[Federal Register Volume 65, Number 83 (Friday, April 28, 2000)]
[Notices]
[Pages 24965-24968]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-10684]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Program Announcement 00090]


Notice of Availability of Funds; Cooperative Agreement for State 
Unintentional Injury Intervention Programs

A. Purpose

    The Centers for Disease Control and Prevention (CDC) announces the 
availability of fiscal year 2000 funds for a cooperative agreement for 
unintentional injury intervention programs, focused in five topic 
areas: Program to Increase Booster Seat Use Among Children Riding in 
Motor Vehicles (Part I); Demonstration Program to Reduce Falls Among 
Older Adults (Part II); Program to Prevent Fire and Fall-Related 
Injuries in Older Adults (Part III); Multifaceted Teen and Young Adult 
Bicycle Safety Program (Part IV); and, Multifaceted Program for the 
Prevention of Dog Bite Related Injuries (Part V). CDC is committed to 
achieving the health promotion and disease prevention objectives of 
``Healthy People 2010,'' a national activity to reduce morbidity and 
mortality and improve the quality of life. This announcement is related 
to the focus area of Injury and Violence Prevention. For the conference 
copy of ``Healthy People 2010'', visit the internet site: http://www.health.gov/healthypeople>.
    The purpose of these cooperative agreements are to develop, 
implement and evaluate unintentional injury prevention programs in the 
five priority areas.

B. Eligible Applicants

    Assistance will be provided only to the official public health 
departments of States or their bona fide agents, including the District 
of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, the 
Commonwealth of the Northern Mariana Islands, American Samoa, Guam, 
federally recognized Indian tribal governments, the Federated States of 
Micronesia, the Republic of the Marshall Islands, and the Republic of 
Palau.

    Note: Public Law 104-65 states that an organization described in 
section 501(c)(4) of the Internal Revenue Code of 1986 that engages 
in lobbying activities is not eligible to receive Federal funds 
constituting an award, grant, cooperative agreement, contract, loan, 
or any other form.

C. Availability of Funds

    Approximately $1,300,000 is available in FY 2000 to fund up to 11 
awards.
    Part I--Approximately $450,000 is available to fund three awards to 
promote the use of Booster Seats Among Children, with an average award 
of approximately $150,000.
    Part II--Approximately $250,000 is available to fund one award to 
demonstrate the effectiveness of multifaceted strategies to Reduce 
Falls Among Older Adults who reside in independent living situations.
    Part III--Approximately $300,000 is available to fund five awards 
to augment existing Fire and/or Fall Prevention Programs that target 
Older Adults, with an average award of $60,000.
    Part IV--Approximately $150,000 is available to fund one award to 
implement and evaluate a multi-faceted Bicycle Safety Program that 
targets Teens and Young Adults.
    Part V--Approximately $150,000 is available to fund one award to 
implement and evaluate a multifaceted educational program for Dog Bite 
Prevention.
    Applicants may submit separate applications for each part.
    It is expected that the award will begin on or about September 30, 
2000, and will be made for a 12-month budget period within a project 
period of up to 3 years. Funding estimates may change.
    Continuation awards within an approved project period will be made 
on the basis of satisfactory progress as evidenced by required reports 
and the availability of funds.

Funding Preferences

    In order to ensure funding distribution across the United States no 
more than one award will be given per State under this announcement

D. Program Requirements

    In conducting the activities to achieve the purpose of this 
program, the recipient will be responsible for the activities under 1 
(Recipient Activities), and CDC will be responsible for the activities 
under 2 (CDC Activities).

1. Recipient Activities

Part I--Program To Increase Booster Seat Use Among Children Riding in 
Motor Vehicles
    (a) Identify a target community(ies) with populations of at least 
50,000 that demonstrates a significant need for the proposed 
intervention program, and a comparable control community for each 
intervention community.
    (b) Determine baseline use rates for booster seats among children 
aged 4-8

[[Page 24966]]

years in each of the intervention and control communities.
    (c) Assess barriers to use and reasons for lack of routine use of 
booster seats at baseline for children 4-8 years of age in the 
intervention community, using community diagnosis methodology and needs 
assessment.
    (d) Develop and implement a community-based booster seat 
intervention program with a sound basis in health behavior change 
theory to increase appropriate use of booster seats among child 
passengers aged 4-8 years.
    (e) Collaborate with other community agencies whose program 
activities include children in the target age range.
    (f) Evaluate the process, impact and outcome of the intervention, 
using at a minimum, a comparison of observed booster seat usage rates 
in the intervention and control communities before and after 
implementation of the intervention.
    (g) Development of a research protocol for IRB review by all 
cooperating institutions participating in the research project.
    (h) Compile and disseminate the results of the project.
Part II--Demonstration Program To Reduce Falls Among Older Adults
    (a) Identify between one and three local communities to target 
community-dwelling, independent-living persons aged 65 years and older, 
especially women.
    (b) Establish collaborative relationships with organizations that 
have resources, community programs, and/or expertise in fall prevention 
activities and elderly issues.
    (c) Design and implement a fall prevention program for persons 65 
and older that includes education about risk factors, environmental and 
behavioral prevention strategies, and identification and remediation of 
hazards.
    (d) Develop data collection procedures for identifying new and 
recurrent falls and fall injuries among the program participants.
    (e) Develop a tracking system to identify Emergency Department 
visits and hospital admissions from fall-related injuries among program 
participants.
    (f) Develop an evaluation plan that includes both process and 
outcome evaluation. Evaluate program effectiveness by quantifying 
outcomes among program participants.
    (g) Development of a research protocol for IRB review by all 
cooperating institutions participating in the research project.
    (h) Compile and disseminate results of the prevention program.
Part III--Program To Prevent Fire and Fall-Related Injuries Among Older 
Adults
    (a) Identify a minimum of 3 separate localities in the State with a 
significant independent-living older adult population.
    (b) Determine the baseline and follow-up fire and fall rates in 
these communities, and specific rates for adults 65 years and older, as 
well as separately for adults 75 years and older.
    (c) Develop collaborate relationships with organizations with 
resources, programs, or expertise, and/or access to an older adult 
population.
    (d) Identify and implement a pre-developed program curricula for 
preventing fire and fall-related injuries among older adults utilizing 
home visits, group presentations, and other innovate outreach 
strategies.
    (e) Collaborate with and provide training to participating fire and 
fall safety personnel, community workers and other volunteers to 
provide fire and fall safety education, and the proper installation and 
placement of interventions.
    (f) Develop an evaluation plan that includes process, outcome and 
curricula evaluation.
    (g) Development of a research protocol for IRB review by all 
cooperating institutions participating in the research project.
    (h) Compile and disseminate results of intervention program.
Part IV--Multifaceted Teen and Young Adult Bicycle Safety Program
    (a) Identify and coordinate program activities for three school-
based programs in at least one high school, one junior high school and 
one college or university;
    (b) Develop and plan a behavioral theory-based intervention to be 
implemented in the school setting and specific community activities 
that will be used to complement school-based efforts;
    (c) Develop collaborative relationships with community based 
organizations, private organizations and public agencies already 
involved in injury prevention efforts targeting motorists and 
bicyclists;
    (d) Implement the multifaceted program in all three school 
settings;
    (e) Develop an evaluation plan that includes process, impact, and 
outcome data.
    (f) Seek opportunities to expand the program to additional schools 
incorporating lessons learned;
    (g) Development of a research protocol for IRB review by all 
cooperating institutions participating in the research project.
    (h) Perform data analysis, compile results, and disseminate 
findings.
Part V--Multifaceted Program for the Prevention of Dog Bite Related 
Injuries
    (a) Identify the target community whose population exceeds 300,000 
with a documented stable crime rate.
    (b) Establish a dog bite prevention coalition comprised of diverse 
disciplines.
    (c) Conduct a community assessment to identify stakeholders, obtain 
baseline data on the magnitude of the problem; identify dog bite issues 
in the community, as well as previous dog bite prevention educational 
efforts.
    (d) Identify existing dog bite prevention policies and regulations, 
and the extent to which they are enforced.
    (e) Develop data collection procedures for identifying medically 
AND non-medically attended dog bites among the population.
    (f) Develop an evaluation plan which includes both process and 
outcome evaluation.
    (g) Adapt and implement school-based curriculum for target age 
groups to address bite prevention and responsible ownership.
    (h) Develop and implement a multi-faceted community education 
program to reach adults, parents, and current and soon to be dog owners 
to address behavioral bite prevention measures and responsible dog 
ownership.
    (i) Develop and implement educational plan or educational forum for 
health care and canine-related professionals.
    (j) Develop and implement plan and materials for a media awareness 
campaign.
    (k) Development of a research protocol for IRB review by all 
cooperating institutions participating in the research project.
    (l) Compile and disseminate the results from the project.

2. CDC Activities for Five Priority Areas

    (a) Provide technical consultation and advice on all aspects of 
recipient activities.
    (b) Provide up-to-date scientific information about related 
injuries and prevention methods.
    (c) Establish communication mechanisms by facilitating the transfer 
of technical and programmatic information.
    (d) The CDC IRB will review and approve the protocol initially and 
on at least an annual basis until the research project is completed.
    (e) Facilitate collaborate efforts to compile and disseminate 
program

[[Page 24967]]

results through presentations and publications.

E. Application Content

    Use the information in the Program Requirements, Other 
Requirements, and Evaluation Criteria sections to develop the 
application content. Your application will be evaluated on the criteria 
listed, so it is important to follow them in laying out your program 
plan. The narrative should be no more than 25 double-spaced pages, 
printed on one side, with one inch margins, and no smaller than 12 
point font. Number each page consecutively and provide a complete table 
of contents. The entire application with appendices should be no longer 
than 70 pages total. The application must include a one-page abstract 
and summary of the proposed effort.

F. Submission and Deadline

Application

    Submit the original and two copies of PHS 5161-1 (OMB Number 0937-
0189) Forms are in the application kit. On or before July 10, 2000, 
submit the application to the Grants Management Specialist identified 
in the ``Where To Obtain Additional Information'' Section of this 
announcement.

Deadline

    Applications shall be considered as meeting the deadline if they 
are either:
    (a) Received on or before the deadline date; or
    (b) Sent on or before the deadline date and received in time for 
submission to the independent objective review group. (Applicants must 
request a legibly dated U.S. Postal Service postmark or obtain a 
legibly dated receipt from a commercial carrier or U.S. Postal Service. 
Private metered postmarks shall not be acceptable as proof of timely 
mailing.)

Late Applications

    Applications which do not meet the criteria in (a) or (b) above are 
considered late applications, will not be considered, and will be 
returned to the applicant.

G. Evaluation Criteria

    Each application will be evaluated indidually against the following 
criteria by an independent review group appointed by CDC.

1. Background and Need (15 Percent)

    The extent to which the applicant provides background information 
about the target communities (and control communities where applicable) 
and presents data justifying the need for the program in terms of 
magnitude of the injury problem using epidemiologic and local data.
    The extent to which the applicant describes the benefits of 
developing, implementing, and evaluating the proposed intervention 
program.
    The extent to which the applicant has the ability to accomplish the 
program, as demonstrated by relevant past or current injury prevention 
programs.

2. Goals, Objectives, and Methods (30 Percent)

    The extent to which the applicant describes the overall goals and 
indicates the outcomes expected at the end of the project period.
    The extent to which the applicant describes the specific program 
objectives needed to accomplish each goal. The extent to which the 
objectives are time-framed, measurable, and achievable.
    The extent to which the applicant provides detailed descriptions 
(i.e., who, what, how, and when) of the specific activities that will 
be undertaken to achieve each of the program objectives.
    The extent to which the applicant includes a detailed time-line for 
year one indicating when each activity will occur and the responsible 
person; and a projected time-line for the second and third years of 
program activities. Include an organizational chart that shows 
placement of the program within the agency's organizational system.
    The extent to which the applicant provides detailed descriptions of 
the intervention design, implementation plans, and all methods that 
will be used in each phase of the intervention.
    The extent to which the applicant clearly describes the methodology 
for establishing the magnitude of the problem in the target population 
to derive baseline measures.
    The extent to which the applicant has the knowledge and documented 
skills needed to carry out data collection, entry, and management; 
analyze data and report findings; perform surveillance activities 
including record reviews; and conduct program evaluation.
    Where applicable, the extent to which the applicant conforms to the 
CDC Policy requirements regarding the inclusion of women, ethnic, and 
racial groups in the proposed research. This includes:
    1. The proposed plan for the inclusion of both sexes and racial and 
ethnic minority populations for appropriate representation.
    2. The proposed justification when representation is limited or 
absent.
    3. A statement as to whether the design of the study is adequate to 
measure differences when warranted.
    4. A statement as to whether the plans for recruitment and outreach 
for study participants includes the process of establishing 
partnerships with community(ies) and recognition of mutual benefits.

3. Evaluation (25 Percent)

    The extent to which the applicant provides detailed descriptions 
for evaluation of each program component and for the program overall, 
including process, impact, and outcome evaluations. Descriptions should 
include what data will be used, how it will be evaluated, how it will 
be collected, who will perform the evaluation including epidemiological 
analysis, and the time-frame for the evaluation. This should include 
progress in meeting the objectives and conducting activities during the 
project period.
    The extent to which the applicant provides sample data collection 
and evaluation instruments.
    The extent to which the applicant demonstrates that there will be 
available staff with the expertise and capacity to perform the proposed 
evaluation.

4. Collaboration (15 Percent)

    The extent to which the applicant describes any proposed 
collaboration with other entities, especially, municipal departments, 
injury control research centers, professional organizations, local 
businesses, school systems, parent/teacher organizations, health care 
providers, fire departments, police, civic organizations, local public 
officials, and the media.
    The extent to which the applicant provides the documented evidence 
of partnerships and access to local injury data.
    The extent to which the applicant provides letters of commitment 
from each outside entity documenting their willingness, skills, and 
capacities to fulfill their specific roles and responsibilities.
    The extent to which the applicant provides a clear description of 
the working relationships between the program and its partners.

5. Facilities, Staff, and Resources (15 Percent)

    The extent to which the applicant demonstrates prior experience in 
the intervention area and has demonstrated the capacity for conducting 
and evaluating the proposed injury prevention program.

[[Page 24968]]

    The extent to which the applicant describes the facilities and 
resources that are available for this program.
    The extent to which applicant describes proposed staffing, and 
includes job descriptions and curriculum vitae indicating the 
applicant's ability to carry out the objectives of the program. 
Descriptions should include the position titles, education and 
experience, capabilities, and the percentage of time each person will 
devote to the program. Where applicable, identify a state and/or 
community program level coordinator(s) who has/have the authority, 
responsibility, and expertise to conduct and manage the program.

6. Budget and Justification (Not Scored)

    The extent to which the applicant provides a detailed budget and 
narrative justification consistent with the stated objectives and 
planned program activities.

7. Human Subjects (Not Scored)

    The extent to which the application adequately addresses the 
requirements of Title 45 CFR part 46 for the protection of human 
subjects.

H. Other Requirements

Technical Reporting Requirements

    Provide CDC with original plus two copies of
    1. Semiannual progress reports;
    2. Financial status report, 90 days after the end of the budget 
period; and
    3. Final financial status and performance reports, no more than 90 
days after the end of the project period.
    Send all reports to the Grants Management Specialist identified in 
the ``Where To Obtain Additional Information'' Section of this 
announcement.
    The following additional requirements are applicable to this 
program. For a complete description of each, see Attachment I.

AR-1  Human Subjects Requirements
AR-2  Requirements for Inclusion of Women and Racial and Ethnic 
Minorities in Research
AR-7  Execute Order 12372 Review
AR-8  Public Health System Reporting Requirements
AR-9  Paperwork Reduction Act Requirements
AR-10  Smoke-Free Workplace Requirements
AR-11  Healthy People 2010
AR-12  Lobbying Restrictions
AR-13  Prohibition on Use of CDC Funds for Certain Gun Control 
Activities

I. Authority and Catalog of Federal Domestic Assistance Number

    This program is authorized under section 301(a), 317(k)(2), 391, 
392, 394, and 394A [42 U.S.C. 241(a), 247b(k)(2), 280b, 280b-1, 280b-2, 
280b-3] of the Public Health Service Act, as amended. The Catalog of 
Federal Domestic Assistance number is 93.136.

J. Where To Obtain Additional Information

    This and other CDC announcements can be found on the CDC home page 
on the Internet: http://www.cdc.gov. To receive additional written 
information and to request an application kit, call 1-888-GRANTS4 (1-
888 472-6874). You will be asked to leave your name and address and 
will be instructed to identify the Announcement number of interest. 
Please refer to Program Announcement 00090 when making your request. If 
you have questions after reviewing the content of all documents, 
business management and assistance may be obtained from: Sheryl L. 
Heard, Grants Management Specialist, Grants Management Branch, 
Procurement and Grants Office, Announcement 00090, Centers for Disease 
Control and Prevention (CDC), 2920 Brandywine Road, Suite 3000, 
Atlanta, GA 30341-4146, Telephone (404) 488-2723, Email address 
<a href="/cdn-cgi/l/email-protection#d4a7b8bce794b7b0b7fab3bba2"><span class="__cf_email__" data-cfemail="b9cad5d18af9daddda97ded6cf">[email protected]</span></a>.
    For program technical assistance, contact:
    Part I, Program to Increase Booster Seat Use Among Children Riding 
in Motor Vehicles. Tim W. Groza, MPA, Centers for Disease Control and 
Prevention, National Center for Injury Prevention and Control, 4770 
Buford Highway N.E., Mailstop K63, Atlanta, GA 30341-3724, 
Telephone(770) 488-4676, Email: <a href="/cdn-cgi/l/email-protection#245043564b5e45644740470a434b52"><span class="__cf_email__" data-cfemail="1f6b786d70657e5f7c7b7c31787069">[email protected]</span></a>.
    Part II, Demonstration Program to Reduce Falls Among Older Adults. 
Mark Jackson, R.S., National Center for Injury Prevention and Control, 
Centers for Disease Control and Prevention, 4770 Buford Highway, NE, 
Mailstop K63, Atlanta, GA 30341-3724, Telephone (770) 488-4754, E-mail 
address: <a href="/cdn-cgi/l/email-protection#f69b959cc2b6959295d8919980"><span class="__cf_email__" data-cfemail="3d505e57097d5e595e135a524b">[email protected]</span></a>.
    Part III, Program to Prevent Fire and Fall-Related Injuries to 
Older Adults. Pauline Harvey, MSPH, National Center for Injury 
Prevention and Control, Centers for Disease Control and Prevention, 
4770 Buford Highway, N.E., (K63), Atlanta, GA 30341-3724, Telephone: 
(770) 488-4592, E-mail: <a href="/cdn-cgi/l/email-protection#68180c005f280b0c0b460f071e"><span class="__cf_email__" data-cfemail="0a7a6e623d4a696e69246d657c">[email protected]</span></a>.
    Part IV, Multifaceted Teen and Young Adult Bicycle Safety Program. 
Mark Jackson, R.S., National Center for Injury Prevention and Control, 
Centers for Disease Control and Prevention, 4770 Buford Highway, NE, 
Mailstop K63, Atlanta, GA 30341-3724, Telephone (770) 488-4754, Email 
address: <a href="/cdn-cgi/l/email-protection#e588868fd1a5868186cb828a93"><span class="__cf_email__" data-cfemail="6a0709005e2a090e09440d051c">[email protected]</span></a>.
    Part V, Multifaceted Program for the Prevention of Dog Bite Related 
Injuries. Mark Jackson, R.S., National Center for Injury Prevention and 
Control, Centers for Disease Control and Prevention, 4770 Buford 
Highway, NE, Mailstop K63, Atlanta, GA 30341-3724, Telephone (770) 488-
4754, E-mail address: <a href="/cdn-cgi/l/email-protection#49242a237d092a2d2a672e263f"><span class="__cf_email__" data-cfemail="98f5fbf2acd8fbfcfbb6fff7ee">[email protected]</span></a>.
    To order a copy of CDC's ``Demonstrating Your Program's Worth: A 
Primer on Evaluation for Programs to Prevent Unintentional Injury''; 
``Remembering When: A Fire and Fall Prevention Program for Older 
Adults''; ``Injury Control Recommendations: Bicycle Helmets''; and, ``A 
Tool Kit to Prevent Senior Falls,'' go to: http://www.cdc.gov/ncipc/pub-res.

    Dated: April 24, 2000.
John L. Williams,
Director, Procurement and Grants Office, Centers for Disease Control 
and Prevention (CDC).
[FR Doc. 00-10684 Filed 4-27-00; 8:45 am]
BILLING CODE 4163-18-P


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