10278 Federal Register / Vol. 62, No. 44 / Thursday, March 6, 1997 / Notices

Dated: February 26, 1997.

Lisa Simpson,

Acting Administrator.

[FR Doc. 97–5494 Filed 3–5–97; 8:45 am]

BILLING CODE 4160–90–M

Centers for Disease Control and

Prevention

[Announcement Number 730]

State Capacity Projects for Assessing

and Preventing Secondary Conditions

Associated With Disability and

Promoting the Health of Persons With

Disabilities; Notice of Availability of

Funds for Fiscal Year 1997

Introduction

The Centers for Disease Control and

Prevention (CDC) announces the

availability of fiscal year (FY) 1997

cooperative agreements to establish and/

or sustain capacity to assess the

magnitude of disability in States,

prevent secondary conditions associated

with disability, and promote the health

and wellness of persons with

disabilities.

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 Healthy

People 2000 category, Preventive

Services. (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)) and Section

317 (42 U.S.C. 247b) of the Public

Health Service Act, as amended.

Smoke-free Workplace

CDC strongly encourages all grant

recipients to provide a smoke-free

workplace and promote the non-use of

all tobacco products. 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

Eligible applicants are the official

public health departments of States or

other State agencies or departments.

This includes the District of Columbia,

American Samoa, the Commonwealth of

Puerto Rico, the Virgin Islands, the

Federated States of Micronesia, Guam,

the Northern Mariana Islands, the

Republic of the Marshall Islands, the

Republic of Palau, and federally

recognized Indian tribal governments.

State agencies applying under this

announcement other than the official

State health department must provide

written concurrence from that agency

and describe the proposed working

relationship. Only one application from

each State may enter the review process

and be considered for an award under

this program.

Availability of Funds

A total of $5,300,000 is estimated to

be available in FY 1997 to fund State

capacity projects. CDC anticipates

making 15–16 awards which will not

exceed $350,000 each. Awards are

expected to be made in June 1997, for

a 12-month budget period beginning on

July 1, 1997, within a project period of

up to four years.

Funding estimates are subject to

change, including funds to be awarded

in continuation budget years. The

funding levels for each continuation

year of the project period are expected

to remain constant at $350,000.

However, the actual amount of future

year funding levels will take into

account documented progress toward

objectives, the quality of subsequent

project work plans, evidence of cost

sharing, previous year expenditures,

and the availability of funds.

Use of Funds and Project Costs

These awards may be used for

personnel services, supplies,

equipment, travel, subcontracts,

consultants, and services directly

related to project activities. Funds may

not be used to supplant State or local

funds for the purpose of this cooperative

agreement, for construction costs, to

lease or purchase space or facilities, or

for patient care. Awards made under

this Announcement should also be used

to enhance/increase expenditures from

State, local, and other funding sources

to augment program operations.

This program has no statutory

matching requirement; however

applicants should demonstrate and

document their capacity to support a

portion of project costs, increase costsharing over time, and identify other

funding sources for expanding the

project.

Financial assistance should be

utilized for the following State capacity

activities (refer to the attachment

providing DEFINITIONS included in the

application kit and also appended to

this Announcement available through

the CDC Home Page on the Internet

<http://www.cdc.gov>):

1. The human resources needed to

direct the statewide project, including

facilitating leadership, visibility,

coordination, and inclusion of the

prevention of secondary conditions as a

public health priority, both within the

applicant agency and in cross-agency

collaborations;

2. Support of an advisory function to

assist in project guidance and oversight;

3. Developing and implementing a

State plan and/or policy document for

the prevention of secondary conditions

that includes coordination with other

related planning functions;

4. Gathering and analyzing disability

information from targeted populations

in the State and promoting the use of

this data in developing and

implementing disability policy and the

resulting program direction;

5. Support of data collection using

questions taken from BRFSS-related

modules and other instruments;

6. Sustaining collaborations and

partnerships with constituency

organizations and individuals, and

ensuring that access for persons with

disabilities to project activities and

facilities will be achieved;

7. Collecting and disseminating

disability and health promotion

information;

8. Designing, promoting, and

measuring the impact of efforts toward

informing the public, professionals, and

persons with disabilities and their

family members regarding the disabling

process and the opportunities for

intervention;

9. Providing technical assistance to

disability service organizations and

community groups.

States may budget funds within their

maximum request of $350,000 to

develop a university partnership which

can expand the scope of the State in

defining and assessing the magnitude

and impact of disabilities at the State

and community level. This partnership

may also include establishing and

sustaining a resource and research

capacity to serve the State in identifying

gaps and addressing unmet disability

data/information and service needs, and

in assisting in program evaluation.

Within their application, States

should outline the rationale for selecting

and contracting with the proposed

university (denoting specific

departments or programs), and describe

the competencies and relationships in

place at the university that will blend

with State capacity to address and fulfill

the proposed epidemiologic and

program evaluation agenda.

Such a partnership is not a

requirement of this Announcement.

However, if State applicants elect not to
Federal Register / Vol. 62, No. 44 / Thursday, March 6, 1997 / Notices 10279

pursue the university affiliation; they

must indicate how and by whom these

enumerated tasks will be conducted

(such as within the resources of the

applicant agency).

Given the limits on funding for State

capacity activities, it is important that

applicants demonstrate their shared

support in making a resource

commitment for the project. States

should identify those staff positions and

other components of cost-sharing that

will be supported by the applicant

agency or other organizations in helping

to achieve the objectives of the project.

The sources and amounts of such

contributions should be specified in the

budget narrative and those amounts

represented on the budget information

sheet (Form 424A) under non-Federal

budget categories. States receiving

awards are expected to sustain (and

make efforts to increase) that level of

support throughout the project period.

Meeting those commitments will be

taken into account by CDC in funding

level determinations for subsequent

budget years.

Background

The CDC Office on Disability and

Health (proposed), current nameDisabilities Prevention Program has

provided financial assistance to States

since 1988. These awards have

permitted State health departments and

other State agencies to build capacity in

program identity, planning, surveillance

of targeted disabilities, conduct of

community-based interventions,

training of providers, and providing

health education/promotion curricula

and conferences. Awards resulting from

this Announcement are designed to

assist States in shifting from assessing

and preventing condition-specific

etiologies (e.g., spinal cord injury,

traumatic brain injury, fetal alcohol

syndrome, mild mental retardation,

spina bifida, cerebral palsy,

osteoporosis, etc); toward building

epidemiologic capacity to assess the

magnitude of disability in States,

developing data systems that contribute

to the understanding of secondary

conditions, and conducting other

activities noted in the PROGRAM

REQUIREMENTS section.

This change in approach

acknowledges that over 49 million

Americans have a disability and the

national cost of disabilities is in excess

of $170 billion each year, of which an

estimated $85 billion is spent in

federally-supported programs and

services.

CDC has been assigned a Federal

leadership role in assessing the

magnitude of disability and the

prevention of secondary conditions.

Therefore, it is incumbent that this

Announcement recognize that even

though specific conditions or etiologies

are important, each individually

represents only a small portion of the

total measure of disability in America.

Broader disability domains and

associated secondary conditions

represent the major impact and effects

of disability in terms of human and

economic cost. CDC wishes to give

priority to these broader effects of

disability on Americans and address the

importance of health promotion among

persons with disabilities, preventing the

loss of their independence and

participation, and reducing the

economic and human costs of secondary

conditions. These are health and social

concerns of great magnitude and

national significance.

This Announcement emphasizes

expanding the capacity of States to

determine the magnitude of disability in

their respective jurisdictions. States

should also conduct and measure the

effectiveness of programs to reduce or

prevent secondary conditions, and

assess the risk and protective factors

related to their selected disability

domain.

Disability domains are categories of

activities that individuals perform in

everyday life. States should propose

activities in at least one of the following

disability domains: (1) mobility

(locomotion); (2) personal care/home

management; (3) communication; and

(4) learning. Descriptions and examples

within these disability domains are as

follow:

1. Mobility (locomotion) refers to an

individual’s ability to perform

distinctive activities associated with

moving; both himself and objects, from

place to place. Examples of underlying

conditions or diagnoses include persons

with spinal cord injury, cerebral palsy,

lower limb loss, blindness, arthritis, or

stroke. Secondary conditions may

include urinary tract infections,

cardiovascular deficit due to sedentary

lifestyle, pressure sores, results from

falls, bowel obstruction, dependence on

assistive devices and its economic

impact, lack of access to medical care,

and social isolation.

2. Personal Care/Home Management

refers to an individual’s ability to

perform basic self-care activities such as

feeding, bladder and bowel care,

personal hygiene, dressing, financial

management, and homemaking.

Examples of underlying conditions or

diagnoses include persons with

arthritis, asthma, stroke, osteoporosis,

paraplegia, or multiple sclerosis.

Secondary conditions may include lack

of physical fitness, weight gain,

incontinence, poor nutrition, and

emotional dependence.

3. Communication refers to an

individual’s ability to generate and

express messages, and to receive and

understand messages. Examples of

underlying conditions or diagnoses

include persons with cerebral palsy,

deafness, aphasia from varied

pathology, or congenital speech

impediments. Secondary conditions

may include family dysfunction,

isolation, and constraints and barriers in

employment opportunity.

4. Learning refers to an individual’s

ability to profit from daily experiences,

and includes aspects of receiving,

processing, remembering, and using

information. Examples of underlying

conditions or diagnoses include persons

with mental retardation, spina bifida,

fetal alcohol syndrome, or traumatic

brain injury. Secondary conditions may

include depression, behavioral

problems, increased family stress, and

poor academic and vocational

performance.

Note that the examples listed above

are illustrative, and not intended to be

exhaustive. Several secondary

conditions may apply to more than one

disability domain. Because of limited

funds and other resources available, this

Announcement does not include

disabilities created by psychiatric

diagnoses, although mental health

issues may be appropriately included as

secondary conditions.

CDC will develop a set of questions

taken from existing Behavioral Risk

Factor Surveillance System (BRFSS)

modules and add additional questions

that must be asked by States funded

under this Announcement. This would

include asking an expected range of 20

to 25 questions that would take

approximately 15–20 minutes to

administer per interview. This process

would employ BRFSS-like survey

methods, designed to benefit the State

in determining the magnitude of

disability and selected secondary

conditions. CDC will identify and

finalize the survey questions by the time

of issuance of awards in June 1997. The

survey questions will be discussed with

the successful State applicants in a startup technical assistance conference to be

held in Atlanta within 60 days of award.

States will be required to implement (at

a minimum) a point-in-time survey in

the first year. The conduct of the

BRFSS-like survey is expected to begin

in early 1998 and would be repeated in

the second and subsequent years of the

project period, whether as a point-intime survey or as a continuous
10280 Federal Register / Vol. 62, No. 44 / Thursday, March 6, 1997 / Notices

surveillance system at approximately

the same range of annual expenditure.

For purposes of budgeting, applicants

should set aside $50,000 of their

financial assistance request to conduct

the survey each year and describe the

process, methods, and organizational

structure within the State for its

implementation. Since the States to be

funded are not yet known, sample sizes

for the survey based on population

differences among States cannot yet be

determined. Thus, with each State

proposing $50,000 for this survey,

adjustments to the awards will be made

on an individual State basis once the

sample sizes and resulting costs are

determined. This will occur subsequent

to the selection of States to be funded

and during award negotiations.

Purpose

The purpose of these cooperative

agreements is to assist States to develop

highly visible programs for assessing the

magnitude of disability in the State,

preventing secondary conditions, and

fostering health promotion among

persons with disabilities within their

own agency and through statewide

collaborations. Financial assistance is

being provided to allow States to work

toward that goal by promoting public

health leadership; building program

visibility statewide; coordinating

prevention services; using existing and

emerging disability data; establishing an

external or internal mechanism to

enhance epidemiologic and program

evaluation capabilities; providing

technical assistance; and facilitating

training, education, and health

promotion programs directed to meet

the needs of persons with disabilities.

State capacity awards are also designed

to support functions that promote and

influence the activities of other

organizations regarding these goals.

Program Requirements

Under this Program Announcement,

States should develop strategies to

identify the magnitude of a selected

disability domain within the State in

addition to the BRFSS-like survey.

States should also be able to measure

and characterize the incidence and

prevalence of State-selected secondary

conditions related to that domain,

implement preventive interventions,

and assess how participation is affected

by secondary conditions.

State projects must include an

organizationally-defined prevention

office, an advisory function that

includes broad representation with an

emphasis on persons with disabilities, a

strategic planning and/or policy

development process, access to sound

epidemiologic information on the

magnitude of disabilities in the State,

competence in guiding and overseeing

education/health promotion activities

for persons with disabilities, and the

ability to establish and sustain

communications/information

dissemination systems.

To that end, applicants must propose

a disability program office that includes

a full-time manager/coordinator

position with the authority to carry out

all project requirements. Applicants

who do not include (and maintain) a

full-time manager/coordinator position

will not be eligible for award or

continuation funding. Applicants

should present their plan and time line

for staffing the disability program office

and indicate how the proposed staff will

function in facilitating and promoting

the activities required under this

Announcement. Applicants should

describe the proposed staff disciplines

and professional competencies needed

to meet these requirements, while also

coordinating and influencing those

activities that reside outside of this

office.

Applicants should describe the

organizational structure and placement

of the project and how this placement/

location can maximize the applicant’s

capacity to promote State level policy

and priority setting for the prevention of

secondary conditions. CDC prefers that

State disability program offices have a

program title and organizational

location that adequately conveys their

State-level coordination functions and

responsibilities.

Applicants must cite the present and/

or proposed composition and structure

of its advisory function, and indicate

how maximum input by persons with a

disability, and their family members,

and minority populations will be

achieved. CDC recommends as high

ratios as practical, but requires that

applicants provide a specific plan to

maximize representation of persons

with a disability, women, and

minorities. CDC requires that such a

plan assures that the State advisory

function includes a minimum

representation of 25 percent of persons

with a disability.

States must note the disability domain

selected and the basis for that

determination. Within that domain,

States should conduct surveillance

assessing the prevalence of the selected

domain in addition to the BRFSS-like

survey. A variety of underlying

conditions may contribute to the

selected disability domain. To work

toward that assessment, States should

identify specific data sets which are

available, and could be accessed to help

ascertain the magnitude of disability

within the selected domain.

Although separate State and other

resources should be utilized for

condition-specific surveillance,

applicants may request a portion of

cooperative agreement funds (up to a

maximum of 15 percent of the total

budget) to sustain surveillance for

conditions or surveillance systems of

importance (e.g., selected traumatic

injuries, developmental disabilities,

chronic diseases) that will contribute to

the requirements of this Announcement.

Direct financing of interventions for

primary prevention activities at the

State or community level should be

supported from resources apart from

these awards; although the State

disability program office may

appropriately be used to provide

technical assistance for planning,

monitoring, and evaluation of these

activities.

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. Develop a highly visible Statebased program for the prevention of

secondary conditions (see attachment

providing DEFINITIONS for the list of

State capacity activities included in the

application kit and also appended to

this Announcement available through

the CDC Home Page on the Internet

<http://www.cdc.gov>);

2. Establish coordination with other

disabilities-related agencies, develop

project objectives and time frames,

provide technical assistance, and

establish a mechanism for computerized

communications/information systems;

3. Implement data collection using

survey questions provided by CDC from

existing BRFSS-related modules and

other instruments;

4. Use existing disability data and

access other State information in

developing and implementing disability

policy, including working with

populations within a disability domain;

and

5. Promote prevention planning in

communities, conduct or guide

education and health promotion

activities (primarily for persons with

disabilities), and evaluate their

effectiveness.

B. CDC Activities

1. Provide scientific and

programmatic technical assistance in
Federal Register / Vol. 62, No. 44 / Thursday, March 6, 1997 / Notices 10281

the planning, operation, and evaluation

of disability data and health promotion

activities;

2. Provide programmatic assistance in

administrative and organizational

aspects of project operations and

provide information on project activities

in other States and national initiatives;

3. Support project staff by conducting

training programs, conferences, and

workshops to enhance skills and

knowledge;

4. Provide a point of referral for

coordinating State, regional and/or

national data pertinent to the disabling

process; and

5. Provide survey questions to States

from BRFSS-related modules and assist

in the analysis of the resulting data.

Application Contents for State Capacity

Projects

1. Document the background and

need for support, including an overview

(with evidence) of the disability

problem in the State.

2. Describe the gaps in information

and program services, and how this

award will help close those gaps.

3. Provide a synopsis of prevention

services now in place including those

related to secondary conditions, denote

other organizations with similar

interests, discuss efforts to identify

populations at risk, and provide an

inventory of unmet needs that this

award can help address.

4. Describe the plans to identify,

designate, and utilize partner

organizations and other collaborators in

the conduct of the project and discuss

their prospective roles in meeting

agreed-upon objectives.

5. Describe the proposed structure of

the advisory function and how it will

function as a viable component for

program guidance and oversight.

6. Present how the project will

develop, disseminate, and implement a

strategic plan and/or policy directive for

the prevention of secondary conditions,

and use it to advance this agenda within

the State.

7. Provide letters of endorsement and

support confirming proposed

collaborations. These must represent

specific, tangible commitments, not

merely convey general interest and

imprecise future relationships. Discuss

how collaborations will function

individually, and collectively contribute

to the overall success of the project.

8. Provide a detailed work plan for all

State capacity activities. The work plan

should outline long-range goals for the

four year project period, but also

include detailed specific, measurable,

and time-phased objectives by quarter

the first two budget years of the project

period.

9. Describe how the organizational

linkages in place or to be negotiated will

be utilized for data access, analysis, data

sharing, and dissemination. Denote the

internal State structure and the

proposed university partnership (if

selected) to enhance epidemiologic

capability. Indicate the experience and

competencies in place to assure that

these epidemiologic activities can be

performed successfully and within

defined time frames.

10. Present the methods and

organizational entities to be used for

developing and conducting surveys

using CDC-supplied BRFSS-related

questions.

11. Describe and identify the

information/data systems (including

their title, ownership, linkage

opportunities, and potential benefit) to

be accessed for the selected disability

domain. Outline how that data will be

utilized in the design of health

promotion programs or other

interventions to prevent secondary

conditions.

12. Indicate how the project will

address the reliability and validity of

epidemiologic data collected, and how

it will be used for policy development

and prevention practice.

13. Describe the plan, methods and

structure (such as a university

partnership) to be enlisted for ongoing

program evaluation, noting the

experience and competencies available,

and how the evaluation component will

be integrated into project operations.

14. Present how, and by whom the

advisory function and strategic planning

and policy activities of the project will

be evaluated as to process and results.

15. Discuss how the delivery of health

promotion and technical assistance

activities will be measured and

modified for greater quality, acceptance,

and improved outcomes.

16. Present the plan to establish the

State disability program office, clearly

indicate the time frames for staff

recruitment, and provide curriculum

vitae for the proposed Principal

Investigator and key project personnel.

17. Provide an organization chart of

the proposed project delineating its

placement, and discuss how this

location and resultant linkages will

serve to ensure the prominence of the

program and its influence within the

applicant agency.

18. Discuss how and by whom the

project will be directed. Designate the

responsibilities of all staff members in

the State disability program office.

Present the rationale for outlined tasks,

and identify personnel (by positions) to

be responsible for each identified

objective.

19. Describe the plan for assuring that

persons with disabilities as well as all

racial, ethnic, gender, and cultural

groups will have access to all project

services, facilities, and opportunities for

representation in the project.

20. Present the approach to design,

influence, and/or provide leadership in

training and education programs for

health professionals and for the public,

with an emphasis on groups at special

risk. Indicate the subject areas and target

audiences to be included in such

programs. Describe the process for

developing a system for disabilitiesrelated information sharing and

communications.

21. Prepare a budget and narrative

that clearly and fully justifies all

requested items, denoting the specific

line categories for Federal financial

assistance. The budget form should also

list categories of non-CDC Federal funds

and non-Federal funds that contribute to

and comprise the total budget for the

project.

22. In addition to the budget

justification, applicants should denote

the extent of State financial support of

the project as documented by budget

and narrative information. Indicate the

level of full-time and majority-time staff

and resources dedicated to this project

and the level of other tangible costs to

be borne by the applicant.

23. Human Subjects (if applicable):

This section must describe the degree to

which human subjects may be at risk

and the assurance that the project will

be subject to initial and continuing

review by the appropriate institutional

review committees.

Evaluation Criteria for State Capacity

(Total 100 Points)

1. Evidence of Need and Understanding

of the Problem: (10 Points)

Evaluation will be based on:

a. The applicant’s description and

understanding of the magnitude of

disabilities showing evidence (as

available) of estimates of incidence and/

or prevalence, demographic indicators,

scope of disabilities and their severity,

and their associated costs.

b. The applicant’s description of, and

the extent of current prevention

activities related to disability, including

those related to the prevention of

secondary conditions within the State.

This description should describe need,

available resources, populations-at-risk,

knowledge gaps, and the use of this

award in addressing those needs.

2. Evidence of Collaboration: (15 Points)

Evaluation will be based on:
10282 Federal Register / Vol. 62, No. 44 / Thursday, March 6, 1997 / Notices

a. Evidence of collaboration with

other principal partners in the conduct

of the project, including (if selected) the

formal university partnership.

b. The description of the proposed

advisory function including evidence of

representation of persons with

disabilities and its role and capacity to

influence State-level policy.

c. The approach to develop and

implement a State strategic plan and/or

policy directive for the prevention of

secondary conditions.

d. The description of the specific roles

and responsibilities of these working

partners including the products and

services to be provided.

e. The presentation of evidence as to

how these collaborations will result in

successful implementation of the

project.

3. Goals and objectives: (15 Points)

Evaluation will be based on the

quality of the proposed project goals

and objectives related to the conduct of

the project. Objectives must be specific,

measurable, achievable, and timephased; and based on a formal work

plan with descriptive methods and a

timetable for accomplishment.

4. Epidemiological Capacity: (25 Points)

Evaluation will be based on:

a. The epidemiologic capacity and

structure in place to coordinate and

facilitate data collection, analysis, and

dissemination.

b. The description of the approach

and activities necessary to conduct the

survey taken from CDC-provided

BRFSS-related questionnaires.

c. The description of the approach to

access other identified applicable State

disability information sources, and how

such data will be used.

d. The plan for how the university

partnership (if selected) or other agency

will be employed to facilitate

epidemiologic excellence toward

assessing the magnitude of disability

and set intervention and health

promotion priorities.

e. The accounts of how the project

will assess the reliability and validity of

epidemiological data collected and used

for policy development.

5. Program Evaluation: (15 Points)

Evaluation will be based on:

a. The overall plan for evaluation of

the project, including design, methods,

partners, and process to be followed for

implementation.

b. The description of how the

advisory committee functions and

planning activities of the project will be

evaluated, and by whom.

c. The description of how the project

will measure increases in public

awareness, knowledge, behavior, and

the overall benefits of health promotion

delivery.

d. The description of how the project

will assess changes in public policy,

and measure the effects of its technical

assistance and communications directed

toward communities and special

populations.

6. Project Management and Staffing: (20

Points)

Evaluation will be based on:

a. The description of the proposed

staffing for the project, including the

plan to expedite filling of all positions.

b. The description of the

responsibilities of individual staff

members including the level of effort

and time allocation for each project

activity by staff position.

c. The extent to which the placement

of the project within the applicant

organization assures maximum

operational visibility and influence.

d. The strength of the presentation

citing that all project facilities and

services provided will be fully

accessible to persons with disabilities.

e. The extent to which the application

demonstrates direct involvement of

personnel who reflect the racial, ethnic,

gender, and cultural composition of the

population to be served.

f. The plan to provide technical

assistance, education and training, and

health promotion programs; and the

proposed design of a shared information

and communications dissemination

system.

7. Budget Justification: (Not Scored)

The budget section must demonstrate

reasonableness, a concise and clear

justification, accuracy, and full

itemization of line categories for Federal

and non-Federal funds comprising the

total budget. It also must show

consistency with the intended use of

cooperative agreement funds.

8. Human Subjects (if Applicable): (Not

Scored)

The extent to which the applicant

complies with the Department of Health

and Human Services Regulations (45

CFR Part 46) regarding the protection of

human subjects.

Funding Priorities

CDC intends that there be

representation of all four listed

disability domains among its State

capacity recipients nationally.

Therefore, to the extent that high quality

and high ranking applications are

reviewed, CDC plans to have no fewer

than two States conducting prevention

programs in each of the four disability

domains.

As part of the funding decision

process, CDC desires to achieve a

balance of States that are geographically

and demographically representative of

the United States; and, to the extent

practical, fund States in most or all of

the ten Department of Health and

Human Services Regions.

Priority for funding will be given to

those States that both score high in the

review and can also provide substantial

commitment and evidence of tangible

cost-sharing for financial and human

resource contributions to this

cooperative agreement. This includes

commitments for both immediate and

long-term support as the applicant’s

participation in project costs.

Priority for funding will also be given

to those States that score high in the

review and also demonstrate an

organizational commitment to meet the

requirements of this Announcement by

integrating key project personnel within

their agency personnelmerit system

structure. In lieu of that capability,

applicants should provide evidence that

key personnel will be able to function

effectively under an alternate staffing

plan, such as through a contract/

consultant personnel agreement, and

present the basis and rationale for such

action.

CDC considers it important that States

expedite meeting the requirements of

this Announcement. Hence, special

consideration will be given to those

applicants that demonstrate evidence of

an immediate or short term capability to

address these requirements, as opposed

to a longer term approach for

development of these components of the

project. While extra points are not set

aside for that capability, the objective

review committee will view the tasks

explicit in this Announcement in light

of the applicant’s facility for

implementation and attainment over the

short term, as opposed to not being in

place until late or at the conclusion of

the four year project period.

Reporting Requirements

Project narrative reports will be

required twice annually; and due 31

days after the close of each six month

calendar period. An original and two

copies of the narrative progress report

should be submitted to the CDC Grants

Management Branch by January 31 and

July 31 of each year. The January report

should cover the period from July 1 to

December 31. The July report should

cover the period from January 1 to June

30. An original and two copies of the

Financial Status Report is required to be

submitted to the CDC Grants

Management Branch no later than 90
Federal Register / Vol. 62, No. 44 / Thursday, March 6, 1997 / Notices 10283

days after the end of each budget period,

or by September 30 of each year.

Special Instructions

Applicants must submit a separate

typed abstract or 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 both the

project narrative and attachments. The

budget narrative and full budget

justification must be placed

immediately after the table of contents

and abstract in the front of the

application. Applications must be

developed in accordance with PHS

Form 5161–1. Applicants should

organize their proposals along the lines

of the application contents section for

state capacity functions under this

Announcement, as those elements are

arranged to be compatible with the

respective application review evaluation

criteria.

The main body of the application

narrative should not exceed 50 doublespaced pages. Pages must be numbered

and printed on only one side of the

page. All material must be typewritten;

with 10 characters per inch type (12

point) on 8–1⁄2′′ by 11′′ white paper with

at least 1’’ margins, headers and footers

(except for applicant-produced forms

such as organizational charts, photos,

graphs and tables, etc.). Applications

must be held together only by rubber

bands or metal clips. Applications must

not be bound together in any other way.

Attachments to the application should

be held to a minimum in keeping to

those items required by this

Announcement.

Applicants may contract with other

entities for the conduct of the project.

These can include activities such as

formal instruments with universities

and faculty members as part of State

capacity, facilitators for project

meetings, training leaders/specialists,

consultants for strategic planning, data

collection contracts, intra-agency

agreements in states for conducting

surveys such as BRFSS-like questions

provided by CDC, health promotion

curriculum and communications/

information systems development,

questionnaire and survey design, and

workshops and conferences.

Applicants are invited by CDC to

attend a one day technical assistance

meeting in Atlanta on Wednesday,

March 26, 1997, to discuss the

requirements of this Announcement,

and to ask questions regarding its

content. Interested State applicants

should contact the official listed for

obtaining programmatic information in

the ‘‘WHERE TO OBTAIN

ADDITIONAL INFORMATION’’ Section

for the time and location.

CDC plans to hold a start-up

conference for successful applicants

early in the project cycle. That meeting

will be held in Atlanta within 60 days

of award. Details regarding that

conference will be provided at the time

of the issuance of grant awards.

Applicants should include travel funds

in their budgets to participate in this

start-up conference, and for one

additional workshop for key project staff

late in the first budget year.

CDC considers it critical that States

participate in these and future project

meetings. By virtue of accepting an

award, States are understood to have

agreed to use cooperative agreement

funds for travel by project staff selected

by CDC to participate in CDC-sponsored

workshops and other called meetings.

Executive Order 12372

Applications are subject to the

Intergovernmental Review of Federal

Programs as governed by Executive

Order 12372. Executive Order 12372

sets up a system for State and local

government review of proposed Federal

assistance applications. Applicants

(other than federally recognized Indian

tribal governments) should contact their

State Single Point of Contacts (SPOCs)

as early as possible to alert them to the

prospective applications and receive

any necessary instructions on the State

process. For proposed projects serving

more than one State, the applicant is

advised to contact the SPOCs of each

affected State. A current list is included

in the application kit. If SPOCs have any

State process recommendations on

applications submitted to CDC, they

should forward them to 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 321, Mailstop E–

13, Atlanta, Georgia 30305, no later than

60 days after the deadline date for new

and competing awards. The granting

agency does not guarantee to

‘‘accommodate or explain’’ State process

recommendations it receives after that

date.

Public Health System Reporting

Requirements

This program is not subject to the

Public Health System Reporting

Requirements.

Catalog of Federal Domestic Assistance

(CFDA)

The Catalog of Federal Domestic

Assistance number is 93.184.

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.

Human Subjects

If the proposed project involves

research on human subjects, the

applicant must comply with the

Department of Health and Human

Services Regulations, 45 CFR Part 46,

regarding the protection of human

subjects. Assurance must be provided to

demonstrate that the project will be

subject to initial and continuing review

by an appropriate institutional review

committee. The applicant will be

responsible for providing assurance in

accordance with the appropriate

guidelines and forms provided in the

application kit.

Animal Subjects

If the proposed project involves

research on animal subjects, the

applicant must comply with the ‘‘PHS

Policy on Humane Care and Use of

Laboratory Animals by Awardee

Institutions.’’ An applicant organization

proposing to use vertebrate animals in

PHS-supported activities must file an

Animal Welfare Assurance with the

Office of Protection from Research Risks

at the National Institutes of Health.

Women and Minority Inclusion Policy

It is the policy of CDC to ensure that

women and racial and ethnic groups

will be included in CDC-supported

research projects involving human

subjects, whenever feasible and

appropriate. Racial and ethnic groups

are those defined in OMB Directive

Number 15 and include American

Indian, Alaska Native, Asian, Pacific

Islander, Black, and Hispanic.

Applicants shall ensure that women,

racial, and ethnic minority populations

are appropriately represented in

applications for research involving

human subjects. Where clear and

compelling rationale exist that inclusion

is inappropriate or not feasible, this

situation must be explained as part of

the application. In conducting the

review of applications for scientific

merit, review groups will evaluate

proposed plans for inclusion of

minorities and both sexes as part of the

scientific assessment and assigned

score. This policy does not apply to

research studies when the investigator

cannot control the race, ethnicity, and/

or sex of subjects. Further guidance to
10284 Federal Register / Vol. 62, No. 44 / Thursday, March 6, 1997 / Notices

this policy is contained in the Federal

Register, Vol. 60, No. 179, Friday,

September 15, 1995, pages 47947–

47951.

Application Submission and Deadline

A. Pre-Application Letter of Intent

Although not a prerequisite of

application, a non-binding letter of

intent to apply is requested from

potential applicants. The letter should

be submitted to the Grants Management

Officer whose name is noted in section

B. below. The letter should be

postmarked no later than 30 days prior

to the submission deadline. The letter of

intent should identify the

Announcement Number; name the

proposed project director; and in a

paragraph, describe the scope of the

proposed project. The letter will not

influence review or funding decisions,

but it will enable CDC to plan the

review more efficiently and ensure that

applicants receive timely and relevant

information prior to application

submission.

B. Application Submission

The original and two copies of the

application PHS Form 5161–1 (OMB

Number 0937–0189) should be

submitted to Mr. Ron Van Duyne,

Grants Management Officer, Grants

Management Branch, Procurement and

Grants Office, Centers for Disease

Control and Prevention (CDC), 255 East

Paces Ferry Road, NE., Room 321,

Mailstop E–13, Atlanta, Georgia 30305,

on or before Thursday, May 1, 1997.

1. Deadline: Applications will 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 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 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

applications. Late applications will not

be considered in the current

competition and will be returned to the

applicant.

Where To Obtain Additional

Information

To receive additional written

information call (404) 332–4561. You

will be asked your name, address, and

telephone number and will need to refer

to Announcement Number 730. You

will receive a complete program

description, information on application

procedures, and application forms. In

addition, this announcement is also

available through the CDC Home Page

on the Internet. The CDC Home Page

address is http://www.cdc.gov.

If you have questions after reviewing

the contents of all the documents,

business management technical

assistance may be obtained from Georgia

L. 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@cdc.gov).

Programmatic and operational

information may be obtained from

Joseph B. Smith, Office on Disability

and Health, National Center for

Environmental Health, Centers for

Disease Control and Prevention, 4770

Buford Highway, Building 101, Mailstop

F–29, Atlanta, Georgia 30341, telephone

(770) 488–7082. (Internet address:

jos4@cdc.gov). Epidemiologic and

surveillance-related technical assistance

is available from Donald J. Lollar, Ed.D.

at the same address, telephone (770)

488–7094. (Internet address:

dcl5@.cdc.gov).

An attachment to this Announcement

provides definitions concerning the

conceptional model of disability,

secondary conditions; and includes a

list and description of major State

capacity activities (included in the

application kit and also appended to

this Announcement available through

the CDC Home Page on the Internet

<http://www.cdc.gov>).

Potential applicants may obtain a

copy of ‘‘Healthy People 2000’’ (Full

Report; Stock number 017–001–00474–

0) or ‘‘Healthy People 2000’’ (Summary

Report; Stock number 017–001–00473–

1) through the Superintendent of

Documents, Government Printing

Office, Washington, DC 20402–9325,

telephone (202) 512–1800.

Dated: February 28, 1997.

Joseph R. Carter,

Acting Associate Director for Management

and Operations, Centers for Disease Control

and Prevention (CDC).

[FR Doc. 97–5515 Filed 3–5–97; 8:45 am]

BILLING CODE 4163–18–P

Administration for Children and

Families

Agency Record/keeping/Reporting

Requirements Under Emergency

Review by the Office of Management

and Budget (OMB)

Title: Community-Based Family

Resource and Support Grants.

OMB No.: New Collection.

Description: The Program Instruction,

prepared in response to the enactment

of the Community-Based Family

Resource and Support Grants (CBFRS),

as set forth in Title II of Pub. L. 104–

235, Child Abuse Prevention and

Treatment Act Amendments of 1996,

provides direction to the States and

Territories to accomplish the purposes

of (1) supporting State efforts to

develop, operate, expand and enhance a

network of community-based,

prevention-focused, family resource and

support programs that coordinate

resources among existing human service

organizations within the State; and (2)

fostering an understanding,

appreciation, and knowledge of diverse

populations in order to be effective in

preventing and treating child abuse and

neglect. This Program Instruction

contains information collection

requirements that are found in Pub. L.

104–235 at Sections 202(1)(A); 202(b);

203(b)(1)(B); 205; and pursuant to

receiving a grant award. The

information submitted will be used by

the agency to ensure compliance with

the statute, complete the calculation of

the grant award entitlement, and

provide training and technical

assistance to the grantee.

Respondents: State, Local or Tribal

Govt.

ANNUAL BURDEN ESTIMATES

Instrument Number of

respondents

Number of

responses

per respondent

Average burden hours

per response

Total burden

hours

Application ................................................................................................................ 57 1 40 2,280

Annual report ............................................................................................................ 57 1 40 1,368