5420 Federal Register / Vol. 62, No. 24 / Wednesday, February 5, 1997 / Notices

French as an ongoing, independent, and

viable acute care hospital, and

remedying the lessening of competition

resulting from Tenet’s acquisition of

OrNda.

The divestitures must be completed

by August 1, 1997; otherwise, Tenet will

consent to the appointment of a trustee,

who will have twelve additional months

to effect the divestitures. If Tenet does

not complete a Commission-approved

divestiture of French by August 1, 1997,

the Commission may appoint a trustee

to complete that divestiture. The trustee

may divest not only French and related

assets, but also OrNda’s Valley

Community Hospital in Santa Maria,

south of San Luis Obispo County, and

certain assets relating to Valley, if the

additional hospital and assets turn out

to be necessary for a successful

divestiture of French.

The Agreement to Hold Separate

executed in conjunction with the

consent agreement requires Tenet,

effective immediately, to maintain

French, Valley, the Monarch stock and

loan agreement, and related assets

separate from Tenet’s other operations

until the completion of the divestitures,

or as otherwise specified. The

Agreement to Hold Separate also

requires Tenet to comply with the

provisions of the proposed consent

order, pending its final approval by the

Commission.

To assure the complete independence

and viability of French and Valley

hospitals, and related assets, the Hold

Separate Agreement requires Tenet to

transfer control of those assets to a

three-member board (only one of whom

will be a Tenet employee), and to ensure

that no competitive information is

exchanged between Tenet and those

assets. (The Hold Separate Agreement’s

provisions relating to the Monarch stock

have been described above.) Under the

Hold Separate Agreement, Tenet may

not exercise any direction, control, or

influence over the assets to be held

separate, except as necessary to ensure

compliance with the Consent Order and

the Hold Separate Agreement, and to

ensure the continued viability,

competitiveness, and marketability of

those assets.

For ten years after the order is made

final, the proposed consent order would

prohibit Tenet from combining (through

purchase, sale, lease, or otherwise) its

acute care hospitals in San Luis Obispo

County with any other acute care

hospital in that area, or from acquiring

Monarch stock, without prior notice to

the Federal Trade Commission. Tenet

must provide such notice in accordance

with procedures similar to those

governing premerger notifications

required by Section 7A of the Clayton

Act, 15 U.S.C. 18a (unless the merger is

already subject to section 7A’s

requirements, in which case no notice is

necessary over and above that provided

pursuant to section 7A). The order

provision supplements section 7A, to

ensure that the Commission receives

advance notice of potentially significant

Tenet mergers in the relevant market,

and to thereby give the Commission an

opportunity to block any such merger if

it can demonstrate that the merger may

substantially lessen competition. The

proposed order contains certain limited

exceptions to the prior notification

requirement for transactions which are

unlikely to substantially lessen

competition, such as for transactions

under $1 million.

The proposed consent order also

contains provisions concerning its

continued application to future owners

of French and of Tenet’s acute care

hospitals in San Luis Obispo County.

The acquirer of French, pursuant to the

divestiture called for by the order, must

agree not to transfer the hospital, for ten

years from the date of the order, without

prior notice to the Commission, to any

person already operating an acute care

hospital in San Luis Obispo County. In

addition, the order would prohibit

Tenet for ten years from transferring an

acute care hospital facility in San Luis

Obispo County, other than French (e.g.,

Sierra Vista or Twin Cities) to another

person, unless the acquiring person first

files with the Commission an agreement

to be bound by the order.

The purpose of this analysis is to

invite public comment concerning the

proposed order, and to assist the

Commission in its determination of

whether to make the order final. This

analysis is not intended to constitute an

official interpretation of the agreement

or to modify its terms in any way.

Donald S. Clark,

Secretary.

[FR Doc. 97–2810 Filed 2–4–97; 8:45 am]

BILLING CODE 6750–01–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Centers for Disease Control and

Prevention

[Program Announcement Number 717]

National Limb Loss Information

Project; Notice of Availability of Funds

for Fiscal Year 1997

Introduction

The Centers for Disease Control and

Prevention (CDC), the Nation’s

prevention agency, announces the

availability of funds in fiscal year (FY)

1997 for a cooperative agreement

program to establish a National Limb

Loss Information Center (NLLIC). Nonrenewable financial assistance will be

provided to develop a National Limb

Loss Information Center which will

operate as a national clearinghouse to

provide educational material and selfhelp rehabilitation guidance to persons

with limb loss. In addition, the NLLIC

will develop a peer visitation training

initiative that will conduct peer

education and training sessions with

hospitals and limb loss support groups.

The CDC is committed to achieving

the health promotion and disease

prevention objectives of Healthy People

2000, a national activity to reduce

morbidity and mortality and improve

the quality of life. This announcement

is related to the areas of Clinical

Preventive Services and Surveillance

and Data Systems.

(For ordering a copy of Healthy

People 2000, see the section ‘‘Where to

Obtain Additional Information’’.)

Authority

This program is authorized by Section

301(a)(42 U.S.C. 241(a)) of the Public

Health Service Act, as amended.

Smoke-Free Workplace

The CDC strongly encourages all grant

recipients to provide a smoke-free

workplace and promote the nonuse of

all tobacco products, and Public Law

103–227, the Pro-Children Act of 1994,

prohibits smoking in certain facilities

that receive Federal funds in which

education, library, day care, health care,

and early childhood development

services are provided to children.

Eligible Applicants

Applications may be submitted by

public and private, nonprofit

organizations, and governments and

their agencies.

Note: An organization described in section

501(c)(4) of the Internal Revenue Code of

1986 which engages in lobbying activities

shall not be eligible to receive Federal funds

constituting an award, grant, contract, loan,

or any other form.

Availability of Funds

A maximum of $800,000 in FY 1997

funds will be available to award one

non-renewable cooperative agreement.

The award will be made on or before

May 31, 1997, for a twelve-month

budget period within a project period of

up to 3 years. Succeeding second- and

third-year budget requests should reflect

the organization’s increasing financial

participation indicating the ability to
Federal Register / Vol. 62, No. 24 / Wednesday, February 5, 1997 / Notices 5421

sustain the project once the cooperative

agreement has expired. (Budget period

is the interval of time into which the

project is divided for funding and

reporting purposes. Project period is the

total time for which a project has been

programmatically approved.)

Noncompeting continuation awards

for new budget years within the

approved project period will be made

on the basis of satisfactory progress in

meeting project objectives and the

availability of funds. Progress will be

determined by site visits by CDC,

project-generated progress reports, and

the quality of continuation application

requests.

Use of Funds

Funds available under this

announcement must support activities

directly related to the establishment and

operation of a National Limb Loss

Information Center. The award may be

used for personnel services, supplies,

equipment, travel, subcontracts, and

services directly related to project

activities. Project funds may not be used

to supplant the applicant’s pre-existing

funds, for construction costs, to lease or

purchase facilities or space, or for

patient care. Although applicants may

contract with other organizations under

this cooperative agreement, applicants

must perform a substantial portion of

the activities (including program

management and operations and

delivery of services) for which funds are

requested.

Background

Estimates of persons in the United

States that were born with a congenital

limb deficiency or have sustained an

amputation are questionable. Roughly

2,000,000 respondents to the U.S.

Census Bureau’s Survey of Income and

Program Participation reported a

deformity or loss of a hand, foot, leg or

arm as the cause of their disability. The

1983–1985 National Health Interview

Survey reported approximately 400,000

persons with a limb loss. It is estimated

that approximately 60,000 surgical

amputation procedures are performed a

year and this number is expected to

increase. Regardless of the actual

numbers of individuals with limb loss,

it is anticipated that current trends and

population growth will contribute to

increasing numbers of individuals with

limb loss.

There is an ever increasing need to

facilitate the timely distribution of

appropriate information regarding

rehabilitation, health promotion, and

other services for persons with limb

loss. Existing information sources are

not equipped to handle the increasing

demand for these services. There is a

basic inability of individuals to locate

and obtain information relating to their

particular situation, care and

rehabilitation. A Harris poll taken for

the International Center for the Disabled

indicated that fifty-three percent of the

respondents expressed difficulty in

obtaining disability-related information,

and only forty-four percent considered

themselves to be familiar with this type

of information. These findings indicate

a need to establish a National Limb Loss

Information Center that will collect and/

or develop state of the art rehabilitation

and post-rehabilitation materials and

resources for dissemination to persons

with limb loss, their families, and

providers responsible for their care.

Purpose

The purpose of this cooperative

agreement is to establish a National

Limb Loss Information Center and a

peer visitation training initiative. These

initiatives will significantly assist in

identifying gaps in the service network,

establish opportunities to bridge the

gaps, provide appropriate and timely

educational messages to affected

individuals and their support groups,

and facilitate linkages between

individuals with limb loss and available

rehabilitative and support services. It is

important that these initiatives provide

persons with limb loss access to

resources, information and education

needed to make informed choices to

attain the optimal rehabilitation

outcomes, return to productive

lifestyles, and prevent related secondary

conditions.

Advances in medical science and

technology have been extremely

effective in returning persons with limb

loss to their customary lifestyle.

Effective rehabilitation outcomes,

however, are contingent upon the ability

to provide a broad range of educational

and informational resources to persons

with limb loss. This project is intended

to establish a National Limb Loss

Information Center that will serve as a

repository for current information on

limb loss and be responsible for

operating a national clearinghouse

providing guidance to the public

regarding rehabilitation, support

services and training opportunities for

persons with limb loss.

Budget and Project Costs

This program has no statutory

matching requirement; however,

applicants should demonstrate their

capacity to support a portion of project

costs, increase cost-sharing potential

over time, and identify other potential

funding sources for continuation of the

project at the conclusion of the threeyear project period. Applicants must

prepare budget requests that provide

line item specificity for intended

expenditures and a separate budget

justification (identifying both Federal

and non-Federal funding sources).

Cooperative Activities

In conducting activities to achieve the

purposes of this program, the recipient

shall be responsible for activities under

A. (Recipient Activities) and CDC shall

be responsible for activities listed under

B. (CDC Activities).

A. Recipient Activities

1. Establish and maintain a resource

library regarding limb loss which

includes a comprehensive electronic

resource database;

2. Utilize universities, research

institutions and other noted authorities

to collect and maintain a comprehensive

inventory of current educational

materials regarding limb loss;

3. Use professional staff to provide

appropriate information, educational

messages, and guidance to individuals

with limb loss;

4. Develop and disseminate a national

educational publication that conveys

the most current advances in treatment

and care of persons with limb loss;

5. Develop a peer visitation training

initiative to conduct self-help training

and work with support networks;

6. Develop standardized materials to

assist local organizations in the conduct

of appropriate visitation programs.

B. CDC Activities

1. Provide scientific, programmatic,

and technical assistance in the

planning, operation, and evaluation of

the National Limb Loss Information

Center;

2. Provide programmatic assistance in

administrative and organizational

aspects of project operations;

3. Serve as a resource for sharing

regional and/or national data pertinent

to limb loss; and

4. Assist in evaluating and/or

studying the effectiveness of specific

activities.

Application Content

Applicants must submit a separate

typed abstract/summary of their

proposal as a cover to their applications,

consisting of no more than two doublespaced pages. Applicants should also

include a table of contents for the

project narrative and related

attachments.

Applicants should organize their

proposals in accordance with the

application contents section of this
5422 Federal Register / Vol. 62, No. 24 / Wednesday, February 5, 1997 / Notices

announcement. Applicants should be

concise in preparing application

narratives. The narrative portion of the

application presenting the project

functions should not exceed 30 doublespaced pages.

The application should be organized

into two sections described as the (1)

Project narrative and (2) budget

justification. The total combined

financial assistance request should be

listed on the cover sheet and on the

budget information sheet (Budget

Information, Non-Construction

Programs) on the Public Health Service

Grant Application, Form PHS–5161–1.

Supporting information related to the

project should be provided as

attachments. Supporting information

may include position descriptions,

organizational charts, inventories of

educational materials or tools, reports

providing evidence as to need and

extent of the problem, graphic

depictions of objectives and milestones,

letters of commitment noting

collaborations and funding support, etc.

1. The application must document the

background and need for support,

including an overview of the national

limb loss problem. Describe gaps in

data, information, educational materials,

program services, educational

approaches, and how this cooperative

agreement will help close those gaps

and develop the capacity to establish

and continue to operate a national

information center for persons with

limb loss.

2. Describe the plan and methods for

initiating, facilitating, coordinating,

conducting and evaluating educational

activities related to limb loss. The

applicants should describe those project

resources and staff necessary to

accomplish the project objectives. The

plan should describe the future funding

options beyond the three-year project

period and discuss the plans for

continuation of the project.

3. Describe the plan to develop and

disseminate a national educational

publication regarding limb loss.

4. Describe the plan to develop a peer

visitation training initiative that will

promote the educational outreach goals

and objectives of the project and

enhance the opportunities for a

sustained educational presence at the

local level.

5. Furnish an organizational chart of

the applicant agency and indicate the

relationships of the proposed activities

to affiliates and other organizations that

will be utilized to promote the program

objectives; and describe the physical

facilities available to house project

operations.

6. Describe the role of the board of

directors, if applicable, and outline its

responsibilities.

7. Describe the applicant’s potential to

sustain the viability of the National

Limb Loss Information Center. This

description should explain how and

over what time period the project will

develop its plan for financial selfsufficiency. The plan should establish

benchmarks that relate to annual

increases in non-Federal sources of

funding. Indicate how the plan will be

updated and marketed to ensure a

timely and orderly transition to nonFederal financial support.

8. Present specific and measurable

objectives within the project work plan

to meet the purposes of the cooperative

agreement. Outline the dates that

selected key events will be initiated,

become operational, and conclude.

Chart long-range objectives and time

frames for the three-year project period,

including methods for project

evaluation.

9. Describe what measures have been

or will be taken to ensure that all

program services and facilities will be

fully accessible to persons with

disabilities, and how persons with

disabilities will be encouraged to

participate.

10. Describe the plans and methods to

be employed or that are in place for

addressing the needs of low

socioeconomic and minority

populations.

11. Provide a detailed narrative

justification for all requested budget

items.

Evaluation Criteria (Total 100 Points)

1. Evidence of Need and Understanding

of the Problem: (15 Points)

Evaluation will be based on:

a. The applicant’s description and

understanding of the national limb loss

problem as evidenced by estimates of

incidence and/or prevalence,

demographic indicators, and scope of

the problem;

b. The applicant’s description of the

gaps that exists in the educational

materials and tools that would serve to

better educate and facilitate more

positive rehabilitation outcomes.

2. Technical Approach (30 Points)

Evaluation will be based on:

a. The capability of the applicant to

ensure that the basic components of the

project will be promoted and

implemented;

b. The proposed plan to establish and

operate the National Limb Loss

Information Center, and ensure its

capability to function as a national

coordinating focus for collection and

dissemination of limb loss information

utilizing its affiliation with local and

regional support groups, allied

disability agencies, health professionals

and service providers. These historical

relationships should be documented

with the submission of memorandums

of agreement and/or letters of support

that demonstrate the collaborative

relationship with the applicant;

c. A demonstrated competency in

developing educational materials

regarding individuals with limb loss;

d. The functions of the established

oversight entity (such as a board of

directors) including its composition,

impact on policy, planning, and

oversight for educational activities, with

an indication of how it will complement

existing educational programs;

e. The reasonableness, feasibility, and

logic of the designated project

objectives, including the overall work

plan, timetable for accomplishment, and

the strength of the proposed evaluation

plan;

f. The described services and how

access for persons with disabilities to

project services, opportunities, and

facilities will be achieved.

3. Evidence of Ability to Provide

Educational Materials Needed to Inform

Individuals With Limb Loss Regarding

Rehabilitation Resources and Choices

(25 Points)

Evaluation will be based on: a.

Evidence of the applicant’s knowledge

and use of current educational materials

available with regard to limb loss

rehabilitation and identification of

materials needed to address specific

problems associated with the

rehabilitation process;

b. Evidence of the applicant’s capacity

to disseminate resources, educational

materials and tools that will inform

persons with limb loss in regard to their

rehabilitation options.

4. Outreach Capacity (20 Points)

Evaluation will be based on:

a. Evidence of the applicant’s ability

to establish a peer visitation training

program initiative;

b. Identification and description of

facilities and organizations to be visited

and description of any planned followup to evaluate the number of training

sessions that were initiated and the

results of these activities.

5. National Education Publication (5

points)

Evaluation will be based on:

The description of the applicant’s

plan to develop, distribute, and update

a national educational publication that
Federal Register / Vol. 62, No. 24 / Wednesday, February 5, 1997 / Notices 5423

will provide information regarding limb

loss.

6. Cost-Sharing (5 Points)

Evaluation will be based on:

The evidence of personnel and

financial contributions to the project

and the specific plans for providing

cost-sharing for the first year and

succeeding years within the project

period.

7. Budget Justification/Adequacy of

Facilities (Not Scored)

The proposed budget will be

evaluated on the basis of its

reasonableness, concise and clear

justification, accuracy and consistency

with the intended use of cooperative

agreement funds.

Funding Priority

CDC will give priority consideration

to an established national organization

with experience in providing

educational and support services to

individuals with limb loss.

Reporting Requirements

Project narrative reports, submitted

with an original and two copies, will be

required semi-annually. The reports

shall be submitted to CDC thirty days

after the end of the report period. An

original and two copies of the Financial

Status Report is required no later than

90 days after the end of each budget

period.

Executive Order 12372

Applications are not subject to the

Intergovernmental Review of Federal

Programs as governed by Executive

Order 12372.

Public Health System Reporting

Requirements

This program is subject to the Public

Health System Reporting Requirements.

Under these requirements, all

community-based nongovernmental

applicants must prepare and submit the

items identified below to the head of the

appropriate State and/or local health

agency(s) in the program area(s) that

may be impacted by the proposed

project no later than the receipt date of

the Federal application. The appropriate

State and/or local health agency is

determined by the applicant. The

following information must be

provided:

A. A copy of the face page of the

application (SF424).

B. A summary of the project that

should be titled ‘‘Public Health System

Impact Statement’’ (PHSIS), not to

exceed one page, and include the

following:

1. A description of the population to

be served;

2. A summary of the services to be

provided; and

3. A description of the coordination

plans with the appropriate State and/or

local health agencies.

If the State and/or local health official

should desire a copy of the entire

application, it may be obtained from the

State Single Point of Contact (SPOC) or

directly from the applicant.

Other Requirements

Paperwork Reduction Act

Projects that involve the collection of

information from 10 or more individuals

and funded by cooperative agreement

will be subject to review by the Office

of Management and Budget (OMB)

under the Paperwork Reduction Act.

Catalog of Federal Domestic Assistance

The Catalog of Federal Domestic

Assistance number is 93.184.

Application Submission and Deadline

The original and two copies of the

application PHS Form 5161–1 (OMB

number 0937–0189) must be submitted

to Mr. Ron Van Duyne, Grants

Management Officer, Grants

Management Branch, Procurement and

Grants Office, Centers for Disease

Control and Prevention, 255 East Paces

Ferry Road, NE., Room 300, Mailstop E–

13, Atlanta, Georgia 30305, on or before

March 17, 1997.

1. Deadline:

Applications will be considered to

have met 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 for

the review process. Applicants must

request a legibly dated U.S. Postal

Service postmark or obtain a legibly

dated receipt from a commercial carrier

or the U.S. Postal Service. Private

metered postmarks will not be

acceptable as proof of timely mailing.

2. Late Applications:

Applications that do not meet the

criteria in 1.a. or 1.b. above are

considered late. Late applications will

not be considered and will be returned

to the applicant.

Where to Obtain Additional

Information

A complete program description,

information on application procedures,

an application package, and business

management technical assistance may

be obtained from Georgia Jang, Grants

Management Specialist, Grants

Management Branch, Procurement and

Grants Office, Centers for Disease

Control and Prevention, 255 East Paces

Ferry Road, NE., Room 321, Mailstop E–

13, Atlanta, Georgia 30305, telephone

(404) 842–6814, Internet address:

glj2@ops.cdc.gov. Please refer to

Program Announcement No. 717 when

requesting information and submitting

an application.

Programmatic technical assistance

including additional guidance may be

obtained from Jack Stubbs, Disabilities

Prevention Program, National Center for

Environmental Health, Centers for

Disease Control and Prevention, 4770

Buford Highway, Building 101, Mailstop

F–29, Atlanta, Georgia 30341, telephone

(404) 488–7096, Internet address:

jbs2@cehod1.em.cdc.gov.

Potential applicants may obtain a

copy of Healthy People 2000 (Full

Report, Stock No. 017–001–00474–0) or

Healthy People 2000 (Summary Report,

Stock No. 017–001–00473–1) through

the Superintendent of Documents,

Government Printing Office,

Washington, DC 20402–9325, telephone

(202) 512–1800.

Dated: January 30, 1997.

Joseph R. Carter,

Acting Associate Director for Management

and Operations, Centers for Disease Control

and Prevention (CDC).

[FR Doc. 97–2800 Filed 2–4–97; 8:45 am]

BILLING CODE 4163–18–P

[Announcement 721]

State and Community-Based

Childhood Lead Poisoning Prevention

Program and Surveillance of Blood

Lead Levels in Children; Notice of

Availability of Funds for Fiscal Year

1997

Introduction

The Centers for Disease Control and

Prevention (CDC) announces the

availability of funds in fiscal year (FY)

1997 for new and competing

continuation State and communitybased childhood lead poisoning

prevention projects, and to build

statewide capacity to conduct

surveillance of blood lead levels in

children.

The CDC is committed to achieving

the health promotion and disease

prevention objectives of Healthy People

2000, a national activity to reduce

morbidity and mortality and improve

the quality of life. This announcement

is related to the priority area of

Environmental Health. (To order a copy

of Healthy People 2000, see the Where

to Obtain Additional Information

section.)