Federal Register / Vol. 69, No. 243 / Monday, December 20, 2004 / Notices 75981

bank account information needed for 

electronic funds transfer; frequent 

traveler account information (e.g., 

frequent flyer account numbers); trip 

information (e.g., destinations, 

reservation information); travel 

authorization information; travel claim 

information; monthly reports from 

travel agent(s) showing charges to 

individuals, balances, and other types of 

account analyses; and other official 

travel related information.

Authorities for maintenance of the 

system: 31 U.S.C. 3511, 3512, and 3523; 

5 U.S.C. Chapter 57; and implementing 

Federal Travel Regulations (41 CFR 

parts 300–304).

Purpose: To establish a 

comprehensive beginning-to-end travel 

services system containing information 

to enable travel service providers under 

contract to the Federal government to 

authorize, issue, and account for travel 

and travel reimbursements provided to 

individuals on official Federal 

government business.

Routine uses of records maintained 

in the system, including categories of 

users and the purposes of such uses:

Information in the system may be 

disclosed as a routine use as follows: 

a. To a Federal, State, local, or foreign 

agency responsible for investigating, 

prosecuting, enforcing, or carrying out a 

statute, rule, regulation, or order, where 

agencies become aware of a violation or 

potential violation of civil or criminal 

law or regulation. 

b. To another Federal agency or a 

court when the Federal government is 

party to a judicial proceeding. 

c. To a Member of Congress or a 

congressional staff member in response 

to an inquiry from that congressional 

office made at the request of the 

individual who is the subject of the 

record.

d. To a Federal agency employee, 

expert, consultant, or contractor in 

performing a Federal duty for purposes 

of authorizing, arranging, and/or 

claiming reimbursement for official 

travel, including, but not limited to, 

traveler profile information.

e. To a credit card company for billing 

purposes, including collection of past 

due amounts.

f. To a Federal agency, expert, 

consultant, or contractor for 

accumulating reporting data, conducting 

surveys, and monitoring the system in 

the performance of a Federal duty.

g. To a Federal agency by the 

contractor in the form of itemized 

statements or invoices, and reports of all 

transactions, including refunds and 

adjustments to enable audits of charges 

to the Federal government.

h. To a Federal agency, in response to 

its request, in connection with the 

hiring or retention of any employee to 

the extent that the information is 

relevant and necessary to the requesting 

agency’s decision on the matter.

i. To an authorized appeal or 

grievance examiner, formal complaints 

examiner, equal employment 

opportunity investigator, arbitrator, or 

other duly authorized official engaged 

in investigation or settlement of a 

grievance, complaint, or appeal filed by 

an employee to whom the information 

pertains.

j. To the Office of Personnel 

Management (OPM) in accordance with 

the agency’s responsibility for 

evaluation of Federal personnel 

management.

k. To officials of labor organizations 

recognized under 5 U.S.C. chapter 71 

when relevant and necessary to their 

duties of exclusive representation 

concerning personnel policies, 

practices, and matters affecting working 

conditions.

l. To a travel services provider for 

billing and refund purposes.

m. To a carrier or an insurer for 

settlement of an employee claim for loss 

of or damage to personal property 

incident to service under 31 U.S.C. 

§ 3721, or to a party involved in a tort 

claim against the Federal government 

resulting from an accident involving a 

traveler.

n. To a credit reporting agency or 

credit bureau, as allowed and 

authorized by law, for the purpose of 

adding to a credit history file when it 

has been determined that an 

individual’s account with a creditor 

with input to the system is delinquent.

o. Summary or statistical data from 

the system with no reference to an 

identifiable individual may be released 

publicly.

Policies and practices for storing, 

retrieving, reviewing, retaining, and 

disposing of records in the system:

Storage: Paper records are stored in 

file cabinets. Electronic records are 

maintained within a computer (e.g., PC, 

server, etc.) and attached equipment.

Retrievability: Paper records are filed 

by a traveler’s name and/or Social 

Security Number/employee 

identification number at each location. 

Electronic records are retrievable by any 

attribute of the system.

Safeguards: Paper records are stored 

in lockable file cabinets or secured 

rooms. Electronic records are protected 

by a password system and a secure 

socket layer encrypted Internet 

connection. Information is released only 

to authorized users and officials on a 

need-to-know basis.

Retention and disposal: Records kept 

by a Federal agency are maintained in 

accordance with the General Records 

Retention Schedules issued by the 

National Archives and Records 

Administration (NARA).

System manager(s) and address: 

Assistant Commissioner, Office of 

Transportation and Property 

Management (FB), Federal Supply 

Service, General Services 

Administration, Crystal Mall Building 4, 

1941 Jefferson Davis Highway, 

Arlington VA 22202.

Notification procedure: Inquiries 

from individuals should be addressed to 

the appropriate administrative office for 

the agency that is authorizing and/or 

reimbursing their travel.

Records access procedures: Requests 

from individuals should be addressed to 

the appropriate administrative office for 

the agency that is authorizing and/or 

reimbursing their travel. Individuals 

must furnish their full name and/or 

Social Security Number to the 

authorizing agency for their records to 

be located and identified.

Contesting record procedures: 

Individuals wishing to request 

amendment of their records should 

contact the appropriate administrative 

office for the agency that authorized 

and/or reimbursed their travel. 

Individuals must furnish their full name 

and/or Social Security Number along 

with the name of the authorizing 

agency, including duty station where 

they were employed at the time travel 

was performed.

Record source categories: The sources 

are the individuals themselves, 

employees, travel authorizations, credit 

card companies, and travel service 

providers.

[FR Doc. 04–27749 Filed 12–17–04; 8:45 am]

BILLING CODE 6820–34–S

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Iron Disorders Institute; Patient and 

Physician Education and Training 

Activities on Iron-Out-of-Balance and 

Iron Overload 

Announcement Type: New. 

Funding Opportunity Number: RFA 

05030. 

Catalog of Federal Domestic 

Assistance Number: 93.283. 

Application Deadline: January 19, 

2005. 

75982 Federal Register / Vol. 69, No. 243 / Monday, December 20, 2004 / Notices 

I. Funding Opportunity Description

Authority: This program is authorized 

under Section 301(a) and 317(k)(2), of the 

Public Health Services Act, 24 U.S.C. section 

241(a) and 247b(k)(2) as amended.

Purpose: The purpose of the program 

is to provide funding for updating, 

printing and dissemination of 

developed hemochromatosis 

educational data and website 

information for Patient and Physician 

information and training. The 

prevention and control of 

hemochromatosis is an achievable goal 

and is important to the overall 

prevention of chronic disease. In the 

United States, it is estimated that as 

many as one in every 200 to 500 people, 

or approximately one million people, 

have evidence of hemochromatosis, and 

as many as one in every ten people may 

carry the gene for this hereditary 

disease. 

This program addresses the ‘‘Healthy 

People 2010’’ focus area of Nutrition 

and Overweight. 

Measurable outcomes of the program 

will be in alignment with one or more 

of the following performance goal(s) for 

the National Center for Chronic Disease 

Prevention and Health Promotion. 

Division of Nutrition and Physical 

Activity hemochromatosis priorities 

include: 

1. Educating health care providers 

about the importance of early diagnosis 

and treatment of hemochromatosis. 

2. Determining how best to use 

laboratory testing of serum iron 

measures and genetic testing to assist 

clinicians and patients. 

3. Educate patients about 

hemochromatosis and family-based 

detection. 

4. Estimate the prevalence of 

hemochromatosis and its associated 

morbidity and mortality. 

Activities: Awardee activities for this 

program are as follows: 

• Develop a plan of action to enhance 

activities for patient information 

dissemination and training activities on 

Iron Out of Balance and Iron Overload. 

• Develop specific, time-phased, and 

measurable objectives. 

• Carry out activities consistent with 

proposed plan of action designed to 

meet the proposed objectives. 

• Evaluate how well program 

activities met proposed objectives. 

II. Award Information 

Type of Award: Grant. 

Fiscal Year Funds: 2005. 

Approximate Total Funding: $75,000. 

Approximate Number of Awards:

One. 

Approximate Average Award: $75,000 

(This amount is for the first 12-month 

budget period, and includes both direct 

and indirect costs). 

Floor of Award Range: None. 

Ceiling of Award Range: None. 

Anticipated Award Date: January 31, 

2005. 

Budget Period Length: 12 months.

Project Period Length: 12 months. 

This is a one-year project period. No 

continuation awards are anticipated. 

III. Eligibility Information 

III.1. Eligible Applicants 

Applications may be submitted by 

national; nonprofit; non-partisan or 

bipartisan organizations that can 

provide evidence of partnerships and/or 

collaborative activities with scientists 

and influential health related resources 

who have expertise and knowledge of 

iron balances and an influence on the 

outcome of health and can provide 

information widely accepted in the 

scientific and medical community. 

Eligible applicant must demonstrate 

evidence of experience and capabilities 

for development and dissemination of 

educational and awareness materials for 

patients and physicians that 

complement CDC’s scientific, training, 

and dissemination activities in 

hemochromatosis. 

Limited competition is justified under 

this program announcement due to the 

limited number of organizations having 

access to the unique data that is ironspecific, include evidence based tables 

and a glossary of iron related medical 

terms or have the experience and 

capabilities necessary to carry out the 

purpose of this requirement. 

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. 

Special Requirements: If your 

application is incomplete or nonresponsive to the requirements listed in 

this section, 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 

Application: You must submit a 

project narrative with your application 

forms. The narrative must be submitted 

in the following format: 

• Maximum number of pages: 15. If 

your narrative exceeds the page limit, 

only the first pages which are within the 

page limit will be reviewed.

• Font size: 12 point unreduced. 

• Double spaced. 

• Paper size: 8.5 by 11 inches. 

• Page margin size: One inch. 

• Printed only on one side of page. 

• 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: 

Plan, Methods, Objectives, Timeline, 

Staff, Understanding, Need, 

Performance Measures, Budget 

Justification. The budget justification 

will not be counted in the stated page 

limit. 

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. 

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/

Federal Register / Vol. 69, No. 243 / Monday, December 20, 2004 / Notices 75983

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 

Application Deadline Date: January 

19, 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 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: 

• Construction and or renovations. 

• Web-site development of shopping 

cart capabilities, and online 

contributions. 

• Patient to patient chat rooms and 

links to information regarding activity 

in the private sector that supports 

treatment or management of disorders of 

iron. 

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 

Application Submission Address: You 

may submit your application 

electronically at http://www.grants.gov,

or submit the original and two hard 

copies of your application by mail or 

express delivery service to: Technical 

Information Management–RFA 05030, 

CDC Procurement and Grants Office, 

2920 Brandywine Road, Atlanta, GA 

30341. 

V. Application Review Information 

V.1. Criteria 

You are required to provide measures 

of effectiveness that will demonstrate 

the accomplishment of the various 

identified objectives of the grant. 

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: 

1. Work Plan (60 Points) 

a. Does the plan for achieving the 

proposed activities appear realistic and 

feasible? Will it accomplish program 

requirements and goals of the grant? 

b. Does the proposed plan for 

evaluating progress toward meeting 

objectives appear reasonable and 

feasible? 

c. Are the objectives specific, timephased, measurable, realistic, and 

related to identified needs, program 

requirements, and purpose of the 

program? 

2. Staffing and Organizational Support 

(20 Points) 

Does the proposed staff have the 

relevant background, qualifications, and 

experience? 

3. Background and Need (20 Points) 

Does the applicant identify specific 

needs, resources and interest available 

for the activities and present data 

justifying the need for the program in 

terms of the magnitude of the burden? 

4. Budget (Not Scored) 

Does the budget appear reasonable 

and consistent with the proposed 

activities and intent of the program? 

5. Human Subjects (Not Scored) 

Does the application adequately 

address the requirements of Title 45 

CFR Part 46 for the protection of Human 

Subjects? 

V.2. Review and Selection Process 

The Application will be reviewed for 

completeness by the Procurement and 

Grants Office (PGO) staff and for 

responsiveness by National Center for 

Chronic Disease Prevention and Health 

Promotion/Division of Nutrition and 

Physical Activity. An incomplete or 

non-responsive application will not 

advance through the review process. 

The Applicant will be notified that their 

application did not meet submission 

requirements.

An objective review panel will 

evaluate completeness and 

responsiveness of the application 

according to the criteria listed in the 

‘‘V.1. Criteria’’ section above. 

V.3. Anticipated Announcement and 

Award Dates 

January 31, 2005, project start date. 

VI. Award Administration Information 

VI.1. Award Notices 

The Successful applicant 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 fiscal officer identified in the 

application. 

The Unsuccessful applicant will 

receive notification of the results of the 

application review by mail. 

VI.2. Administrative and National 

Policy Requirements 

45 CFR Parts 74 and 92 

For more information on the Code of 

Federal Regulations, see the National 

75984 Federal Register / Vol. 69, No. 243 / Monday, December 20, 2004 / Notices 

Archives and Records Administration at 

the following Internet address: http://

www.access.gpo.gov/nara/cfr/cfr-tablesearch.html.

The following additional 

requirements apply to this project: 

• AR–7 Executive Order 12372. 

• AR–9 Paperwork Reduction Act 

Requirements. 

• AR–10 Smoke-Free Workplace 

Requirements. 

• AR–11 Healthy People 2010. 

• AR–12 Lobbying Restrictions. 

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, no less 

than 90 days before the end of the 

budget period. Report must contain the 

following elements: 

a. Current Budget Period Activities 

Objectives. 

b. Current Budget Period Financial 

Progress.

c. Additional Requested Information. 

d. Measures of Effectiveness. 

2. 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. 

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: Dan Sadler, Project Officer, 

CDC National Center for Chronic 

Disease Prevention, 4770 Buford 

Highway, NE MS K–24, Atlanta, GA 

30341, Telephone: 770–488–6002, Email:DSadler@CDC.gov.

For financial, grants management, or 

budget assistance, contact: Carlos 

Smiley, Grants Management Specialist, 

CDC Procurement and Grants Office, 

2920 Brandywine Road, Atlanta, GA 

30341, Telephone: 770–488–2754, Email: CSmiley@cdc.gov.

VIII. Other Information 

None.

Dated: December 13, 2004. 

William P. Nichols, 

Director, Procurement and Grants Office, 

Centers for Disease Control and Prevention.

[FR Doc. 04–27707 Filed 12–17–04; 8:45 am] 

BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Mallinckrodt Chemical Company, 

Destrehan Street Plant

AGENCY: Centers for Disease Control and 

Prevention (CDC), Department of Health 

and Human Services (HHS).

ACTION: Notice.

SUMMARY: The Department of Health and 

Human Services gives notice of a 

decision to evaluate a petition 

submitted on behalf of a class of 

employees at the Mallinckrodt Chemical 

Company, Destrehan Street Plant, in 

Saint Louis, Missouri to determine 

whether all or some part of the class 

should be included in the Special 

Exposure Cohort under the Energy 

Employees Occupational Illness 

Compensation Program Act of 2000. The 

initial proposed definition for the class 

being evaluated, subject to revision as 

warranted by the evaluation, is as 

follows: 

Facility: Mallinckrodt Chemical 

Company, Destrehan Street Plant, Saint 

Louis, Missouri. 

Locations: All locations in the 

Destrehan Street Plant. 

Job Titles and/or Job Duties: All 

employees that conducted Atomic 

Energy Commission (AEC) work at the 

Destrehan Street Plant. 

Period of Employment: 1942–1957.

FOR FURTHER INFORMATION CONTACT:

Larry Elliott, Director, Office of 

Compensation Analysis and Support, 

National Institute for Occupational 

Safety and Health, 4676 Columbia 

Parkway, MS C–46, Cincinnati, OH 

45226, Telephone 513–533–6800 (this is 

not a toll-free number). Information 

requests can also be submitted by e-mail 

to OCAS@CDC.GOV.

Dated: December 13, 2004. 

James D. Seligman, 

Associate Director for Program Services, 

Centers for Disease Control and Prevention.

[FR Doc. 04–27812 Filed 12–17–04; 8:45 am] 

BILLING CODE 4163–19–P

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare and Medicaid 

Services 

[Document Identifier: CMS–R–238] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request

AGENCY: Centers for Medicare and 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare and Medicaid 

Services (CMS) (formerly known as the 

Health Care Financing Administration 

(HCFA)), Department of Health and 

Human Services, is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate or any other aspect of this 

collection of information, including any 

of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions; 

(2) the accuracy of the estimated 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

1. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Inpatient 

Psychiatric Services for Individuals 

Under Age 21 and Supporting 

Regulations in 42 CFR Section 441.151 

and 441.152; Use: Certification 

requirements in 42 CFR 441.151 and 

441.152 require that if it is determined 

that psychiatric services in an inpatient 

setting for individuals under age 21 are 

necessary, certification must be in 

writing before an individual is admitted 

for treatment. This information is used 

by States to document that effective 

screening measures are in place to 

justify the use of inpatient psychiatric 

services; Form Number: CMS–R–238 

(OMB#: 0938–0754); Frequency:

Recordkeeping; Affected Public: State, 

Local or Tribal Govt., Business or other 

for-profit, and Not-for-profit 

institutions; Number of Respondents:

80,000; Total Annual Responses:

80,000; Total Annual Hours: 1. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’s Web site