcement may be implemented before the end of the project period 
and recipients will be expected to participate. Training will be 
provided as needed.
    N. Demonstrate quality activities linked to two or more of the CDC 
Division of Diabetes Translation's (DDT) National Objectives (see 
section VIII. B. Other Information). Recipients should document these 
activities in the program activities section of their application.
    In a cooperative agreement, CDC staff is substantially involved in 
the program activities, above and beyond routine grant monitoring.
    CDC Activities for this program are as follows:
    A. Ensure that successful prevention interventions, program models 
and lessons learned are shared between grantees and others through 
meetings, workshops, conferences, newsletters, Internet and other 
avenues of communication.
    B. Provide periodic updates of national activities related to the 
prevention and control of diabetes in targeted populations. Provide 
linkage to communities funded through other mechanisms (e.g., 
communities funded by the Steps to a Healthier US Initiative http://www.healthierus.gov/steps/, community health centers involved in the 
Diabetes Collaborative http://www.healthdisparities.net/) to facilitate 
on-going evaluation in a collaborative process.
    C. Assist in identifying and developing culturally and 
linguistically appropriate diabetes educational materials for community 
based programs that reach the targeted populations.
    D. Provide programmatic consultation and guidance related to the 
development, implementation, and evaluation and monitoring of proposed 
program activities. This includes access to an Evaluation Tool Kit 
(ETK) developed by CDC DDT personnel to

[[Page 59233]]

assist in evaluation strategies and identify sources of data for 
decisionmaking.
    E. Provide technical assistance relative to the coordination of 
activities between recipients and other national and community programs 
including State and local health departments to facilitate effective 
communication and integration between state DPCPs and national and 
regional organizations.
    F. Provide support in the maintenance of an information system for 
funded organizations to input information for the purpose of planning 
and sharing. This includes initial training in the use of the MIS and 
ongoing training updates as needed for new staff or when additional 
features are installed.

II. Award Information

    Type of Award: Cooperative Agreement. CDC involvement in this 
program is listed in the ``Activities'' section above.
    Fiscal Year Funds: 2005.
    Approximate Total Funding: $3,000,000.
    Approximate Number of Awards: Six to eight.
    Approximate Average Award: $375,000 (This amount is for the first 
12-month budget period, and includes both direct and indirect costs).
    Floor of Award Range: $250,000.
    Ceiling of Award Range: $550,000.
    Anticipated Award Date: February 27, 2005.
    Budget Period Length: 12 months.
    Project Period Length: Up to five years. Throughout the project 
period, CDC's commitment to continuation of awards will be conditioned 
on the availability of funds, evidence of satisfactory progress by the 
recipient (as documented in required reports), and the determination 
that continued funding is in the best interest of the Federal 
government.

III. Eligibility Information

III.1. Eligible Applicants

    <bullet> Applications may only be submitted by national, regional, 
State, multi-State, and faith based organizations and institutions that 
are private health, education or social service organizations 
(professional or voluntary); qualify as a non-profit 501(c)(3) entity; 
have affiliate offices or chapters at the local, State and/or regional 
level in five or more geographically distinct communities serving a 
high concentration of the targeted population and have the capacity and 
experience to assist their affiliate offices and chapters. 
Geographically distinct communities must be located in different areas. 
Applicants should consider available resources when determining the 
population size and the number of geographically distinct communities 
to include in their proposal. Affiliate and chapter offices may not 
apply in lieu of or on behalf of their parent national office. However, 
this does not exclude affiliates from assisting with the development of 
the application.

III.2. Cost Sharing or Matching

    Matching funds are not required for this program.

III.3. Other

    If you request a funding amount greater than the ceiling of the 
award range, your application will be considered non-responsive, and 
will not be entered into the review process. You will be notified that 
your application did not meet the submission requirements.
    If your application is incomplete or non-responsive to the 
requirements listed in section IV. Application and Submission 
Information, it will not be entered into the review process. You will 
be notified that your application did not meet submission requirements.

    Note: Title 2 of the United States Code section 1611 states that 
an organization described in section 501(c)(4) of the Internal 
Revenue Code that engages in lobbying activities is not eligible to 
receive Federal funds constituting an award, grant, or loan.

IV. Application and Submission Information

IV.1. Address to Request Application Package

    To apply for this funding opportunity, use application form PHS 
5161. Application forms and instructions are available on the CDC Web 
site, at the following Internet address: http://www.cdc.gov/od/pgo/forminfo.htm. If you do not have access to the Internet, or if you have 
difficulty accessing the forms on-line, you may contact the CDC 
Procurement and Grants Office Technical Information Management Section 
(PGO-TIM) staff at (770) 488-2700. Application forms can be mailed to 
you.

IV.2. Content and Form of Submission

    Letter of Intent (LOI): Your LOI must be written in the following 
format:
    <bullet> Maximum number of pages: One.
    <bullet> Font size: 12-point unreduced.
    <bullet> Double spaced.
    <bullet> Paper size: 8.5 by 11 inches.
    <bullet> Page margin size: One inch.
    <bullet> Printed only on one side of page.
    <bullet> Written in plain language, avoid jargon.
    Your LOI must contain the following information:
    <bullet> Your organization name, address, executive director and 
contact information.
    <bullet> A description of the population your organization plans to 
target.
    <bullet> A statement of your intent to apply.
    <bullet> Indicate whether your agency is a national or regional 
organization.
    <bullet> Your application should not accompany your LOI.
    Application: You must submit a project narrative with your 
application forms. The narrative must be submitted in the following 
format:
    <bullet> Maximum number of pages: 35.

    Note: If your narrative exceeds the page limit, only the first 
35 pages will be reviewed.

    <bullet> Font size: 12 point unreduced.
    <bullet> Doubled spaced.
    <bullet> Paper size: 8.5 by 11 inches.
    <bullet> Page margin size: One inch.
    <bullet> Printed only on one side of page.
    <bullet> Held together only by rubber bands or metal clips; not 
bound in any other way.
    Your narrative should address activities to be conducted over the 
entire project period, and must include the following items in the 
order listed:
    <bullet> Justification of Need--Describe the problem(s) being 
addressed by the proposed activities. Describe the need for the 
proposed activities in the geographical area(s) within which the 
activities will be implemented. Who is your proposed target population? 
Describe the characteristics of the targeted population relative to 
their racial and ethnic diversity and knowledge, attitudes, beliefs and 
health practices relative to diabetes.
    <bullet> Organization Capacity--The purpose of this section is to 
assess your organization's ability to effectively sustain your proposed 
program. Describe the organization's mission, structure and function to 
include:
    1. Describe past experience serving racial and ethnic minority 
populations through its offices, affiliates, chapters or participating 
organizations at the national/regional level for at least 12 months 
prior to submission of the application. Please include outcomes or 
expected outcomes if the project/intervention is ongoing.
    2. Number of affiliate or chapter organizations, location of 
affiliate or chapter organizations, and how affiliates or chapters work 
with the national and/or regional organization decisions makers, 
methods of routine communication with affiliates or chapters and 
description of how the infrastructure will be used to support

[[Page 59234]]

successful implementation of the proposed program activities.
    3. Describe the organization's past and present abilities to work 
with affiliates, chapters, CBOs and other governmental and non-
governmental organizations including other national or local diabetes 
related agencies, State diabetes prevention and control programs 
(DPCPs) and local health departments. Explain how existing effective 
diabetes messages, interventions and products will be incorporated and 
how the proposed activities will expand rather than duplicate present 
activities.
    4. Include the nature and extent of affiliates, chapters, etc. 
support for past and present activities relative to awareness and/or 
educational activities or describe how affiliates, chapters, etc. 
support will be obtained for the proposed program activities.
    5. Provide a copy of a letter of commitment from the organization's 
board president or appropriate designee acknowledging their support of 
the applicant's activities and organization. The letter should address 
the organization's support and commitment to develop a plan and policy 
that will be adopted by affiliates, chapter membership organizations 
and CBO partners. If a diabetes control policy and plan currently 
exists within the organization's office, it should be submitted in lieu 
of a letter of commitment.
    <bullet> Objectives
    Objectives are tangible statements that describe the activities the 
program is attempting to achieve. Objectives should be written in a 
manner to be evaluated at the conclusion of a project to determine if 
they were achieved. Relative to objectives the applicant should:
    1. Describe the five year (long term) specific, measurable, 
achievable, relevant, time-phased objectives for the program consistent 
with the purpose of this program announcement.
    2. Describe specific, measurable, achievable, relevant, time-phased 
objectives for each budget year (short term).
    <bullet> Program Activities
    1. Describe how the affiliates, chapters or CBOs will be involved 
in the implementation of the proposed program activities.
    2. Describe the specific activities that will be undertaken to 
achieve each of the program's objectives during the first year 
consistent with the recipient activities.
    3. Briefly describe the activities planned for budget years two 
through five. Include the linkages to the Division of Diabetes 
Translation (DDT) National Objectives.
    <bullet> Project Management
    1. Submit a work plan that outlines the main implementation steps 
and activities to be completed by recipient and affiliates, chapters, 
or partner CBOs by specified targeted dates to achieve the objectives 
for the budget year. Identify the name(s) or position(s) responsible 
for carrying out the activities.
    2. Describe each proposed position for this program that will 
support this work plan by job title, function, general duties and the 
responsibilities of the position.
    3. Describe the qualifications for the project coordinator position 
in terms of education, experience and desired skills.
    4. Include the level of effort and allocation of time for each 
project activity by staff position.
    Minimal staffing should include a full-time project coordinator and 
one program assistant.
    <bullet> Program Evaluation Plan
    This section should be described in terms of how the recipient will 
engage in the six-step CDC Framework for Evaluation: engage 
stakeholders, describe the program, spotlight the evaluation design, 
gather credible evidence, justify conclusions and ensure use and share 
lessons learned. More information on this evaluation framework can be 
found at: http://www.cdc.gov/eval/steps.htm. Additionally, recipients 
will be responsible for working with appropriate NDEP Workgroup(s) to 
develop evaluation plans designed to measure process and impact 
measures for implementation of NDEP.
    1. Identify methods for attaining measurable, time phased short and 
long term objectives. Identify methods for accomplishing program 
activities and monitoring program quality. The evaluation plan should 
include qualitative and quantitative data collection and assessment 
methods. As appropriate, this plan should include baseline data for the 
proposed objectives or the methods that will be used to establish the 
baseline data; the minimum data to be collected to evaluate the 
achievement of proposed program objectives; and the systems for 
collecting and analyzing the data. Data to be reported will be 
dependent on the proposed program objectives and activities; however, 
examples of potential data include, but are not limited to the 
following:
    a. The number of individuals expected to be reached in the targeted 
population and the plan for evaluating the number actually reached.
    b. Information about the national, regional, state and local health 
organizations, providers reached and populations served.
    c. Number and types of community activities implemented (when, 
where, and how activities are conducted).
    d. Information on the change in knowledge, attitudes and self-
management and/or care utilization practices among people with 
diabetes.
    e. Information on the number of affiliates, chapters, 
organizations, coalitions and partnerships that are participating in 
program activities and how activities complement national education 
efforts.
    <bullet> Budget and Narrative Justification
    1. Provide a detailed line-item budget and justification for all 
operating expenses consistent with the proposed objectives and 
activities. Provide precise information regarding the purpose of each 
budget item and provide itemized calculations when appropriate.
    2. Applicants should budget for the following cost: Out-of-state 
travel, participation in CDC sponsored trainings, workshops and 
meetings. Travel funds should be budgeted for:
    a. Two persons to attend the CDC Diabetes Translation Conference 
held during the spring (4 days).
    b. At least one person to attend one NDEP Minority Workgroup face-
to-face meeting (2 days).
    c. At least one person to attend NDEP Steering Committee meetings 
(twice a year: 1-2 days).
    d. At least one person to attend the Division of Diabetes 
Translation Annual Program Director's meeting. (3 days).
    e. Two persons to attend the first year program orientation 
meeting, preferably attended by the program coordinator and evaluation 
lead (2 days).
    f. Organizations are also encouraged to attend and participate in 
non-conference training such as Diabetes Today and the Diabetes 
Collaborative which is relevant to the goals and objectives of NDEP.
    3. Local travel as necessary to meet program objectives and 
activities.
    <bullet> Additional information may be included in the application 
appendices. The appendices will not be counted toward the narrative 
page limit. This additional information includes curriculum vitaes, 
resumes, organizational charts, letters of support, etc. Please include 
the following information as appendices:
    1. Provide an organization chart and one page resume of each 
current staff member who will work on this project. Include a one-page 
job description of proposed staff. This must include the identification 
of a lead person for

[[Page 59235]]

creating and implementing evaluation or a description with timeline of 
plans to hire or contract an individual to function as an evaluation 
lead.
    2. A list of applicant's affiliates/chapters by regional, state and 
local organizations or a description of each CBO partner.
    3. Evidence of collaboration with other organizations that serve 
the same targeted populations. Include Memoranda of Agreement and 
letters of support.
    4. A description of funding from other sources to conduct similar 
activities.
    a. Describe how funds requested under this announcement will be 
used differently or in ways that will expand on the funds already 
received, applied for or being received.
    b. Identify proposed personnel devoted to this project who are 
supported by other funding sources and the activities they support.
    c. Written statement that the funds being requested will not 
duplicate or supplant funds received from any other sources.
    5. Proof of eligibility (see section III. Eligible Applicants).
    You are required to have a Dun and Bradstreet Data Universal 
Numbering System (DUNS) number to apply for a grant or cooperative 
agreement from the Federal government. The DUNS number is a nine-digit 
identification number, which uniquely identifies business entities. 
Obtaining a DUNS number is easy and there is no charge. To obtain a 
DUNS number, access http://www.dunandbradstreet.com or call 1-866-705-
5711. For more information, see the CDC Web site at: http://www.cdc.gov/od/pgo/funding/pubcommt.htm. If your application form does 
not have a DUNS number field, please write your DUNS number at the top 
of the first page of your application, and/or include your DUNS number 
in your application cover letter.
    Additional requirements that may require you to submit additional 
documentation with your application are listed in section ``VI.2. 
Administrative and National Policy Requirements.''

IV.3. Submission Dates and Times

    LOI Deadline Date: October 14, 2004.
    CDC requests that you send a LOI if you intend to apply for this 
program. Although the LOI is not required, not binding, and does not 
enter into the review of your subsequent application, the LOI will be 
used to gauge the level of interest in this program, and to allow CDC 
to plan the application review.
    Application Deadline Date: November 18, 2004.
    Explanation of Deadlines: Applications must be received in the CDC 
Procurement and Grants Office by 4 p.m. eastern time on the deadline 
date. If you send your application by the United States Postal Service 
or commercial delivery service, you must ensure that the carrier will 
be able to guarantee delivery of the application by the closing date 
and time. If CDC receives your application after closing due to: (1) 
Carrier error, when the carrier accepted the package with a guarantee 
for delivery by the closing date and time, or (2) significant weather 
delays or natural disasters, you will be given the opportunity to 
submit documentation of the carriers guarantee. If the documentation 
verifies a carrier problem, CDC will consider the application as having 
been received by the deadline.
    This announcement is the definitive guide on application submission 
address and deadline. It supersedes information provided in the 
application instructions. If your application does not meet the 
deadline above, it will not be eligible for review, and will be 
discarded. You will be notified that your application did not meet the 
submission requirements.
    CDC will not notify you upon receipt of your application. If you 
have a question about the receipt of your application, first contact 
your courier. If you still have a question, contact the PGO-TIM staff 
at (770) 488-2700. Before calling, please wait two to three days after 
the application deadline. This will allow time for applications to be 
processed and logged.

IV.4. Intergovernmental Review of Applications

    Executive Order 12372 does not apply to this program.

IV.5. Funding restrictions

    Restrictions, which must be taken into account while writing your 
budget, are as follows:
    <bullet> Funding may not be expended for the purchase or lease of 
land or buildings, construction of facilities, renovation of existing 
space, or the delivery of clinical and therapeutic services. The 
purchase of equipment is discouraged but will be considered for 
approval if justified on the basis of being essential to the program 
and not available from any other source.
    If you are requesting indirect costs in your budget, you must 
include a copy of your indirect cost rate agreement. If your indirect 
cost rate is a provisional rate, the agreement should be less than 12 
months of age.
    Awards will not allow reimbursement of pre-award costs. Guidance 
for completing your budget can be found on the CDC Web site, at the 
following Internet address: http://www.cdc.gov/od/pgo/funding/budgetguide.htm.

IV.6. Other Submission Requirements

    LOI Submission Address: Submit your LOI by express mail, delivery 
service, fax, or e-mail to: Shirl Ellis, Public Health Advisor, CDC, 
National Center for Chronic Disease Prevention and Health Promotion, 
Division of Diabetes Translation, National Diabetes Education Program, 
4770 Buford Highway, NE., MS K-10, Atlanta, GA 30341, telephone: (770) 
488-5035, fax: (770) 488-5195, e-mail: <a href="/cdn-cgi/l/email-protection#95e6f3f0acd5f6f1f6bbf2fae3"><span class="__cf_email__" data-cfemail="552633306c153631367b323a23">[email protected]</span></a>.
    Application Submission Address: Submit the original and two hard 
copies of your application by mail or express delivery service to: 
Technical Information Management-RFA 05014, CDC Procurement and Grants 
Office, 2920 Brandywine Road, Atlanta, GA 30341, telephone: (770) 488-
2700.
    Applications may not be submitted electronically by e-mail or faxed 
at this time.

V. Application Review Information

V.1. Criteria (100 Points)

    You are required to provide measures of effectiveness that will 
demonstrate the accomplishment of the various identified objectives of 
the cooperative agreement. Measures of effectiveness must relate to the 
performance goals stated in the ``Purpose'' section of this 
announcement. Measures must be objective and quantitative, and must 
measure the intended outcome. These measures of effectiveness must be 
submitted with the application and will be an element of evaluation.
    Your application will be evaluated against the following criteria:
A. Capacity (20 Points)
    Extent to which the applicant describes:
    1. The capacity of the applicant's infrastructure to support 
successful implementation of the proposed program activities in high 
risk populations.
    2. Applicant's relationship with target population; a primary or 
direct relationship is preferred. Secondary relationships that are 
limited to fundraising or philanthropy have less preference.
    3. The success of the applicant's past and present experiences in 
working with the high risk populations, conducting awareness and/or 
other educational activities, collaborating

[[Page 59236]]

with public and private sector partners and the potential contribution 
of these experiences to the success of the proposed program activities.
    4. The success of the applicant in generating affiliate or chapter 
support for past and present organizational activities and the 
likelihood that strong support can be secured for the proposed program 
activities.
    5. The reach of affiliates and chapters, national and regional 
organizations and number of states or jurisdictions covered.
B. Program Activities (20 Points)
    Extent to which proposed activities are appropriate for the 
targeted population, achievable and that implementation will lead to 
accomplishment of the proposed objectives within the project period.
C. Project Management (20 Points)
    1. Extent to which the work plan outlined is adequate to implement 
the program within the time lines described by the positions and and 
individuals identified.
    2. Extent to which the proposed personnel time allocation is 
sufficient to accomplish the program activities.
D. Objectives (15 Points)
    Extent to which the proposed objectives are specific, measurable, 
achievable, appropriate and relevant for the targeted audience and 
consistent with the stated purpose of this program announcement. The 
objectives must also be time related.
E. Program Evaluation Plan (15 Points)
    Extent to which the applicant describes an evaluation plan for 
monitoring the program's progress, quality, accomplishments relative to 
achieving the objectives and completing the proposed program activities 
within the project period.
F. Justification of Need (10 Points)
    Extent to which the applicant demonstrates an understanding of the 
program's purpose, objectives, describes the target population 
characteristics, diabetes burden, needs of the targeted population and 
justify the need for the proposed activities.
G. Budget and Justification (Not Weighted)
    Extent to which the budget is reasonable and consistent with the 
purpose of the program announcement and proposed objectives and 
activities.

V.2. Review and Selection Process

    Applications will be reviewed for completeness by the Procurement 
and Grants Office (PGO) staff, and for responsiveness by the National 
Center for Chronic Disease Prevention and Health Promotion. Incomplete 
applications and applications that are non-responsive to the 
eligibility criteria will not advance through the review process. 
Applicants will be notified that their application did not meet 
submission requirements.
    An objective review panel will evaluate complete and responsive 
applications according to the criteria listed in the ``V.1. Criteria'' 
section above.
    In addition, the following factors may affect the funding decision: 
Preference for funding will be given to ensure that:
    <bullet> Funded organizations are balanced in terms of the racial/
ethnic minority groups they target. The number of funded national and 
regional organizations serving each racial/ethnic minority group may be 
adjusted based on the burden of diabetes in that target group as 
measured by U.S. Department of Health and Human Services (HHS)reporting 
sources.
    <bullet> Funded national and regional organizations are balanced in 
terms of geographic distribution within the United States, including 
the District of Columbia and United States Territories. Consideration 
will be given to high prevalence areas; the number of funded 
organizations may be adjusted based on the burden of diabetes in the 
jurisdiction as measured by HHS reporting sources.

V.3. Anticipated Announcement and Award Dates

    It is expected that the awards will begin on or about February 27, 
2005, and will be made for a 12 month budget period within a project 
period of up to five years. Funding estimates may vary depending on 
availability of funds.

VI. Award Administration Information

VI.1. Award Notices

    Successful applicants will receive a Notice of Grant Award (NGA) 
from the CDC Procurement and Grants Office. The NGA shall be the only 
binding, authorizing document between the recipient and CDC. The NGA 
will be signed by an authorized Grants Management Officer, and mailed 
to the recipient's fiscal officer identified in the application.
    Unsuccessful applicants will receive notification of the results of 
the application review by mail.

VI.2. Administrative and National Policy Requirements

    45 CFR Part 74 and Part 92
For more information on the Code of Federal Regulations, see the 
National Archives and Records Administration at the following Internet 
address: http://federal.access.gpo.gov/nara/cfr/cfr-table-search.html.
    The following additional requirements apply to this project:
    <bullet> AR-9 Paperwork Reduction Act Requirements
    <bullet> AR-10 Smoke-Free Workplace Requirements
    <bullet> AR-11 Healthy People 2010
    <bullet> AR-12 Lobbying Restrictions
    <bullet> AR-14 Accounting System Requirements
    <bullet> AR-15 Proof of Non-Profit Status
    <bullet> AR-21 Small, Minority, and Women-Owned Business Additional 
information on these requirements can be found on the CDC Web site at 
the following Internet address: http://federal.cdc.gov/od/pgo/funding/ARs.htm.

VI.3. Reporting Requirements

    You must provide CDC with an original, plus two hard copies of the 
following reports:
    1. Interim progress report, no later than September 27 of each 
year. The progress report will serve as your non-competing continuation 
application, and must contain the following elements:
    a. Current Budget Period Activities Objectives.
    b. Current Budget Period Financial Progress.
    c. New Budget Period Program Proposed Activity Objectives.
    d. Budget.
    e. Additional Requested Information.
    f. Measures of Effectiveness.
    2. Financial status report and annual progress report no more than 
90 days after the end of the budget period.
    3. Final financial and performance reports, no more than 90 days 
after the end of the project period.
    These reports must be mailed to the Grants Management Specialist 
listed in the ``Agency Contacts'' section of this announcement.

VII. Agency Contacts

    For general questions about this announcement, contact: Technical 
Information Management Section, CDC Procurement and Grants Office, 2920 
Brandywine Road, Atlanta, GA 30341, telephone: (770) 488-2700.
    For program technical assistance, contact: Shirl Ellis, Project 
Officer, CDC, National Center for Chronic Disease Prevention and Health 
Promotion, Division of Diabetes Translation, National Diabetes 
Education Program,

[[Page 59237]]

4770 Buford Highway, NE., MS K-10, Atlanta, GA 30341, telephone: (770) 
448-5035, e-mail: <a href="/cdn-cgi/l/email-protection#542732316d143730377a333b22"><span class="__cf_email__" data-cfemail="740712114d341710175a131b02">[email protected]</span></a>.
    For financial, grants management, or budget assistance, contact: 
Tiffney Esslinger, Grants Management Specialist, CDC Procurement and 
Grants Office, 2920 Brandywine Road, Atlanta, GA 30341, telephone: 
(770) 488-2686, e-mail: <a href="/cdn-cgi/l/email-protection#d8acbdababb4b1b6bfbdaa98bbbcbbf6bfb7ae"><span class="__cf_email__" data-cfemail="81f5e4f2f2ede8efe6e4f3c1e2e5e2afe6eef7">[email protected]</span></a>.

VIII. Other Information

VIII.A. NDEP Workgroup Member Position Description and Requirements

    Workgroup members serve as advisors/consultants for the development 
of NDEP materials, and implement strategic intervention activities for 
the NDEP program through their NDEP partner organizations. In addition, 
workgroup members serve as conduits for promoting the NDEP messages and 
the principles of NDEP. Workgroup members participate on conference 
calls, face-to-face meetings and the annual Partnership Network 
conference.
    Workgroup membership roles and responsibilities include a 
commitment to do the following:
    <bullet> Represent an organization invited to participate as an 
NDEP partner.
    <bullet> Notify the workgroup chair if the workgroup member no 
longer represents the NDEP partner organization or if the organization 
selects another representative.
    <bullet> Communicate with the organization which the member 
represents about NDEP campaigns and activities.
    <bullet> Communicate with NDEP about members' organizational 
activities in support of the NDEP goals and objectives.
    <bullet> Participate in workgroup conference calls. In most 
workgroups this represents a commitment of one hour monthly.
    <bullet> Participate in face-to-face meetings, which usually will 
include one workgroup meeting and one Partnership Network meeting 
annually. It is not acceptable to invite a substitute to participate on 
a call or at a meeting if the NDEP member is not available.
    <bullet> Facilitate partnerships that promote NDEP activities.
    <bullet> Serve as a spokesperson for NDEP.
    <bullet> Encourage networking in professional associations and 
organizations to promote NDEP.
    <bullet> Assist with language translation or review of translated 
materials (if needed and applicable).
    <bullet> Provide feedback and input for materials development.
    <bullet> Contribute to NDEP's overall evaluation effort by 
reporting back to NDEP staff about activities promoting, disseminating 
or implementing NDEP campaigns and interventions.

VIII.B. CDC Division of Diabetes Translation National Objectives

    1. By 2008, demonstrate success in achieving an increase in the 
percentage of people with diabetes in your jurisdiction who receives 
the recommended foot exams.
    2. By 2008, demonstrate success in achieving an increase in the 
percentage of people with diabetes in your jurisdiction who receives 
the recommended eye exams.
    3. By 2008, demonstrate success in achieving an increase in the 
percentage of people with diabetes in your jurisdiction who receive the 
recommended vaccinations (influenza and pneumococcal).
    4. By 2008, demonstrate success in achieving an increase in the 
percentage of people with diabetes in your jurisdiction who receives 
the recommended A1C tests.
    5. By 2008, demonstrate success in reducing health disparities for 
high-risk populations with respect to diabetes prevention and control.
    6. By 2008, demonstrate success in linking to programs for 
promotion of wellness and physical activity, weight and blood pressure 
control and smoking cessation for people with diabetes.
    To find out more about the National Diabetes Education Program 
(NDEP), visit the following Web sites at: http://www.ndep.nih.gov, 
http://www.cdc.gov/diabetes/ndep, http://www.betterdiabetescare.nih.gov, http://www.diabetesatwork.org.
    To find out more about the CDC Division of Diabetes Translation, 
visit the Web site at: http://www.cdc.gov/diabetes.

    Dated: September 28, 2004.
William P. Nichols,
Acting Director, Procurement and Grants Office, Centers for Disease 
Control and Prevention.
[FR Doc. 04-22259 Filed 10-1-04; 8:45 am]
BILLING CODE 4163-18-P


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