33064 Federal Register / Vol. 63, No. 116 /Wednesday, June 17, 1998 / Notices

and Compressed Work Schedules Act,

the schedule or proposed schedule

which is the subject of the agency’s

determination and the finding on which

the determination is based.

Need and Use of the Information: The

information to be collected by the

Request for Assistance is required for

the Panel to be able to process and

decide collective bargaining impasses

arising under the Federal Service LaborManagement Relations Statute, 5 U.S.C.

7119. The information collected on the

form is to be used to enable Panel staff

employees to contact affected parties in

impasse proceedings, and to enable staff

employees to take the necessary steps to

begin the processing of the Request for

Assistance. The form will be provided

to members of the public to initiate an

impasse proceeding before the Panel.

The petition form is filed with the

Panel’s office. Use of the form is not

required to obtain Panel assistance,

however, so long as the written request

by a party for assistance contains the

information requested on the form.

Description of Respondents: Federal

employees representing federal agencies

in their capacity as employer and

federal employees and employees of

labor organizations that are representing

those labor organizations, are the

members of the public who may file the

Request for Assistance form.

Number of Respondents:

Approximately 160 per year.

Frequency of Response: On occasion,

as collective bargaining impasses arise.

Total Burden Hours: Approximately

one-half hour per petition (80 hours per

year).

Authority: Section 3507 of the Paperwork

Reduction Act of 1995, 44 U.S.C. Chap. 35,

as amended.

Dated: June 11, 1998.

H. Joseph Schimansky,

Executive Director, Federal Service Impasses

Panel.

[FR Doc. 98–16045 Filed 6–16–98; 8:45 am]

BILLING CODE 6727–01–P

GENERAL SERVICES

ADMINISTRATION

[OMB Control No. 3090–0080]

Submission for OMB Review;

Comment Request Entitled Contract

Financing

AGENCY: Office of Acquisition Policy,

GSA.

ACTION: Notice of request for an

extension to an existing OMB clearance

(3090–0080).

SUMMARY: Under the provisions of the

Paperwork Reduction Act of 1995 (44

U.S.C. Chapter 35), the Office of

Acquisition Policy has submitted to the

Office of Management and Budget

(OMB) a request to review and approve

an extension of a previously approved

information collection requirement

concerning Contract Financing.

DATES: Comment Due Date: August 17,

1998.

ADDRESSES: Comments regarding this

burden estimate or any other aspect of

this collection of information, including

suggestions for reducing this burden,

should be submitted to: Edward

Springer, GSA Desk Officer, Room 3235,

NEOB, Washington, DC 20503, and to

Marjorie Ashby, General Services

Administration (MVP), 1800 F Street

NW, Washington, DC 20405.

FOR FURTHER INFORMATION CONTACT: Al

Matera, Office of GSA Acquisition

Policy (202) 501–1224.

SUPPLEMENTARY INFORMATION:

A. Purpose

The GSA is requesting the Office of

Management and Budget (OMB) to

review and approve information

collection, 3090–0080, concerning

Contract Financing. Offerors are

required to identify whether items are

foreign source end products and the

dollar amount of import duty for each

product.

B. Annual Reporting Burden

Respondents: 2,000; annual

responses: 2,000; average hours per

response: .1; burden hours: 200.

Copy of Proposal

A copy of this proposal may be

obtained from the GSA Acquisition

Policy Division (MVP), Room 4011, GSA

Building, 1800 F Street NW,

Washington, DC 20405, or by

telephoning (202) 501–3822, or by

faxing your request to (202) 501–3341.

Dated: June 9, 1998.

Ida M. Ustad,

Deputy Associate Administrator, Office of

Acquisition Policy.

[FR Doc. 98–16077 Filed 06–16–98; 8:45 am]

BILLING CODE 6820–61–M

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Centers for Disease Control and

Prevention

[Announcement Number 98084]

Notice of Availability of Funds for

1998; State Cardiovascular Health

Programs

Introduction

The Centers for Disease Control and

Prevention (CDC), announces the

availability of fiscal year (FY) 1998

funds for a cooperative agreement

program for State-based cardiovascular

health programs. This announcement is

the first of its kind and contains

cardiovascular health program design

components considered essential to

increasing the leadership of State health

departments in cardiovascular disease

prevention and control. The essential

components are characterized by

definition of the cardiovascular disease

problem within the State; development

of partnerships and coordination among

concerned nongovernmental and

governmental partners; development of

effective strategies to reduce the burden

of cardiovascular diseases and related

risk factors with an overarching

emphasis on heart healthy policies and

physical and social environmental

changes at all levels as interventions;

and monitoring of all the critical aspects

of cardiovascular diseases.

To improve the cardiovascular health

of all Americans, every State health

department should have the capacity,

commitment, and resources to carry out

comprehensive cardiovascular disease

prevention and control programs.

Applicants may apply for one, but not

both, of the following levels of support:

1. A Core Capacity Program to

develop basic cardiovascular disease

program functions and activities at the

State level such as partnerships and

program coordination, scientific

capacity, inventory of policy and

environmental strategies, State plan for

cardiovascular diseases, training and

technical assistance, strategies for

addressing Priority Populations, and

intervention strategies.

2. A Comprehensive Program to

implement and disseminate

intervention activities throughout the

State using health care settings, work

sites, schools, media, the government,

and community-based organizations as

primary modes of intervention for

cardiovascular diseases.

One optional enhanced school health

program. Additional funding may be

available for either a Core Capacity
Federal Register / Vol. 63, No. 116 /Wednesday, June 17, 1998 / Notices 33065

Program or a Comprehensive Program to

collaborate with the State education

agency and other relevant governmental

and nongovernmental agencies to

implement cardiovascular disease

prevention strategies that address

students, their families, school staff, and

communities.

While defining the problem of

cardiovascular diseases and related risk

factors within the State, the applicant

may determine the Priority Populations

to be addressed. Factors that may be

considered when identifying Priority

Populations include rates of

cardiovascular diseases and related risk

factors, lack of access to services,

socioeconomic levels, and populations

with documentation of high risk of

cardiovascular diseases. The applicant

may direct specific program

interventions to reduce risk factors in

key Priority Populations to levels at or

below the general population.

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 Heart

Disease and Stroke. (For ordering a copy

of Healthy People 2000, see the section

‘‘Where to Obtain Additional

Information.’’)

Authority

This program is authorized under

section 317(a) of the Public Health

Service (PHS) Act [42 U.S.C.247b(a)], as

amended. Applicable program

regulations are found in 42 CFR Part

51b-Project Grants for Preventive Health

Services.

Smoke-Free Workplace

CDC strongly encourages all grant

recipients to provide a smoke-free

workplace and to 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

Assistance will be provided only to

the health departments of certain States

or their bona fide agents. Eligible States

are limited to those in which mortality

rates from ischemic heart disease or

stroke exceed the national rates by ten

percent or more. The eligible States

(based on National Vital Records) are

Alabama, Arkansas, Georgia, Indiana,

Kentucky, Louisiana, Mississippi,

Missouri, New York, North Carolina,

Ohio, Oklahoma, South Carolina,

Tennessee, Virginia, West Virginia; and

the District of Columbia.

Other States or territories including

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, and

the Republic of Palau may apply; but,

they must provide evidence that their

mortality rate from ischemic heart

disease exceeds 189.7/100,000 or the

mortality rate from stroke exceeds 44.4/

100,000. Mortality statistics provided by

the applicant must use ICD–9 codes of

410–414 (Ischemic heart disease) and

430–438 (Stroke), age-adjusted to the

1970 U.S. population, resident

population only, for the 35–74 year-old

population of the State, for 1991–1995

based on National Vital Records

available on CDC WONDER. This

documentation must be provided in the

Executive Summary of the Application

Content section.

State health departments are uniquely

qualified to define the cardiovascular

health problem throughout the State, to

plan and develop statewide strategies to

reduce the burden of cardiovascular

diseases, to provide overall State

coordination of cardiovascular health

activities among partners, to lead and

direct communities, to direct and

oversee interventions within

overarching State policies, and to

monitor critical aspects of

cardiovascular diseases. Therefore,

because of these unique qualifications,

competition is limited to State health

departments.

Eligible applicants may choose to

address either the Core Capacity

Program or the Comprehensive Program.

However, applicants choosing to

address the Comprehensive Program

must meet the matching requirement for

State funds (see Recipient Financial

Participation).

Availability of Funds

Approximately $4,750,000 is available

in FY 1998 to fund approximately 8

States.

A. Approximately $1,800,000 is

available for approximately 6 Core

Capacity Program awards. It is expected

that the average award will be $300,000,

ranging from $250,000 to $500,000.

B. Approximately $2,500,000 is

available for approximately 2

comprehensive awards. It is expected

that the average award will be

$1,250,000 ranging from $1,000,000 to

$1,500,000.

C. Approximately $450,000 is

available for one optional enhanced

school health program that may be

additional funding to either a Core

Capacity Program or a Comprehensive

Program.

It is expected that the awards will

begin on or about September 28, 1998,

and will be made for a 12-month budget

period within a project period of up to

5 years. Funding estimates may vary

and are subject to change.

Continuation awards within the

project period will be made on the basis

of satisfactory progress and the

availability of funds.

If requested, federal personnel,

equipment, or supplies may be provided

in lieu of a portion of the financial

assistance.

States which compete for funds but

do not receive an award and whose

application is not disapproved, will

maintain an ‘‘approved but unfunded’’

status for one year. If additional funds

become available during the year,

additional States may be considered for

funding.

CDC anticipates that additional funds

may become available for addressing

Priority Populations for recipients under

this program announcement. If funds

become available, recipients may be

solicited to submit competitive

supplemental applications for these

funds.

Recipient Financial Participation

Matching funds are required from

State sources in an amount not less than

$1 for each $4 of Federal funds awarded

under the Comprehensive Program of

this announcement. Applicants for the

Comprehensive Program must provide

evidence of State appropriated resources

targeting cardiovascular health of at

least 20 percent of the total approved

budget. The Preventive Health and

Health Services (PHHS) Block Grant

may not be included as State resources.

Applicants may not use these funds to

supplant funds from State sources or the

Preventive Health and Health Services

Block Grant dedicated to cardiovascular

health. Applicants must maintain

current levels of support dedicated to

cardiovascular health from State sources

or the Preventive Health and Health

Services Block Grant.

Use of Funds

Funds provided under this program

announcement are not intended to be

used to conduct community-based pilot

or demonstration projects.

Restrictions on Lobbying

Applicants should be aware of

restrictions on the use of Health and

Human Services (HHS) funds for

lobbying of Federal or State legislative

bodies. Under the provisions of 31
33066 Federal Register / Vol. 63, No. 116 /Wednesday, June 17, 1998 / Notices

U.S.C. Section 1352 (which has been in

effect since December 23, 1989),

recipients (and their subtier contractors)

are prohibited from using appropriated

Federal funds (other than profits from

Federal contract) for lobbying Congress

or any Federal agency in connection

with the award of a particular contract,

grant, cooperative agreement, or loan.

This includes grants/cooperative

agreements that, in whole or in part,

involve conferences for which Federal

funds cannot be used directly or

indirectly to encourage participants to

lobby or to instruct participants on how

to lobby.

In addition, the FY 1998 Department

of Labor, Health and Human Services,

and Education, and Related Agencies

Appropriations Act (Public Law 105–78)

states in Sec. 503(a)and (b) no part of

any appropriation contained in this Act

shall be used, other than for normal and

recognized executive-legislative

relations, for publicity or propaganda

purposes, for the preparation,

distribution, or use of any kit, pamphlet,

booklet, publication, radio, television,

or video presentation designed to

support or defeat legislation pending

before the Congress or any State

legislature, except in presentation to the

Congress or any State legislative body

itself. No part of any appropriation

contained in this Act shall be used to

pay the salary or expenses of any grant

or contract recipient, or agent acting for

such recipient, related to any activity

designed to influence legislation or

appropriations pending before the

Congress or any State legislature.

Background

Among men and women, and across

all racial and ethnic groups,

cardiovascular disease is our nation’s

leading killer and a leading cause of

disability. More than 950,000

Americans die of cardiovascular disease

each year, accounting for more than 40

percent of all deaths. Over half of these

deaths occur among women.

In 1998, cardiovascular diseases are

estimated to cost our nation $274

billion. This amount includes health

expenditures and lost productivity

resulting from illness and death. The

use of expensive treatment, although

effective in delaying death from

cardiovascular diseases, is likely to

continue to increase the financial

impact.

Cardiovascular diseases are common

and their risk factors are widespread in

American society. Although most of the

major risk factors for heart disease and

stroke are modifiable or entirely

preventable, over 80 percent of

Americans report having at least one

major risk factor. These include tobacco

use, physical inactivity, poor diet, high

blood pressure, high blood cholesterol,

obesity, and diabetes.

Major disparities exist among

population groups, with a

disproportionate burden of death and

disability from cardiovascular diseases

in minority and low-income

populations. For example, the rate of

premature deaths caused by

cardiovascular diseases is greater among

African-Americans than among white

Americans. Disparities also exist in the

prevalence of risk factors for

cardiovascular diseases. For example,

physical inactivity is higher for

Mexican-American women (46 percent)

and African-American, non-Hispanic

women (40 percent) than for white, nonHispanic women (23 percent).

Purpose

The purpose of this program is not

only to provide financial and

programmatic assistance that will aid

States in developing, implementing, and

evaluating cardiovascular disease

prevention and control programs; but

also, to assist States in developing their

Core Capacity Programs into a

Comprehensive Program.

State Core Capacity Programs: The

purpose of these programs is to develop

and fill gaps in capacity and leadership

in State health departments in areas

critical to the implementation and

management of a successful statewide

comprehensive cardiovascular disease

prevention program. Core Capacity

Programs are the foundation upon

which comprehensive cardiovascular

health programs are built.

State Comprehensive Programs: The

purpose of these programs is to build

upon core capacities of the State. They

implement widespread interventions

throughout the State, adopting

population-based approaches for

cardiovascular disease prevention and

control that extends to all population

groups, and a focused approach for

priority populations. In addition to the

components of the Core Capacity

Programs, the Comprehensive Programs

extend resources to local health

agencies, communities, and

organizations for implementation of the

cardiovascular health strategies.

Program Requirements

In conducting activities to achieve the

purpose of this program, the recipient

will be responsible for conducting the

activities under A. (State Core Capacity

Programs), below, or under B.

(Comprehensive Programs), below, and

CDC will be responsible for the

conducting activities listed under C.,

below.

A. Recipient Activities for State Core

Capacity Programs

1. Develop and Coordinate Partnerships

Identify, consult with, and

appropriately involve the State

cardiovascular health partners to

identify areas critical to the

development of a statewide

cardiovascular disease prevention and

control program, coordinate activities,

avoid duplication of effort, and enhance

the overall leadership of the State with

its partners. Within a State health

department, coordinate and collaborate

with partners in nutrition and physical

activity and other areas such as tobacco,

diabetes, cancer, health education,

Preventive Health and Health Services

Block Grant, laboratory, as well as with

data systems such as vital statistics and

behavioral risk factor surveillance.

Within State government, collaboration

and partnership with other departments

such as education, transportation, parks

and recreation, and with youth risk

behavioral surveillance, should be

developed. These partnerships and

collaborative efforts should develop into

memorandums of agreement (MOA) or

similar formalized arrangements. The

State health department should develop

a statewide coalition with

representation from other agencies,

professional and voluntary groups,

academia, community organizations, the

media, and the public.

2. Develop Scientific Capacity to Define

the Cardiovascular Disease Problem

Enhance epidemiology, statistics, and

data analysis from existing data systems

such as vital statistics, hospital

discharges, and behavioral risk factor

surveillance to determine:

a. Trends in cardiovascular diseases.

b. Geographic distribution of the

diseases.

c. The racial and ethnic identities of

populations at highest risk for

cardiovascular diseases.

d. Ways to integrate systems to

provide comprehensive data needed for

assessing and monitoring the

cardiovascular health of populations

and program outcomes.

Monitoring and program evaluation

are considered essential components of

building scientific capacity. Scientific

capacity may also extend to developing

access to outside databases such as

medical care, and to laboratory

development consistent with the overall

direction of the program. State public

health laboratories, or laboratories

contracted by States to perform lipid
Federal Register / Vol. 63, No. 116 /Wednesday, June 17, 1998 / Notices 33067

and lipoprotein testing, should be

standardized by the CDC Lipid

Standardization Program.

3. Develop an inventory of Policy and

Environmental Strategies

Develop an inventory of policy and

environmental issues in systems and

settings, (State, communities, health

care sites, work sites, schools) affecting

the cardiovascular health of the general

population and Priority Populations, to

include such issues as food service

policies; availability of opportunities

such as sidewalks, recreation centers,

parks, walking trails; restrictions on

tobacco; and standards of care. Health

care-related policy and environmental

issues should be assessed in

collaboration with purchasers of

medical care, managed care

organizations, and consumers. Attention

should be paid to the needs of Priority

Populations and the policy and

environmental issues most vital to their

cardiovascular health.

4. Develop or Update State Plan

Develop or update a State plan for

cardiovascular diseases to include

specific objectives for future reductions

in cardiovascular diseases and related

risk factors. Develop a complete

description of the cardiovascular

disease problem geographically and

demographically and include

population-specific strategies for

achieving the objectives. The strategies

should emphasize population-based

policy and environmental approaches as

well as the needs of Priority

Populations. The strategies may also

include planning for program

development at the community level,

particularly for Priority Populations.

5. Provide Training and Technical

Assistance

Increase the skills of State health

department and external personnel in

areas such as data systems; use of data

in program planning; assessing

community assets and needs;

cardiovascular diseases and related risk

factors with emphasis on nutrition and

physical activity; approaches to

interventions with emphasis on policy

and environmental issues; social

marketing and communications;

epidemiology; health promotion;

partnering; cultural competency;

community engagement; and program

evaluation. Training may address State

health department personnel as well as

those at the local level, designated

partners, and may include development

of technical assistance to communities,

work sites, health sites, schools,

organizations of faith, and communitybased organizations. This component

may also extend to laboratory

improvement for lipid measurement.

6. Develop Population-Based Strategies

Develop population-based

intervention strategies to reduce the

burden of cardiovascular diseases in the

State, with a strong emphasis on policy

and environmental approaches for the

general population. Primary strategies

must address the cardiovascular risk

factors of nutrition and physical

activity. The strategies should be

included in the updated State plan and

may use health sites, work sites,

schools, media, organizations of faith,

community-based organizations, and

governments, as effective means to

reach people. Although Core Capacity

awards do not include funds for

implementation of strategies, the

projected cost of implementing the

strategies should be developed and

included in progress reports.

7. Develop Culturally-Competent

Strategies for Priority Populations

Develop, and include in the State

plan, strategies for enhanced program

efforts to address Priority Populations

with more intensive intervention than

population-based approaches and

specify how interventions would be

designed appropriately for the priority

populations to be addressed. Strategies

should include policy and

environmental approaches specific for

the population to be addressed but may

also include strategies for direct

interventions such as community

events, screenings, special classes, and

campaigns designed to improve

awareness of cardiovascular risk factors

in the populations and to reduce risk

factors in the populations to levels at or

below the general population. Initiatives

may be used to demonstrate the

effectiveness of selected strategies or as

a means to generate community support.

Although Core Capacity awards do not

include funds for implementation of

strategies, the projected cost of

implementing the strategies for Priority

Populations should be developed and

included in progress reports.

8. (Optional) Enhanced School Health

Program

Develop enhanced program efforts

designed to reach youth during their

formative years. Collaborate with the

State education agency to sustain efforts

with local education agencies and other

relevant governmental and

nongovernmental agencies to implement

cardiovascular disease prevention

strategies that address students, their

families, school staff, and communities.

Implement policy mandates,

environmental change, school food

service, classroom instruction, and

involve families and community

agencies in such efforts. Establish,

strengthen, or expand education

intended to prevent or reduce sedentary

lifestyle, dietary patterns, and tobacco

use, that result in disease; and integrate

education into comprehensive school

health education. Coordinate fully with

State education and health programs

and strengthen school health programs.

Establish qualified staffing in the State

departments of education as well as in

the State health department.

B. Recipient Activities for

Comprehensive Programs

1. Implement Population-Based

Intervention Strategies Consistent with

the State Plan.

Strategies should include policy and

environmental approaches, and other

approaches disseminated through

various settings including health care

settings, work sites, schools,

organizations of faith, governments, and

the media. Interventions should be

population-based, with objectives

established that specify the populationwide changes sought. Approaches

should extend to a relatively large

proportion of the population to be

addressed, rather than a few selected

communities. Interventions should be

coordinated such that health messages,

policies, and environmental measures

are consistent, the most cost-effective

methods are used for reaching the

populations, and duplication of effort is

avoided. Primary interventions must

address physical activity and nutrition.

Lipid and hypertension management are

consistent with physical activity and

good nutrition and may also be

included. Efforts to address tobacco use

should be coordinated with the State

tobacco program; tobacco-related

activities should not be duplicated.

Implementation may extend to grants

and contracts with local health agencies,

communities, and nonprofit

organizations.

2. Implement Strategies Addressing

Priority Populations

These strategies may include services

directed to specific communities and

segments of the population, and may

include all appropriate modes of

intervention needed to reach the

populations to be addressed. These

strategies may include more intensive,

directed services by organizations

including community-based

organizations, organizations of faith,

and State and national organizations
33068 Federal Register / Vol. 63, No. 116 /Wednesday, June 17, 1998 / Notices

concerned with improving the health

and quality of life of Priority

Populations.

3. Specify and Evaluate Intervention

Components

Design and implement a program

evaluation system. Evaluation should be

limited in scope to address strategy

implementation, changes in personal

behavioral risk factors, and changes in

policies and the physical and social

environment affecting cardiovascular

health. Evaluation should not include

comparison communities or quasiexperimental designs. Evaluation

should cover both population-based

strategies as well as targeted strategies.

Evaluation should rely primarily upon

existing data systems such as vital

statistics, hospital discharges,

behavioral risk factor surveillance, and

youth risk behavioral surveys. The

program should address measures

considered critical to determine the

success of the program.

4. Implement Professional Education

Activities

Provide professional education to

health providers to assure appropriate

prevention and counseling are offered

routinely and that appropriate standards

of care are provided to all.

5. Monitor Secondary Prevention

Strategies

Secondary prevention strategies may

include such issues as aspirin and drug

therapy, physical activity regimens,

hormone replacement therapy, dietary

changes, and hypertension and lipid

management. Activities in secondary

prevention should be limited primarily

to monitoring the delivery of secondary

prevention practices. Development of

monitoring systems for secondary

prevention practices should be

coordinated with managed care

providers, Medicaid, major employers,

insurers, other organized health care

providers, and purchasers of health

care. Secondary prevention strategies

may be integrated with professional

education initiatives. Secondary

prevention should not provide for

drugs, patient rehabilitation, or other

costs associated with the treatment of

cardiovascular diseases.

6. (Optional) Enhanced School Health

Develop enhanced program efforts

designed to reach youth during their

formative years. Collaborate with the

State education agency to sustain efforts

with local education agencies and other

relevant governmental and

nongovernmental agencies to implement

cardiovascular disease prevention

strategies which address students, their

families, school staff, and communities.

Implement policy mandates,

environmental change, school lunch

programs, classroom instruction, and

involve families and community

agencies in the efforts. Establish,

strengthen, or expand education

intended to prevent or reduce sedentary

lifestyle, dietary patterns, and tobacco

use that result in disease; and integrate

education into comprehensive school

health education. Coordinate fully with

State education and health programs

and strengthen school health programs.

Establish qualified staffing in State

department of education as well as the

State health department.

C. CDC Activities

1. Provide technical assistance in the

coordination of surveillance and other

data systems to measure and

characterize the burden of

cardiovascular diseases. Provide

technical assistance in the design of

surveillance instruments and sampling

strategies, and provide assistance in the

processing of data for States. Provide

data on populations at highest risk.

Provide data for national-level

comparisons.

2. Develop and disseminate

programmatic guidance and other

resources for specific interventions,

media campaigns, and coordination of

activities.

3. Collaborate with the States and

other appropriate partners to develop

and disseminate recommendations for

policy and environmental interventions

including the measurement of progress

in the implementation of such

interventions.

4. Collaborate with appropriate

private, nonprofit organizations to

coordinate a cohesive national program.

5. Provide technical assistance to

State public health laboratory or

contract laboratory to standardize

cholesterol, high density lipoproteins,

and triglyceride measurements.

6. Provide training and technical

assistance regarding the coordination of

nutrition and physical interventions.

7. If requested, provide Federal

personnel, equipment, or supplies in

lieu of a portion of the financial

assistance.

Technical Reporting Requirements

An original and two copies of

semiannual progress reports are

required 30 days after each semiannual

reporting period. A financial status

report is required no later than 90 days

after the end of each budget period.

Final financial and performance reports

are required no later than 90 days after

the end of the project period. All reports

are to be submitted to the Grants

Management Branch, CDC. Progress

reports should include the following:

1. A comparison of actual

accomplishments with the objectives

established in the work plan for the

period.

2. Core Capacity programs should

report the projected cost of

implementing the strategies developed.

3. Other pertinent information that

includes, but is not limited to, the

reasons for slippage if established goals

were not met, analysis and explanation

of unexpected delays or high costs of

performance, and a listing of

presentations and publications

produced by, supported by, or related

to, program activities.

Application Content

Applicants must develop their

applications in accordance with PHS

Form 5161–1 (Revised 5/96), or new

CDC Form 0.1246(E), information

contained in this Program

Announcement, and the format and

page limitations outlined below.

Applicants may apply for funding of

either Core Capacity activities or

Comprehensive activities, but not both,

and must designate in the Executive

Summary of their application the

component (Core Capacity Program or

Comprehensive Program) for which they

are applying.

Applications for the Core Capacity

Program should not exceed 60 doublespaced pages, single sided, in 12 point

type, excluding the optional enhanced

school health program, budget and

justification, and appendixes.

Applications for the Comprehensive

Program should not exceed 120 doublespaced pages, single sided, in 12 point

type, excluding the optional enhanced

school health program, budget and

justification, and appendixes.

Applications for the Optional Enhanced

School Health Program should not

exceed 25 double-spaced pages, single

sided, in 12 point type, excluding the

optional enhanced school health

program, budget and justification, and

appendixes. Applicants should also

submit appendixes including resumes,

job descriptions, organizational chart,

facilities, and any other supporting

documentation as appropriate. All

materials must be suitable for

photocopying (i.e., no audiovisual

materials, posters, tapes, etc.).

I. Executive Summary

All applicants must provide a

summary of the program applied for and

whether the optional program is

included (two pages maximum). States
Federal Register / Vol. 63, No. 116 /Wednesday, June 17, 1998 / Notices 33069

and territories, other than the 17 eligible

applicants, must include documentation

of the required mortality statistics data.

II. Core Capacity Program

(Narrative portions of the application

may not exceed 60 double-spaced

pages.)

A. Staffing (Not Included in 60 Page

Limitation)

Describe program staffing and

qualifications including contacts for

physical activity, nutrition, and

epidemiology. Provide organizational

chart, resumes, job descriptions, and

experience for all budgeted positions.

Describe lines of communication

between various related chronic disease

programs.

B. Facilities (Not Included in 60 Page

Limitation)

Describe facilities and resources

available to the program, including

equipment available, communications

systems, computer capabilities and

access, and laboratory facilities if

appropriate.

C. Background and Need

Thoroughly describe the need for

funding and the current resources

available for Core Capacity activities, to

include:

1. The overall State cardiovascular

disease problem.

2. The geographic patterns, trends,

age, gender, racial and ethnic patterns,

and other measures or assessments.

3. The barriers the State currently

faces in developing and implementing a

statewide program for the prevention of

cardiovascular diseases.

4. The advisory groups, partnerships,

or coalitions currently involved with the

State health department for

cardiovascular disease prevention and

control.

5. The current chronic disease

programs within the State health

department.

6. The gaps in resources, staffing,

capabilities, and programs that, if

addressed, might further the progress of

cardiovascular disease prevention; and

how the funds will be used to fill the

gaps in the core capabilities of the State

cardiovascular disease prevention and

control efforts.

D. Core Capacity Work Plan

Provide a work plan that addresses

each of the required Core Capacity

elements cited in the Recipient

Activities section above, to include the

following information:

1. Program objectives for each of the

elements. Objectives should describe

what is to happen, by when, and to

what degree.

2. The proposed methods for

achieving each of the objectives.

3. The proposed plan for evaluating

progress toward attainment of the

objectives.

4. A milestone and completion chart

for all objectives for the project period.

5. If human subjects research will be

conducted, describe how human

subjects will be protected.

E. (Optional) Enhanced School Health

Program (Not Included in 60 Page Limit;

Has Its Own 25 Page Limit)

Enhanced program efforts designed to

reach youth during their formative years

may be included as a program

component of a Core Capacity Program.

Describe planned activities for

collaboration with the State education

agency to develop a sustained effort

with local education agencies and other

relevant governmental and

nongovernmental agencies to implement

cardiovascular disease prevention

strategies that address students, their

families, school staff, and communities.

Effective strategies might include

activities such as policy mandates,

environmental change, classroom

instruction, school lunch programs, and

involvement of families and community

agencies. Strategies should establish,

strengthen, or expand education

intended to increase regular physical

activity and healthy dietary patterns and

to prevent or reduce tobacco use; and

should integrate such education into a

coordinated school health program.

Planned activities and strategies are

expected to be fully coordinated

between State education and health

programs and to strengthen school

health programs. Applicants may

establish qualified staffing in the State

department of education as well as the

State health departments.

Note: There is no penalty for not

undertaking optional activities.

F. Core Capacity Program Budget

Provide a line-item budget with

justifications consistent with the

purpose and proposed objectives, using

the format in Form 5161–1 or CDC Form

0.1246(CDC). Applicants are encouraged

to include budget items for travel for

three trips to Atlanta, GA for three

individuals to attend 3-day training and

technical assistance workshops.

The budget for the optional enhanced

school health program should be

distinguished from the general budget.

Supporting material such as

organizational charts, tables, position

descriptions, relevant publications,

letters of support, memorandums of

agreement, etc., should be included in

the appendixes and be reproducible.

III. Comprehensive Program

(Narrative portions of the

Comprehensive Program application

may not exceed 120 double spaced, 12

point typed pages.)

A. Background and Need

Provide a thorough description of the

need for support, to include a detailed

analysis of the cardiovascular disease

problem in the State, the geographic and

demographic distribution, age, sex,

racial and ethnic groups, educational,

and economic patterns of the diseases as

well as the trends over time. Describe

the barriers to successful

implementation of a statewide program

for prevention of cardiovascular

diseases within the State; partnerships

and collaboration with related agencies,

and the status of policies and

environmental approaches in place that

influence risk factors and public

awareness. Describe how the funding

will be used to fill the gaps in

cardiovascular disease prevention

activities. Provide a description of the

populations to be addressed, including

Priority Populations, and their

constituencies and leadership potential

to develop and conduct program

activities.

B. Staffing (Not Included in 120 Page

Limitation)

Describe project staffing and

qualifications including contacts for

physical activity, nutrition, and

epidemiology. Provide organizational

chart, curriculum vitae, job

descriptions, and experience needed for

all budgeted positions. Describe lines of

communication between various related

chronic disease programs.

C. State Plan

Provide the current State plan (dated

January 1997 or later) that includes

population-based policy and

environmental strategies as well as

strategies for implementing community

programs which utilize health care

settings, work sites, the media, schools,

community-based organizations, the

community at-large; and which includes

strategies addressing specific Priority

Populations and communities.

D. Evaluation

Provide description of surveillance

and monitoring activities that include

mortality, changes in environmental and

policy indicators, and behavioral risk

factors including statistically valid

estimates for populations to be

addressed. Describe the capability for
33070 Federal Register / Vol. 63, No. 116 /Wednesday, June 17, 1998 / Notices

special one-time surveys. Describe how

each of the program elements will be

evaluated and which measures are

considered critical to monitor for

evaluating the success of the program.

Describe the various existing data

systems to be employed, how the

systems might be adapted, and the

specific program elements to be

evaluated by those systems. Describe the

schedules for data collection and when

analyses of the data will become

available. Describe how human subjects

will be protected, if human subjects

research is conducted.

E. Comprehensive Program Work Plan

The work plan should address each of

the required Core Capacity elements

cited in the Recipient Activities section

above in sufficient detail to describe the

results expected and how the State will

achieve the results. Objectives and

strategies should specify priority

populations to be addressed,

communities, or geographic areas of

concern; complete listings of the policy

and environmental changes sought to

create a heart-healthy environment for

the population; other intervention

strategies; coordination among State

partners; risk factor changes, and

strategies for closing the gap in

cardiovascular disease disparity.

Interventions should be expressed in

terms of changes sought for the general

population as well as changes in

Priority Populations to be addressed.

Population-based approaches should

extend to a relatively large proportion of

the State population rather than a few

selected communities. Targeted

strategies should clearly define the

Priority Populations to be addressed.

Objectives should describe what is to

happen, by when, and to what degree.

A milestone and activities completion

chart should be provided for all

objectives for the project period.

F. Collaboration

Provide letters of support describing

the nature and extent of involvement by

outside partners and coordination

among State health department

programs, other State agencies, and

nongovernmental health and nonhealth

organizations. Describe how the overall

delivery of interventions for priority

populations will be enhanced by these

collaborative activities. Describe current

data systems and how coordination will

be ensured with managed care

providers, Medicaid, major employers,

insurers, and other organized health

care providers, as well as purchasers of

health care.

G. Training Capability

Provide a description of training

sessions for health professionals

provided within the past three years.

Include agendas, dates, professional

status or occupation, and number of

attendees. Provide other evidence of

training capabilities deemed appropriate

to the program.

H. Budget Justification

Provide a line-item budget consistent

with Form 5161–1 or CDC Form 1246(E)

along with appropriate justifications.

Applicants are encouraged to include

budget items for travel for three trips to

Atlanta, GA for three individuals to

attend 3-day training and technical

assistance workshops.

The budget for Priority Populations

and the optional comprehensive school

health program should be distinguished

from the general budget. Please use the

separate columns provided in the

Budget Information Form 424A Section

B.

I. (Optional) Enhanced Comprehensive

School Health Program Should Not

Exceed 25 Double-Spaced Pages

Enhanced program efforts designed to

reach youth during their formative years

may be included as a program

component of a comprehensive capacity

program. Describe planned activities for

collaboration with the State education

agency to develop a sustained effort

with local education agencies and other

relevant governmental and

nongovernmental agencies to implement

cardiovascular disease prevention

strategies that address students, their

families, school staff, and their

communities. Effective strategies

include policy and environmental

changes, school food service, classroom

instruction, and involvement of families

and community agencies. Strategies

should establish, strengthen, or expand

education intended to increase regular

physical activity and healthy dietary

patterns and to prevent or reduce

tobacco use; and should integrate such

education into a coordinated school

health program. Planned activities and

strategies are expected to be fully

coordinated between State education

and health programs and to enhance

school health programs. Applicants may

establish qualified staffing in the State

department of education as well as the

State health department.

Supporting material such as

organizational charts, tables, resumes,

position descriptions, relevant

publications, letters of support,

memorandums of agreement, etc., may

be appended to the narrative portion of

the application and are not included in

the page limitation.

Special Guidelines for Technical

Assistance Workshop

Technical assistance will be available

for potential applicants in Atlanta,

Georgia, beginning at 1:00 EDT on June

29 and ending at noon EDT on June 30.

The purpose of the workshop is to help

potential applicants to:

1. Understand the scope and intent of

the Program Announcement for the

State Cardiovascular Health Programs;

2. Plan coordinated approaches to

assist the nation’s health agencies in

efforts to prevent cardiovascular

diseases and related risk factors;

3. Understand the role of policy and

environmental changes in improving

cardiovascular health;

4. Be familiar with the Public Health

Services funding policies and

application and review procedures.

Attendance at this workshop is not

mandatory. Attendees must pay their

travel, per diem, and all other expenses

related to attending the workshop. The

workshop will be held only if 10 or

more persons sign-up to attend.

Each potential applicant may send not

more than two representatives to this

workshop. Please provide the names of

the attendees to Nancy B. Watkins,

Division of Adult and Community

Health, National Center for Chronic

Disease Prevention and Health

Promotion, Centers for Disease Control

and Prevention, telephone (770) 488–

5425; fax (770) 488–5964 within ten

days after the publication date of the

program announcement.

Evaluation Criteria

Applications will be reviewed and

evaluated according to the following

criteria:

I. Core Capacity Program (Total 100

Points)

A. Staffing (10 Points)

The degree to which the proposed

staff have the relevant background,

qualifications, and experience; and the

degree to which the organizational

structure supports staffs’ ability to

conduct proposed activities. The degree

of coordination between relevant

programs within the State health

department.

B. Facilities (5 Points)

The adequacy of the applicant’s

facilities and resources.

C. Background and Need (15 Points)

The extent to which the applicant

identifies specific needs and resources

available for Core Capacity activities.
Federal Register / Vol. 63, No. 116 /Wednesday, June 17, 1998 / Notices 33071

The extent to which the funds will

successfully fill the gaps in State

capabilities. The extent to which the

applicant demonstrates a review of

journals and other publications

particularly for policy and

environmental strategies.

D. Core Capacity Work Plan (60 Points)

1. (20 Points) The extent to which the

plan for achieving the proposed

activities appears realistic and feasible

and relates to the stated program

requirements and purposes of this

cooperative agreement.

2. (20 Points) The extent to which the

proposed methods for achieving the

activities appear realistic and feasible

and relate to the stated program

requirements and purposes of the

cooperative agreement.

3. (10 Points) The extent to which the

proposed plan for evaluating progress

toward meeting objectives and assessing

impact appears reasonable and feasible.

4. (10 Points) The degree to which

partnerships are demonstrated through

collaborative activities or letters of

support.

E. Objectives (10 Points)

The degree to which objectives are

specific, time-phased, measurable,

realistic, and related to identified needs,

program requirements, and purpose of

the program.

F. Budget (Not Scored)

The extent to which the budget

appears reasonable and consistent with

the proposed activities and intent of the

program.

G. Human Subjects Research (Not

Scored):

If the proposed project involves

human subjects, whether or not exempt

from the DHHS regulations, the extent

to which adequate procedures are

described for the protection of human

subjects.

H. (Optional) Enhanced School Health

Program (100 Points—Scored

Separately)

1. Work Plan (60 Points)

The extent to which the plan for

achieving the proposed activities

appears realistic and feasible and relates

to the stated purposes of the optional

Enhanced School Health Program. The

extent to which objectives and plans

increase the State’s overall capability to

address cardiovascular disease

prevention and control; will reach youth

during their formative years; promote

collaboration and coordination between

the State health department and the

education agency; and propose to

integrate appropriate cardiovascularrelated health education into a

coordinated school health program.

2. Objectives (10 Points)

The degree to which objectives are

specific, time-phased, measurable,

realistic, and related to identified needs

and purpose of the program.

3. Evaluation (15 Points)

The extent to which the proposed

plan for evaluating progress toward

meeting objectives and assessing impact

appears reasonable and feasible.

4. Partnerships (15 Points)

The degree to which partnerships are

demonstrated through collaborative

activities or letters of support.

Content of Noncompeting

Continuation Applications submitted

within the project period need only

include:

A. A brief progress report that

describes the accomplishments of the

previous budget period.

B. Any new or significantly revised

items or information (objectives, scope

of activities, operational methods,

evaluation, key personnel, work plans,

etc.) not included in year 01 or

subsequent continuation applications.

C. An annual budget and justification.

Existing budget items that are

unchanged from the previous budget

period do not need rejustification.

Simply list the items in the budget and

indicate that they are continuation

items.

However, States receiving Core

Capacity Program funding may submit a

competitive application for

Comprehensive Program funding at the

end of any budget period within the 5-

year project period, provided new funds

are available to fund additional

Comprehensive Programs. These

applications must successfully address

the application Evaluation Criteria for

the Comprehensive Program; and, if

successful, they will move from Core

Capacity funding to Comprehensive

funding. If unsuccessful, they will

continue with Core Capacity funding.

II. Comprehensive Program (Total 100

points):

A. Background and Need (10 Points)

The extent to which the funds will fill

the gaps in the State’s cardiovascular

disease prevention activities. The extent

to which the applicant identifies

specific needs in relation to geographic

and demographic distribution of

cardiovascular diseases with particular

emphasis on Priority Populations;

identifies trends in mortality and risk

factors; identifies barriers to successful

program implementation; and describes

existing policy and environmental

influences in terms of their affect on

public awareness and the risk factors for

cardiovascular diseases.

B. Staffing (10 points)

The degree to which the proposed

staff have the relevant background,

qualifications, and experience; the

degree to which the organizational

structure supports staffs’ ability to

conduct proposed activities; the degree

of staff coordination between relevant

program within the State health

department.

C. Comprehensive Work Plan (50 Points)

1. (20 Points) The extent to which the

plan for achieving the proposed

activities appears realistic and feasible

and relates to the stated program

requirements and purposes of this

cooperative agreement. The extent to

which the plan addresses the needs of

the State, the feasibility of the plan and

the appropriateness of the planned

interventions to the cardiovascular

disease problem, and the adequacy of

the plan to identify and address the

needs of Priority Populations. If

applicable, the degree to which the

applicant has met the CDC policy

requirements regarding the inclusion of

women, ethnic, and racial groups in

proposed research. This includes: (a) the

proposed plan for the inclusion of both

sexes and racial and ethnic minority

populations for appropriate

representation; (b) the proposed

justification when representation is

limited or absent; (c) a statement as to

whether the design of the study is

adequate to measure differences when

warranted; and (d) documentation of

plans for recruitment and outreach for

study participants that includes the

process of establishing partnerships

with community(ies) and recognition of

mutual benefits.

2. (20 points) The extent to which the

State Cardiovascular Diseases Plan

addresses the problem through policy

and environmental strategies and other

appropriate population-based

approaches and the extent of program

activities that use work sites, the media,

schools, community-based

organizations, organizations of faith, the

community at large.

3. (10 Points) The extent to which

collaboration of State nutrition, physical

activity, health promotion, and other

chronic disease programs with external

partners is used to deliver the program;

the extent to which coordination with

other State chronic disease programs

and other State agencies enhances the

cardiovascular disease program; and the
33072 Federal Register / Vol. 63, No. 116 /Wednesday, June 17, 1998 / Notices

extent of involvement of communitybased organizations in the

implementation of the program.

D. Evaluation (15 Points)

The extent to which the evaluation

plan appears capable of monitoring

progress toward meeting specific project

objectives, assessing the impact of the

program on the general population,

assessing changes in the Priority

Populations, monitoring utilization of

secondary prevention strategies, and

assessing the implementation of policy

and environmental strategies.

E. Professional Education (5 Points)

The extent of experience and history

of the applicant in conducting

professional education, to include the

involvement of or delivery of education

by health professions organizations,

medical societies, organized health care

providers, medical universities, and

purchasers of health care. The adequacy

of the staff and plan to coordinate,

affect, or deliver professional education

related to the overall State

Cardiovascular Disease Plan.

F. Objectives (10 Points)

The degree to which the objectives are

specific, time-phased, measurable,

realistic, and relate to identified needs

and purposes of the program, for both

the general population as well as the

targeted populations.

G. Budget (Not Scored)

The extent to which the budget

appears reasonable and consistent with

the proposed activities and intent of the

program.

H. Human Subjects Research (Not

Scored)

If the proposed project involves

human subjects, whether or not exempt

from the DHHS regulations, the extent

to which adequate procedures are

described for the protection of human

subjects.

I. (Optional) Enhanced School Health

Program: (Total 100 Points—Scored

Separately)

1. Work Plan (60 Points)

The extent to which the plan for

achieving the proposed activities

appears realistic and feasible and relates

to the stated purposes of the optional

Enhanced School Health Program. The

extent to which objectives and plans

increase the State’s overall capability to

address cardiovascular disease

prevention and control; will reach youth

during their formative years; promote

collaboration and coordination between

the State health department and the

education agency; and propose to

integrate appropriate cardiovascularrelated health education into a

coordinated school health program.

2. Objectives (10 Points)

The degree to which objectives are

specific, time-phased, measurable,

realistic, and related to identified needs

and purpose of the program.

3. Evaluation (15 Points)

The extent to which the proposed

plan for evaluating progress toward

meeting objectives and assessing impact

appears reasonable and feasible.

4. Partnerships (15 Points)

The degree to which partnerships are

demonstrated through collaborative

activities or letters of support.

Content of Noncompeting

Continuation Applications submitted

within the project period need only

include:

A. A brief progress report that

describes the accomplishments of the

previous budget period.

B. Any new or significantly revised

items or information (objectives, scope

of activities, operational methods,

evaluation, key personnel, work plans,

etc.) not included in year 01 or

subsequent continuation applications.

C. An annual budget and justification.

Existing budget items that are

unchanged from the previous budget

period do not need rejustification.

Simply list the items in the budget and

indicate that they are continuation

items.

Executive Order 12372 Review

Applications are subject to

Intergovernmental Review of Federal

Programs as governed by Executive

Order (E.O.) 12372, which 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 Contact (SPOC) 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 SPOC for each

affected State. A current list of SPOCs

is included in the application kit. If

SPOCs have any State process

recommendations on applications

submitted to CDC, they should send

them to Sharron P. Orum, 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–

18, Atlanta, GA 30305, no later than 30

days after the application deadline date.

The Program Announcement Number

and Program Title should be referenced

on the document. 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

Number

The Catalog of Federal Domestic

Assistance number is 93.988.

Other Requirements

Paperwork Reduction Act

Projects that involve the collection of

information from 10 or more individuals

and funded by the cooperative

agreement for cardiovascular health

program 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 form provided in the

application kit. Should human subjects

review be required, the proposed work

plan should incorporate time lines for

such development and review activities.

Women, Racial and Ethnic Minorities

It is the policy of the Centers for

Disease Control and Prevention (CDC)

and the Agency for Toxic Substances

and Disease Registry (ATSDR) to ensure

that individuals of both sexes and the

various racial and ethnic groups will be

included in CDC/ATSDR-supported

research projects involving human

subjects, whenever feasible and

appropriate. Racial and ethnic groups

are those defined in OMB Directive No.

15 and include American Indian or

Alaskan Native, Asian, Black or African

American, Hispanic or Latino, Native

Hawaiian or other Pacific Islander.
Federal Register / Vol. 63, No. 116 /Wednesday, June 17, 1998 / Notices 33073

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. This policy does not

apply to research studies when the

investigator cannot control the race,

ethnicity and/or sex of subjects. Further

guidance to this policy is contained in

the Federal Register, Vol. 60, No. 179,

pages 47947–47951, dated Friday,

September 15, 1995.

Application Submission and Deadline

The original and two copies of the

application PHS Form 5161–1 (Revised

5/96) or CDC Form 0.1246(E) must be

submitted to Sharron P. Orum, 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–

18, Atlanta, GA 30305, on or before

August 5, 1998.

1. Deadline. Applications shall be

considered as meeting the deadline if

they are either: a. Received on or before

the deadline date. 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

U.S. Postal Service. Private metered

postmarks shall 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

A complete program description,

information on application procedures,

an application package, and business

management technical assistance may

be obtained from G. Locke Thompson,

Grants Management Specialist, Grants

Management Branch, Procurement and

Grants Office, Centers for Disease

Control and Prevention (CDC), 255 East

Paces Ferry Road, NE., Room 300,

Mailstop E–18, Atlanta, GA 30305;

telephone 404–842–6595, fax (404) 842–

6513, or the Internet or CDC WONDER

electronic mail at <lxt1@cdc.gov>.

Programmatic technical assistance may

be obtained from Nancy B. Watkins,

Division of Adult and Community

Health, National Center for Chronic

Disease Prevention and Health

Promotion, Centers for Disease Control

and Prevention, telephone (770) 488–

5425; fax (770) 488–5964, or the Internet

or CDC WONDER electronic mail at

<naw1@cdc.gov>.

You may obtain this and other CDC

announcements from one of two

Internet sites on the actual publication

date: CDC’s homepage at http://

www.cdc.gov or at the Government

Printing Office homepage (including

free on-line access to the Federal

Register at http://www.access.gpo.gov).

Please refer to Program

Announcement Number 98084 when

requesting information and submitting

an application on the Request for

Assistance.

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) referenced

in the ‘‘Introduction’’ through the

Superintendent of Documents,

Government Printing Office,

Washington, DC 20402–9325, telephone

(202) 512–1800.

Dated: June 11, 1998.

John L. Williams,

Director, Procurement and Grants Office,

Centers for Disease Control and Prevention

(CDC).

[FR Doc. 98–16046 Filed 6–16–98; 8:45 am]

BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Resources and Services

Administration

Availability of the HRSA Competitive

Grants Preview

AGENCY: Health Resources and Services

Administration, HHS.

ACTION: General notice.

SUMMARY: HRSA announces the

availability of the HRSA Competitive

Grants Preview publication for Summer

1998. This edition of the Preview is a

review of HRSA’s programs which

anticipate awarding grants on or before

December 31, 1998. The next Preview

scheduled to be published in November,

will be a comprehensive issue of

HRSA’s Fiscal Year (FY) 1999

discretionary grant programs.

The purpose of the Preview is to

provide the general public with a single

source of program and application

information related to the Agency’s

annual grant planning review. The

Preview is designed to replace multiple

Federal Register notices which

traditionally advertised the availability

of HRSA’s discretionary funds for its

various programs. In this edition of the

Preview, the HRSA’s program which

provides funding for loan repayments

has been included in the section

‘‘Additional HRSA Programs.’’ It should

be noted that other program initiatives

responsive to new or emerging issues in

the health care area and unanticipated

at the time of publication of the

Preview, may be announced through the

Federal Register from time-to-time.

The Preview includes instructions on

how to access the Agency for

information and receive application kits

for all programs announced.

Specifically, the following information

is included in the Preview: (1) Program

Title; (2) Legislative Authority; (3)

Purpose; (4) Eligibility; (5) Estimated

Amount of Competition; (6) Estimated

Number of Awards; (7) Funding

Priorities and/or Preferences; (8)

Application Deadline; (9) Projected

Award Date; (10) Estimated Project

Period; (11) Application Kit

Availability; (12) Catalog of Federal

Domestic Assistance (CFDA) program

identification number; and (13)

Programmatic Contact.

This Summer 1998 issue of the

Preview relates to funding under HRSA

discretionary authorities and programs

as follows:

Health Professions Programs

• Center for Health Workforce

Distribution Studies: A Federal-State

Partnership.

• Geriatric Education Centers.

• Public Health Traineeships.

• Residencies and Advanced

Education in the Practice of General

Dentistry.

• Nursing Special Projects.

• Nursing Education Opportunities

for Individuals from Disadvantaged

Backgrounds.

• Nurse Practitioner/Nurse

Midwifery.

• Professional Nurse Traineeships.

• Advanced Nurse Education.

• Nurse Anesthetists: (1) Program

Grants (2) Traineeships; and (3)

Fellowships.

• Graduate Training in Family

Medicine.

• Faculty Development in Family

Medicine.

• Predoctoral Training in Family

Medicine.

• Departments of Family Medicine.

• Residency Training in General

Internal Medicine and General

Pediatrics.

• Faculty Development in General

Internal Medicine and General

Pediatrics.