[Federal Register Volume 69, Number 215 (Monday, November 8, 2004)]
[Notices]
[Pages 64769-64778]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-24809]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention


Public Health Injury Surveillance and Prevention Program

    Announcement Type: New.
    Funding Opportunity Number: CE05-027.
    Catalog of Federal Domestic Assistance Number: 93.136.
    Key Dates: Letter of Intent Deadline: December 8, 2004.
    Application Deadline: February 7, 2005.

I. Funding Opportunity Description

    Authority: This program is authorized under sections 391(a) and 
301(a) of the Public Health Service Act (PHS Act) and [42 U.S.C. 241(a) 
and 280b(a)], as amended.
    Purpose: The Centers for Disease Control and Prevention (CDC) 
announces the availability of fiscal year (FY) 2005 funds for a 
cooperative agreement program for the development, enhancement, and 
integration of injury prevention and control and surveillance programs. 
The purpose of this program is to enable State public health agencies 
to develop or strengthen their organizational focus related to the 
prevention and control of injuries and to develop or strengthen their 
injury surveillance programs, particularly those with a focus on 
traumatic brain injury (TBI). This program addresses the ``Healthy 
People 2010'' focus area of Injury and Violence Prevention.
    This announcement incorporates funding guidance for the following 
four components: Part A--the Integrated Core Injury Prevention and 
Control (ICIPC) Program, Part B--the Traumatic Brain Injury Extended 
Surveillance (TBIES) Program, Part C--the Traumatic Brain Injury 
Emergency Department (TBIED) Surveillance Program and Part D--the 
Traumatic Brain Injury Service Linkage (TBISL) Program. All States/
territories must qualify and be recommended for funding for Part A 
(ICIPC) in order to be eligible for Part B (TBIES), Part C (TBIED) or 
Part D (TBISL). The ICIPC component supports the planning, 
implementation and integration of comprehensive injury prevention and 
control activities with basic injury surveillance activities. CDC 
defines injury program integration as a coordinated approach to 
reducing the incidence, morbidity and mortality of injury through 
surveillance and prevention efforts. The TBIES component supports 
efforts to provide expanded information on the incidence of traumatic 
brain injury. The TBIED component supports efforts to provide 
information on the incidence of mild traumatic brain injury treated in 
the emergency department. The TBISL component supports efforts to link 
individuals with traumatic brain injury to information about services.
    Measurable outcomes of the program will be in alignment with one 
(or more) of the following performance goal(s) for the National Center 
for Injury Prevention and Control:
    1. Increase the capacity of injury prevention and control programs 
to address the prevention of injuries and violence.
    2. Monitor and detect fatal and non-fatal injuries.
    This announcement is only for non-research activities supported by 
CDC/ATSDR. If research is proposed, the application will not be 
reviewed. For the definition of research, please see the CDC Web site 
at the following Internet address: http://www.cdc.gov/od/ads/opspoll1.htm

Activities

Part A: The Integrated Core Injury Prevention and Control (ICIPC) 
Program
    In conducting activities to achieve the purpose of Part A of this 
program, the recipient will be responsible for incorporating the core 
components of a model State injury prevention program as outlined in 
the STIPDA: Safe States--2003 Edition. For a downloadable version of 
this document, please see the STIPDA Web site at the following Internet 
address: http://www.stipda.org/safestates.htm.Activities to be followed 
related to this requirement are described below. CDC has developed 
performance measures to evaluate recipients' progress in meeting ICIPC 
requirements. These performance measures are listed following each 
associated recipient activity. Activities are as follows:

<bullet> Building a Solid Infrastructure for Injury Prevention and 
Control.
    [cir] Enhance comprehensive injury prevention and control 
infrastructure by acquiring key staff and associated resources to

[[Page 64770]]

coordinate and integrate comprehensive injury prevention and control 
efforts with statewide injury surveillance efforts. Performance will be 
measured by the extent to which the program has:
    [dec221] Established the infrastructure for ICIPC including staff 
and other resources.
    [dec221] Where appropriate, established written inter-agency/
organizational agreements (e.g. Memoranda of Understanding) related to 
the roles, duties and responsibilities of shared staff.
    [cir] Mobilize support and build partnerships by identifying, 
contacting and inviting potential key private, professional, voluntary 
and nonprofit injury prevention and control organizations, injury care 
providers, policymakers, consumers, payers, media, State and Federal 
agencies, surveillance, research and academic institutions, and others 
to become members of a new or existing State/territory-wide Injury 
Community Planning Group (ICPG). The role of the ICPG may include, but 
should not be limited to: Participation of members on injury prevention 
and control boards and commissions, providing information on the 
effectiveness of existing State policies related to injury prevention 
and control, and reviewing surveillance data to help identify and 
prioritize injury problems within the State. Performance will be 
measured by the extent to which the program and ICPG has developed and 
sought guidance from coalitions and partners, both within and outside 
of the organization and sustained these partnerships as ongoing 
entities by such activities as:
    [dec221] Generating support and resources or securing funding to 
support Integrated Core Injury Prevention and Control Program (ICIPC) 
activities.
    [dec221] Establishing written responsibilities for the ICPG (e.g., 
in a mission statement or scope of work).
    [dec221] Supporting the ICPG process by providing funding and 
resources.
    [dec221] Assuring the ICPG has access to current information about 
injury prevention and control.
    [dec221] Conducting one ICPG injury prevention symposium per budget 
year to develop specific marketing injury strategies for the 
comprehensive injury prevention plan. The symposium should include, but 
not be limited to: Regional/statewide representatives of key 
governmental and non-governmental agencies; media outlets; HMOs/MCOs; 
hospital/trauma/medical centers; state athletic associations; medical/
professional organizations/associations and other stakeholders or 
gatekeepers.
    [cir] Develop a State injury prevention and control plan, or where 
appropriate, conduct a systematic evaluation and update of the existing 
injury prevention and control plan. In each case, the recipient should 
work with their ICPG to assure that their plan includes prioritized 
measurable goals and objectives with timeframes, and identifies 
implementing organizations for priority plan strategies. Performance 
will be measured by the extent to which the plan reflects that the 
program:
    [dec221] Used data to describe the epidemiology of the burden of 
injury in the State/territory.
    [dec221] Evaluated the epidemiologic data to determine the critical 
target areas for injury prevention and control activities.
    [dec221] Established priorities and chosen appropriate evidence-
based intervention strategies.
    [dec221] Identified implementing organizations for priority plan 
strategies.
    [dec221] Developed objective/quantitative measures of effectiveness 
that will demonstrate accomplishment of program goals and objectives 
and measure intended outcomes.
    [cir] Collaborate and coordinate with your State's Office of 
Terrorism Preparedness and Emergency Response (or its equivalent) to 
assure their participation in the ICPG and in the development/update of 
the State injury prevention and control plan. Performance will be 
measured by the extent to which the program secures memorandums of 
understanding (MOU) documenting this collaboration.
<bullet> Collect, Analyze and Use Injury Data
    [cir] States/Territories must collect and analyze injury data 
including, but not limited to, data related to: Traumatic brain 
injuries (TBI) and the following external causes: drowning, fire-
related injuries, motor vehicle injuries, poisonings, firearm-related 
injuries, homicides, suicides, and those injuries resulting from mass 
casualty events for their own use from centralized electronic hospital 
discharge data and centralized electronic vital statistics data sets 
[see eligibility information (i.e., Special Requirements) for allowable 
exceptions]. Performance will be measured based upon the extent to 
which the program has demonstrated that it:
    [dec221] Used available data to inform the injury prevention and 
control planning process.
    [dec221] Used available data to evaluate progress toward meeting 
the core goals and objectives of the state/territory injury prevention 
and control program.
    [dec221] Promoted and facilitated the use of injury data to meet 
the needs of injury prevention and control groups and service agencies 
(e.g., HRSA).
    [dec221] Participated in the Multi-State Injury Indicator Report.
    [cir] States/Territories must submit an annual injury data report 
produced for use in their own state/territory and for submission to 
CDC. This report shall be consistent with CDC's current recommendations 
for Injury Indicator Surveillance (see Appendix 1 for detailed 
methodology). In addition, this report shall include completed tables 
with aggregated numbers and rates categorized by sex, age group, and 
external cause for All-injury deaths and hospitalizations, TBI related 
deaths and hospitalizations, drowning related deaths and 
hospitalizations, fire related deaths and hospitalizations, motor 
vehicle related deaths and hospitalizations, poisoning related deaths 
and hospitalizations, firearm related deaths and hospitalizations, 
suicide related deaths and hospitalizations, and homicides. The report 
shall include a written interpretation of the injury data in a format 
suitable for dissemination within the State/territory and shall include 
a focus on priority areas identified by the State/territory and a brief 
analysis of TBI in the state/territory. Performance will be measured by 
the extent to which the program has:
    [dec221] Incorporated CDC's recommendations for data completeness, 
timeliness, and quality.
    [dec221] Compliance will be determined based upon the successful 
submission of required annual reports and the completeness of the 
submitted spreadsheet tables (spreadsheet format will be supplied by 
CDC).
    [dec221] The first annual injury data report

[[Page 64771]]

should include data from 01/01/2004-12/31/2004. The report must be 
received as an attachment to the annual report (due October 31). For 
example, CDC should receive the first report using 2004 data no later 
than October 31, 2006. Subsequent annual reports will follow the same 
pattern.
<bullet> Implement, and Evaluate Interventions
    [cir] Implement priorities as established by the State/territory 
comprehensive injury prevention and control plan, which provides a 
framework for action to reduce the burden of injury in the State/
territory. Performance will be measured by the extent to which the 
program has:
    [dec221] Identified interventions focused on priorities outlined in 
the state/territory wide injury prevention and control plan.
    [dec221] Identified and collaborated with influential and 
appropriate partners who are able to implement and support injury 
prevention and control plan activities/strategies.
    [dec221] Continuously evaluated and monitored its own process and 
the outcomes of the ICIPC plan, its objectives and activities.
    [cir] Use surveillance findings to inform and guide State/territory 
injury prevention and control activities, including the ICIPC where 
applicable. Performance will be measured by the extent to which the 
program has:
    [dec221] Used surveillance findings to guide injury prevention and 
control activities.
    [dec221] Used surveillance findings to evaluate the effectiveness 
of intervention programs.
<bullet> States/Territories funded under this cooperative agreement 
must send representation to the annual CDC sponsored grantees meeting.
Part B: Traumatic Brain Injury Extended Surveillance (TBIES) Program
    In conducting activities to achieve the purpose of Part B of this 
program, the recipients will be responsible for conducting all of the 
activities of Part A as well as the activities described below. CDC has 
developed performance measures to evaluate recipients' progress in 
meeting TBIES requirements. These performance measures are listed 
following each associated recipient activity. Activities are as 
follows:
[dec221] TBI Basic Electronic Surveillance
    [cir] Conduct centralized statewide electronic surveillance of TBI, 
consistent with standard definitions and methods for TBI surveillance 
described in the current Annual Data Submission Standards for Central 
Nervous System (CNS) Injury Surveillance. For a downloadable version of 
this document, please see the CDC Web site at the following Internet 
address: http://www.cdc.gov/doc.do/id/0900f3ec80145eec.Performance will 
be measured by the extent to which the program has:
    [dec221] Used centralized statewide electronic hospital discharge 
and vital statistics databases for case identification.
    [dec221] Linked and unduplicated data obtained from centralized 
statewide electronic hospital discharge and vital statistics databases, 
including data elements that describe diagnosis, demographics, external 
cause, and discharge disposition.
<bullet> TBI Extended Medical Record Surveillance
    [cir] Annually review the medical records of a representative 
sample of reported hospitalized cases to obtain data consistent with 
standard definitions for the expanded TBI dataset described in the 
current Central Nervous System Injury Surveillance Data Submission 
Standards. Performance will be measured by the extent to which the 
program has:
    [dec221] Complied with CDC's standards for data completeness and 
quality. Compliance will be determined based on an evaluation of data 
submitted to CDC's National Center for Injury Prevention and Control. 
The first annual data submission should include data from 01/01/2004-
12/31/2004. The data must be received by CDC as an attachment to the 
annual report. For example, CDC should receive the first data 
submission using 2004 data no later than October 31, 2006. Subsequent 
annual data submissions will follow the same pattern.
    [cir] During years two through five collect additional information 
on 10-15 TBI data elements related to a topic of emerging public health 
importance. CDC and all grantees participating in extended surveillance 
will jointly decide upon topic areas during year 1. Performance will be 
measured by the extent to which the program has:
    [dec221] Complied with data collection efforts mutually agreed upon 
by CDC and the program. Compliance will be determined based on an 
evaluation of data submitted to CDC's National Center for Injury 
Prevention and Control.
<bullet> Analysis and Reporting
    [cir] Analyze and interpret collected data and prepare an annual 
report suitable for dissemination within the State/territory either 
separately or within the All-injury report described in Part A. 
Performance will be measured by the extent to which the program:
    [dec221] Successfully disseminates the report within the State/
territory and submits the report to CDC's NCIPC.
    [cir] Generate an annual summary report documenting methodological 
and other issues related to conducting extended surveillance to include 
programmatic lessons learned, strengths and limitations of the data, 
usefulness of the data for State/territory injury prevention and 
control planning, etc. This information will be used to expand and 
improve the content of CDC's ``Annual Data Submission Standards, 
Central Nervous System Injury Surveillance.'' Performance will be 
measured by the extent to which the program:
    [dec221] Successfully submits the report to CDC's National Center 
for Injury Prevention and Control.
Part C: Traumatic Brain Injury Emergency Department Surveillance 
(TBIED) Program
    In conducting activities to achieve the purpose of Part C of this 
program, the recipients will be responsible for conducting all the 
activities of Part A as well as the activities described below. CDC has 
developed performance measures to evaluate recipients' progress in 
meeting TBIED requirements. These performance measures are listed 
following each associated recipient activity. Activities are as 
follows:
<bullet> Basic Electronic Surveillance
    [cir] Conduct centralized statewide electronic emergency department 
(ED) surveillance of TBI, consistent with standard definitions and 
methods for TBI surveillance described in the current Central Nervous 
System Injury Surveillance Data Submission Standards. Performance will 
be measured by the extent to which the program has:
    [dec221] Used centralized statewide electronic ED databases for 
case identification.
    [dec221] Linked and unduplicated data obtained from centralized 
statewide electronic ED databases with centralized electronic hospital 
discharge data and centralized

[[Page 64772]]

electronic vital statistics data.
<bullet> Emergency Department Surveillance
    [cir] Annually review the medical records of a representative 
sample of reported cases to obtain data consistent with standard 
definitions for the extended TBI dataset described in the current 
Central Nervous System Injury Surveillance Data Submission Standards. 
In addition to the evaluation measures included in the current Central 
Nervous System Injury Surveillance Data Submission Standards, perform 
an annual evaluation of sensitivity to include at a minimum a 
qualitative assessment of the data sources (e.g., number and proportion 
of EDs participating in the State). Performance will be measured by the 
extent to which the program has:
    [dec221] Complied with CDC's standards for data completeness and 
quality. Compliance will be determined based on an evaluation of data 
submitted to CDC's National Center for Injury Prevention and Control. 
The first annual data submission should include data from 01/01/2004-
12/31/2004. The data must be received by CDC as an attachment to the 
annual report. For example, CDC should receive the first data 
submission using 2004 data no later than October 31, 2006. Subsequent 
annual data submissions will follow the same pattern.
    <bullet> Analysis and Reporting
    [cir] Analyze and interpret collected data and prepare an annual 
report suitable for dissemination within the State/territory either 
separately or within the All-injury report described in Part A. 
Performance will be measured by the extent to which the program:
    [dec221] Successfully disseminates the report within the State/
territory and submits the report to CDC's National Center for Injury 
Prevention and Control.
    [cir] Generate an annual summary report documenting methodological 
and other issues related to conducting ED surveillance to include 
programmatic lessons learned, strengths and limitations of the data, 
usefulness of the data for State/territory injury prevention and 
control planning, etc. This information will be used to expand and 
improve the content of CDC's ``Guidelines for ED Surveillance.'' 
Performance will be measured by the extent to which the program:
    [dec221] Successfully submits the report to CDC's National Center 
for Injury Prevention and Control.
Part D: Traumatic Brain Injury Service Linkage (TBISL) Program
    In conducting activities to achieve the purpose of Part D of this 
program, the recipients will be responsible for conducting all of the 
activities of Part A as well as the activities described below. CDC has 
developed performance measures to evaluate recipients' progress in 
meeting TBISL requirements. These performance measures are listed 
following associated recipient activities. Activities are as follows:
<bullet> Feasibility assessment
    [cir] In year one, conduct an assessment of the feasibility of (a) 
obtaining from the State/territory TBI surveillance system, personal 
identifying and contact information for a sample of persons 
hospitalized with TBI and (b) using that information to provide those 
individuals with information about available services in their State. 
Performance will be measured by the extent to which the program:
    [dec221] Submits a report summarizing the results of the 
feasibility assessment. This assessment should identify potential 
partners for linkage activities and discuss the pros and cons of 
differing linkage strategies within the State/territory. Information to 
be collected will be decided upon in collaboration with CDC. The 
feasibility assessment report must be submitted as an attachment to the 
Year one interim report (due six months after the beginning of the 
budget period).
    [cir] In year one, develop and submit a plan for linkage 
implementation based on results of the feasibility study. The plan for 
linkage implementation must be submitted as part of the Year one annual 
report due October 31, 2006. Performance will be measured by the extent 
to which the plan:
    [dec221] Describes the populations to be linked, including 
justification for their selection.
    [dec221] Clearly describes the methods for proposed linkage 
activities including a process for identifying and linking persons to 
information about services within an appropriate timeframe post injury.
    [dec221] Identifies partners with whom they will collaborate in 
conducting linkage activities and from whom they have received letters 
of support.
<bullet> Implementation
    [cir] In year two, States must implement proposed linkage 
activity(ies) as a pilot and prepare a report, which includes findings/
results and lessons learned. The report must be submitted as an 
attachment to the Year two annual report due October 31, 2007. 
Performance will be measured by the extent to which the program:
    [dec221] Has successfully implemented pilot activities and has 
summarized their actions in a report to the CDC's National Center for 
Injury Prevention and Control.
    [cir] In years three through five, States/territories must conduct 
the linkage activity(ies), and prepare an annual report summarizing the 
activity including; findings/results, lessons learned, and 
implications/recommendations for future activities in this and in other 
States/territories. The report must be submitted as an attachment to 
the Year three to five annual reports, due October 31st. Performance 
will be measured by the extent to which the program has:
    [dec221] Continuously evaluated and monitored its own process, 
objectives and activities.
    [dec221] Developed and monitored measures of effectiveness for its 
proposed activities.
    [dec221] Successfully submitted required reports.
    In a cooperative agreement, the staff of CDC staff is substantially 
involved in the program activities, above and beyond routine grant 
monitoring.
    CDC Activities for this program are as follows:
Part A
    <bullet> Assist with the exchange of information and collaboration 
among recipients.
    <bullet> Provide recipients with relevant research findings and 
public health recommendations related to comprehensive injury 
prevention and control.
    <bullet> Provide ongoing guidance, consultation, and technical 
assistance in conducting recipient activities.
    <bullet> Assist with the identification of national injury 
prevention and control campaigns and materials that can be integrated 
into comprehensive injury prevention and control programs.
    <bullet> Provide recipients with instructions and spreadsheets for 
calculating annual injury indicator data.
Part B
    <bullet> Provide ongoing guidance, consultation, and technical 
assistance in conducting recipient activities.
    <bullet> Collaborate with grantees to establish standards for data 
completeness, timeliness, and quality,

[[Page 64773]]

and to promote the use of TBI data to support injury prevention and 
control efforts.
    <bullet> Receive, assess, aggregate and disseminate TBI data from 
grantees.
Part C
    <bullet> Provide ongoing guidance, consultation, and technical 
assistance in conducting recipient activities.
    <bullet> Collaborate with grantees to establish standards for data 
completeness, timeliness, and quality, and to promote the use of TBI 
data to support injury prevention and control efforts.
    <bullet> Receive, assess, aggregate and disseminate TBI data from 
grantees.
Part D
    <bullet> Assist with the exchange of information and collaboration 
among recipients.
    <bullet> Provide ongoing guidance, consultation, and technical 
assistance in conducting recipient activities.

II. Award Information

    Type of Award: Cooperative Agreement.
    Budgets should be prepared for Parts A, B, C, & D separately. In 
the application packet, you should list each Part's budget amount in 
separate columns on the SF424 (i.e., Part A in column 1, Part B in 
column 2, Part C in column 3 and Part D in column 4). Details on this 
form and instructions for submitting an application are provided in the 
``Application and Submission'' section. CDC involvement in this program 
is listed in the Activities Section above.
Part A (ICIPC)
    Fiscal Year Funds: 2005.
    Approximate Total Funding Available: $4,750,000.
    Approximate Number of Awards: 33.
    Approximate Funding per Award: $144,000.
    Floor of Award Range: None.
    Ceiling of Award Range: $150,000.
Part B (TBIES)
    Fiscal Year Funds: 2005.
    Approximate Total Funding Available: $440,000.
    Approximate Number of Awards: Four.
    Approximate Funding per Award: $110,000.
    Floor of Award Range: None.
    Ceiling of Award Range: $110,000.
Part C (TBIED)
    Fiscal Year Funds: 2005.
    Approximate Total Funding Available: $300,000.
    Approximate Number of Awards: Two.
    Approximate Funding per Award: $150,000.
    Floor of Award Range: None.
    Ceiling of Award Range: $150,000.
Part D (TBISL)
    Fiscal Year Funds: 2005.
    Approximate Total Funding Available: $150,000.
    Approximate Number of Awards: Three.
    Approximate Funding per Award: $50,000.
    Floor of Award Range: None.
    Ceiling of Award Range: $50,000.
    If you request a funding amount greater than the ceiling of award 
range per Part, your application will not be considered eligible and 
not forwarded for review. This ceiling of award range per part is for 
the first 12-month budget period and includes both indirect and direct 
costs. If considered ineligible, you will be notified in writing by 
NCIPC prior to start date of the award.
    Anticipated Award Start Date: August 1, 2005.
    Budget Period Length: 12 months.
    Project Period Length: 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

    Applications may be submitted by health departments of States and 
territories or their bona fide agents, this includes the District of 
Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, the 
Commonwealth of the Northern Mariana Islands, American Samoa, Guam, the 
Federated States of Micronesia, the Republic of the Marshall Islands, 
and the Republic of Palau. A Bona Fide Agent is an agency/organization 
identified by the State/territory as eligible to submit an application 
under the State/territory eligibility in lieu of a State/territory 
application. If you are applying as a bona fide agent of a State/
territory, you must provide documentation of your status. Place this 
documentation behind the first page of your application form.
    Special Requirements: If your application is incomplete or non-
responsive to the requirements listed below, it will not be entered 
into the review process. You will be notified that your application did 
not meet the submission requirements.
    <bullet> All States/territories should demonstrate the ability to 
access a centralized electronic hospital discharge data set. States/
Territories unable to access centralized electronic hospital discharge 
data sets must demonstrate the ability to access an alternate 
centralized electronic data set that is representative of the State/
territory hospitals. As an appendix to this application include a 
summary of current (i.e., 2001, 2002 or most current morbidity data 
analyzed by age, sex and cause).
    <bullet> All States/territories must demonstrate the ability to 
access centralized electronic vital statistics data sets. As an 
appendix to this application include a summary of current (i.e., 2001, 
2002 or most current mortality data analyzed by age, sex and cause).
    <bullet> States/territories previously funded under program 
announcement numbers 00119, 02207 and 99136 must submit a State/
territory-wide injury prevention and control plan as an appendix to 
this application.
    <bullet> States/Territories must maintain an active Injury 
Community Planning Group (ICPG) the ICPG shall be responsible for 
developing/enhancing injury prevention and control plan and marketing 
strategy to promote the vision and values of the Integrated Core Injury 
Prevention and Control Program.
    <bullet> All States/territories must qualify and be recommended for 
funding for Part A (ICIPC) in order to be eligible for Part B (TBIES), 
Part C (TBIED) or Part D (TBISL). Note: For this reason, the CDC review 
panel will only consider Parts B, C and D of the applications reviewed, 
approved and funded for Part A.
    <bullet> States/Territories applying for Part C (TBIED) must 
demonstrate the ability to access centralized electronic emergency 
department discharge data sets.
    <bullet> States/Territories applying for Part D (TBISL) who propose 
direct patient contact must have legal authority to contact individuals 
identified by surveillance activities. In order to demonstrate legal 
authority applicants must submit both of the following as an appendix 
to the application: A copy of the supporting legislation/regulation and 
a letter from the appropriate health department official (e.g. attorney 
or health officer) certifying that the applicant will have access to 
personal identifying information of TBI cases for the purposes of the 
linkage activities outlined in this RFA.

[[Page 64774]]

    <bullet> 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.

III.2. Cost Sharing or Matching

    Matching funds are not required for this program.

IV. Application and Submission Information

IV.1. Address To Request Application Package

    To apply for this funding opportunity use application form CDC 
5161. Application forms and instructions are available on the CDC Web 
site, at the following Internet address: 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): CDC requests that you submit a LOI if you 
intend to apply for one or more parts of this program. Your LOI will be 
used to gauge the level of interest in this program, and to allow CDC 
to plan the application review. Your LOI must be written in the 
following format:
    <bullet> Maximum number of pages: Two.
    <bullet> Font size: 12-point unreduced.
    <bullet> Single 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> Number and title of this Program Announcement 
(PA<greek-i>).
    <bullet> Identification of Part(s) for which you intend to apply.
    Application: You are required to send a cover letter that 
summarizes which Parts you are applying for, dollar amounts, and point 
of contact information. Ensure that each part of the application and 
section are properly labeled and include page numbers. A detailed 
budget and narrative justification must be provided. 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.You must include a table of contents. You must submit a 
project narrative with your application forms. Your narrative must be 
submitted in the following format:
    <bullet> Maximum number of pages: Part A--25; Part B--15; Part C--
15; Part D--10. If your narrative exceeds the page limit, only the 
first pages, which are within the page limit, will be reviewed.
    <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> 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> Part A: Executive summary, state of need, goals and 
objectives, methods and staffing, evaluation, collaboration, and budget 
and justification (appendices, budget and justification will not be 
counted in the stated page limit).
    <bullet> Part B: Executive summary, review of literature and 
statement of need, methods and activities, capacity to conduct TBI 
Surveillance, goals and objectives, management and staffing, 
evaluation, and budget and justification (appendices, budget and 
justification will not be counted in the stated page limit).
    <bullet> Part C: Executive summary, review of literature and 
statement of need, methods and activities, capacity to conduct TBI ED 
surveillance, goals and objectives, management and staffing, 
evaluation, and budget and justification (appendices, budget and 
justification will not be counted in the stated page limit).
    <bullet> Part D: Executive summary, review of literature and 
statement of need, methods and activities, capacity, goals and 
objectives, management and staffing, evaluation, collaboration and 
budget and justification (appendices, budget and justification will not 
be counted in the stated page limit).
    <bullet> Additional information may be included in the application 
appendices. The appendices will not be counted toward the narrative 
page limit.
    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 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. 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: December 8, 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: February 7, 2005.
    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 submit your application by the United States Postal 
Service or commercial delivery service, you must ensure that the 
carrier will be able to guarantee delivery by the closing date and 
time. If CDC receives your submission 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 submission as having 
been received by the deadline.
    This announcement is the definitive guide on LOI and application 
content, submission address, and deadline. It supersedes information 
provided in the application instructions. If your submission does not 
meet the deadline above, it will not be eligible for review, and will 
be discarded. You will be notified that you did not meet the submission 
requirements.
    CDC will not notify you upon receipt of your submission. If you 
have a question about the receipt of your LOI or 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 submission deadline. This will allow time for submissions to 
be processed and logged.

IV.4. Intergovernmental Review of Applications

    Your application is subject to Intergovernmental Review of Federal 
Programs, as governed by Executive

[[Page 64775]]

Order (EO) 12372. This order sets up a system for State and local 
governmental review of proposed Federal assistance applications. You 
should contact your State Single Point of Contact (SPOC) as early as 
possible to alert the SPOC to prospective applications, and to receive 
instructions on your State's process. Click on the following link to 
get the current SPOC list: http://www.whitehouse.gov/omb/grants/spoc.html.

IV.5. Funding Restrictions

    Restrictions, which must be taken into account while writing your 
budget, are as follows:
    <bullet> Funds may not be used for research.
    <bullet> Reimbursement of pre-award costs is not allowed.
    <bullet> Federal funds awarded under this announcement may not be 
used to offset existing, State funded projects.
    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

IV.6. Other Submission Requirements

    LOI Submission Address: Submit your LOI by express mail, delivery 
service, fax, or e-mail to: Angela Marr, 4770 Buford Hwy., NE., M.S. F-
41, Atlanta, GA 30341-3724. Tel: (770) 488-1428.Fax: (770) 488-4338. E-
mail: <a href="/cdn-cgi/l/email-protection#046569657676446760672a636b72"><span class="__cf_email__" data-cfemail="a6c7cbc7d4d4e6c5c2c588c1c9d0">[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--<greek-i>CE05-027, CDC Procurement 
and Grants Office,2920 Brandywine Road,Atlanta, GA 30341.
    Applications may not be submitted electronically at this time.

V. Application Review Information

V.1. Criteria

    Applicants 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:
Part A (ICIPC)
    Each application will be evaluated and scored individually by an 
objective review panel. Evaluation and scoring for Part A will be 
conducted according to the following criteria:
<bullet> Need for an Integrated Core Injury Prevention and Control 
Program (30 points)
    [cir] Did the applicant describe the need for an Integrated Core 
Injury Prevention and Control Program and the nature of any current 
injury prevention and control or surveillance programs in their State?
    [cir] Did the applicant describe the current level of agency/inter-
agency resources dedicated to injury activities and how additional 
funding will contribute to efforts to initiate or improve existing or 
planned injury surveillance activities?
    [cir] Did the applicant provide evidence of a current or existing 
injury prevention and control plan to develop or enhance its injury 
prevention and control or surveillance system?
<bullet> Methods and Staffing (30 points)
    [cir] Did the applicant provide a detailed description of how 
staffing resources (including epidemiological resources) will be 
allocated and used to accomplish each objective and overall program 
goals?
    [cir] Did the application include the designation of a coordinator 
with the responsibility for coordinating Integrated Core Injury 
Prevention and Control Program activities?
    [cir] Did the applicant provide a reasonable and complete timeline 
for implementing and completing all activities and objectives?
    [cir] Did the application provide a description of the roles of 
each unit, organization, or agency, as well as evidence of 
coordination, supervision, and degree of commitment (e.g., time, in-
kind, financial) of staff, organizations, and agencies involved in 
Integrated Core Injury Prevention and Control Program activities?
    [cir] Did the application provide evidence of access to or 
assignment of epidemiological expertise for performing routine data 
review and analysis activities and providing technical advice and 
consultation?
    [cir] Did the applicant provide evidence of intra-agency memoranda 
of understanding outlining; roles, duties, responsibilities and travel 
authorization for shared staff where appropriate to travel to CDC 
sponsored meetings?
<bullet> Evaluation (20 points)
    [cir] Is the proposed evaluation system detailed? Does it address 
the goals and objectives of the program? Will it effectively evaluate 
program progress, effectiveness, and impact?
    [cir] Does the application demonstrate the availability of 
potential data sources for evaluation purposes? Does it outline methods 
to evaluate the data sources? Does it document the availability of 
staff with the appropriate expertise, experience and capacity to 
perform program evaluation?
    [cir] Does the application present a feasible plan for reporting 
evaluation results and for using evaluation information for 
programmatic decisions and continuous program improvement?
<bullet> Goals and Objectives (10 points)
    [cir] Did the applicant include goals that are relevant to the 
purpose of the proposal and feasible to accomplish during the project 
period? Are the goals specific and measurable?
    [cir] Did the applicant include objectives that are feasible to 
accomplish during the budget period? Are the activities outlined 
necessary to accomplish the purpose of the proposal?
<bullet> Collaboration (10 points)
    [cir] Has the applicant provided adequate information to assess the 
relationships between the program and other organizations, agencies, 
and health department units that will relate to the program or conduct 
related activities?
    [cir] Has the applicant provided a clear and adequate description 
of appropriate membership and roles of an Injury Community Planning 
Group?
    [cir] Did the applicant provide evidence of intra-agency memoranda 
of understanding outlining roles, duties, responsibilities and travel 
authorization where appropriate to travel to CDC sponsored meetings?
<bullet> Budget and Justification (not scored)
    [cir] Has the applicant provided a detailed budget and narrative 
justification consistent with the stated objectives and planned program 
activities?
    [cir] Has the applicant provided a budget to include funds for 
attending the annual grantees meeting?
Part B (TBIES)
    Each application will be evaluated and scored individually by an 
objective review panel. All applications will be evaluated and scored 
first for Part A and

[[Page 64776]]

subsequently, where applicable, for Part B.
    Evaluations and scoring for Part B will be conducted according to 
the following criteria:

    <bullet> Methods and Activities: (35 points)
    [cir] Can the methods and activities achieve the proposed 
objectives, consistent with the purposes of this announcement? Did the 
applicant propose appropriate methods and activities to collect and 
analyze optional data consistent with the Program Requirements for Part 
B, including sampling methods and proposed staffing?
    <bullet> Capacity to conduct TBI surveillance: (20 points)
    [cir] Did the applicant demonstrate authority to collect and 
maintain necessary TBI surveillance data consistent with the current 
CDC Central Nervous System Injury Surveillance Data Submission 
Standards, with demonstrated timeliness of case ascertainment, 
completeness of case ascertainment, and ability to analyze data? Did 
the applicant demonstrate appropriate existing capacity to collect and 
analyze optional data (e.g., describing TBI severity, circumstances, 
and early outcome) from a representative sample of cases reported to 
the TBI surveillance system? If previously funded under PA 
<greek-i>01030, did the applicant provide evidence of successful TBI 
surveillance activities, including:
    [dec221] A summary of current (i.e., 2001, 2002 or most current) 
TBI morbidity and mortality data analyzed by age, sex, and cause;
    [dec221] An evaluation of TBI surveillance data quality (e.g., 
predictive value positive, completeness, timeliness);
    [dec221] Letter(s) from CDC indicating successful submission of 
annual datasets for 2000, 2001 and 2002?

    If not previously funded under PA<greek-i>01030, did the applicant 
provide evidence of successful TBI surveillance capacity, including:

    [dec221] A summary of current (i.e., 2001, 2002, or most current) 
TBI morbidity and mortality data analyzed by age, sex, and cause;
    [dec221] An evaluation of TBI surveillance data quality (e.g., 
predictive value positive, completeness, timeliness).
<bullet> Management and Staffing: (20 points)
    [ctrcir] Does the staffing plan indicate the applicant's ability to 
carry out the objectives of the program? Considerations include: 
organizational structure, staff qualifications, experience, degree of 
stability maintaining current staff in critical positions, identified 
training needs or plan, and job descriptions and curricula vitae for 
both proposed and current staff. Does the applicant plan to coordinate 
activities with any other injury surveillance, prevention, and control 
programs or activities in the applicant's organizations?
<bullet> Goals and Objectives: (10 points)
    [ctrcir]Are the objectives specific, achievable, practical, 
measurable, time-linked, and consistent with the overall purposes 
described in this announcement?
<bullet> Evaluation: (10 points)
    [ctrcir] Did the applicant include plans to evaluate the attainment 
of proposed objectives, including plans to evaluate the sensitivity and 
predictive value positive of case ascertainment and the completeness 
and quality of data?
<bullet> Review of Literature and Statement of Need: (5 points)
    [ctrcir] Did the applicant review key literature relevant to the 
proposed project, and did the applicant describe needs within the 
jurisdiction to which the application is responsive?
<bullet> Budget and Justification: (not scored)
    [ctrcir] Are the budget reasonable, clearly justified, and 
consistent with stated objectives and proposed activities?
    [ctrcir] Has the applicant provided a budget to include funds for 
attending the annual grantees meeting?
Part C (TBIED)
    Each application will be evaluated and scored individually by an 
objective review panel. All applications will be evaluated and scored 
first for Part A and subsequently, where applicable, for Part C.
    Evaluations and scoring for Part C will be conducted according to 
the following criteria:
<bullet> Methods and Activities: (35 points)
    [ctrcir] Can the methods and activities achieve the proposed 
objectives, consistent with the purposes of this announcement? Did the 
applicant propose appropriate methods and activities to collect and 
analyze emergency department TBI data consistent with the Program 
Requirements for Part C, including sampling methods and proposed 
staffing?
<bullet> Capacity to conduct TBIED surveillance: (20 points)
    [ctrcir] Did the applicant demonstrate authority to collect and 
maintain necessary TBI emergency department surveillance data 
consistent with the current CDC Central Nervous System Injury 
Surveillance Data Submission Standards, with demonstrated timeliness of 
case ascertainment, completeness of case ascertainment, and ability to 
analyze data? Did the applicant demonstrate appropriate existing 
capacity to collect and analyze abstracted data (e.g., describing TBI 
ED severity, circumstances, and early outcome) from a representative 
sample of cases reported to the TBI ED surveillance system?
<bullet> Management and Staffing: (20 points)
    [ctrcir] Does the staffing plan indicate the applicant's ability to 
carry out the objectives of the program? Considerations include: 
organizational structure, staff qualifications, experience, degree of 
stability maintaining current staff in critical positions, identified 
training needs or plan, and job descriptions and curricula vitae for 
both proposed and current staff. Does the applicant plan to coordinate 
activities with any other injury surveillance, prevention, and control 
programs or activities in the applicant's organizations?
<bullet> Goals and Objectives: (10 points)
    [ctrcir] Are the objectives specific, achievable, practical, 
measurable, time-linked, and consistent with the overall purposes 
described in this announcement?
<bullet> Evaluation: (10 points)
    [ctrcir] Did the applicant include plans to evaluate the attainment 
of proposed objectives, including plans to evaluate the sensitivity and 
predictive value positive of case ascertainment and the completeness 
and quality of data?
<bullet> Review of Literature and Statement of Need: (5 points)
    [ctrcir] Did the applicant review key literature relevant to the 
proposed project, and did the applicant describe needs within the 
jurisdiction to which the application is responsive?
<bullet> Budget and Justification: (not scored)
    [cir] Are the budget reasonable, clearly justified, and consistent 
with stated objectives and proposed activities?
    [cir] Has the applicant provided a budget to include funds for 
attending the annual grantees meeting?
Part D (TBISL)
    Each application will be evaluated and scored individually by an 
objective review panel. All applications will be evaluated and scored 
first for Part A and

[[Page 64777]]

subsequently, where applicable, for Part D.
    Evaluations and scoring for Part D will be conducted according to 
the following criteria:

<bullet> Methods and Activities: (25 points)
    [cir] Can the methods and activities achieve the proposed 
objectives, consistent with the program requirements for Part D of this 
announcement?
<bullet> Capacity to link individuals with TBI to information about 
services: (20 points)
    [cir] If direct patient contact is proposed, did the applicant 
demonstrate authority to collect and maintain necessary TBI 
surveillance data? Did the applicant demonstrate legislative authority 
to contact individuals identified through TBI surveillance with 
information about services?
<bullet> Collaboration (20 points)
    [cir] Has the applicant provided adequate information to assist the 
relationships between the program and other organizations, agencies, 
and health department units that will be involved in TBI linkage 
activities?
    [cir] Has the applicant provided a clear and adequate description 
of appropriate partners and their stated roles?
<bullet> Management and Staffing: (10 points)
    [cir] Does the staffing plan indicate the applicant's ability to 
carry out the objectives of the program? Considerations include: 
Organizational structure, staff qualifications, experience, degree of 
stability maintaining current staff in critical positions, identified 
training needs or plan, and job descriptions and curricula vitae for 
both proposed and current staff. Does the applicant plan to coordinate 
activities with any other injury surveillance, prevention, and control 
programs or activities in the applicant's organizations?
<bullet> Goals and Objectives: (10 points)
    [cir] Are the objectives specific, achievable, practical, 
measurable, time-linked, and consistent with the overall purposes 
described in this announcement?
<bullet> Evaluation: (10 points)
    [cir] Did the applicant include plans to evaluate the attainment of 
proposed objectives?
<bullet> Review of Literature and Statement of Need: (5 points)
    [cir] Did the applicant review key literature relevant to the 
proposed project, and did the applicant describe needs within the 
jurisdiction to which the application is responsive?
<bullet> Budget and Justification: (not scored)
    [cir] Are the budget reasonable, clearly justified, and consistent 
with stated objectives and proposed activities?
    [cir] Has the applicant provided a budget to include funds for 
attending the annual grantees meeting?

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 Injury Prevention and Control. Incomplete applications and 
applications that are non-responsive to the eligibility criteria will 
not advance through the review process. Applicants will be notified by 
the National Center for Injury Prevention and Control in writing that 
their application did not meet submission requirements prior to the 
start date of the award.
    An objective review panel will evaluate complete and responsive 
applications according to the criteria listed in the ``V.1. Criteria'' 
section above. Applications will be funded in order by score and rank 
determined by the review panel.

VI. Award Administration Information

VI.1. Award Notices

    Successful applicants will be notified by telephone of selection 
for funding and to discuss proposed budget and 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 fiscal officer identified in the 
application.
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://www.access.gpo.gov/nara/cfr/cfr-table-search.html.
    The following additional requirements apply to this project:

<bullet> AR-7 Executive Order 12372
<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-13 Prohibition on Use of CDC Funds for Certain Gun Control 
Activities
    Additional information on these requirements can be found on the 
CDC web site at the following Internet address: http://www.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. 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. Measures of Effectiveness.
    f. Additional Requested Information.
    2. Financial status report and annual progress report (see Appendix 
II for reporting requirements table), 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 or Contract 
Specialist listed in the ``Agency Contacts'' section of this 
announcement.

VI.4. Other Requirements

    Projects that involve the collection of information from 10 or more 
individuals and funded by cooperative agreement will be subject to 
review and approval by the Office of Management and Budget (OMB) under 
the Paperwork Reduction Act. OMB clearance for the data collection 
initiated under this cooperative program is pending approval by OMB.

VII. Agency Contacts

    We encourage inquiries concerning this announcement. For general 
questions, 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: Angela Marr, Project 
Officer, 4770 Buford Hwy., NE., M.S. F-41, Atlanta, GA 30341-3724. Tel: 
(770) 488-1428. E-mail: <a href="/cdn-cgi/l/email-protection#afcec2ceddddefcccbcc81c8c0d9"><span class="__cf_email__" data-cfemail="3b5a565a49497b585f58155c544d">[email protected]</span></a>.
    CDC will host a program technical assistance conference call for 
this announcement on November 16, 2004, from 1 p.m. (e.s.t.) to 2 p.m. 
(e.s.t.). The

[[Page 64778]]

conference bridge number is (877) 368-9836 and the participant pass 
code is 852136. For financial, grants management, or budget assistance, 
contact: Angie Tuttle, Grants Management Specialist, CDC Procurement 
and Grants Office, 2920 Brandywine Road, Atlanta, GA 30341. Telephone: 
(770) 488-2719. E-mail: <a href="/cdn-cgi/l/email-protection#cc8d8982f88cafa8afe2aba3ba"><span class="__cf_email__" data-cfemail="e1a0a4afd5a1828582cf868e97">[email protected]</span></a>.

VIII. Other Information

    This and other CDC funding opportunity announcements can be found 
on the CDC Web site, Internet address: www.cdc.gov. Click on 
``Funding'' then ``Grants and Cooperative Agreements.''

    Dated: November 2, 2004.
William P. Nichols,
Acting Director, Procurement and Grants Office, Centers for Disease 
Control and Prevention.
[FR Doc. 04-24809 Filed 11-5-04; 8:45 am]
BILLING CODE 4163-18-P


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