Federal Register / Vol. 60, No. 78 / Monday, April 24, 1995 / Notices 20109

ADDRESSES: Application materials (PHS

Form 5161–1 with revised face sheet

DHHS Form 424, as approved by the

Office of Management and Budget

(OMB) under control number 0937–

0189) may be obtained from the Bureau

of Primary Health Care (BPHC), Office of

Grants Management, Nancy Benson,

(301) 594–4260, 4350 East-West

Highway, 11th Floor, Bethesda, MD

20814. Ms. Benson is available for

further information regarding

application submission procedures and

to provide assistance on business

management issues. Completed

applications should be mailed to: Grants

Management Officer, BPHC, c/o

Houston Associates, Inc., 1010 Wayne

Avenue, Suite 240, Silver Spring, MD

20910.

FOR FURTHER INFORMATION CONTACT: For

general program information, contact

Mr. Antonio Duran, Director, or Helen

Kavanagh, Migrant Health Branch,

Division of Community and Migrant

Health, BPHC, Health Resources and

Services Administration, (301) 594–

4303, 4350 East-West Highway, 7th

Floor, Bethesda, MD 20814.

SUPPLEMENTARY INFORMATION:

Background

There are 106 MHCs which provide

comprehensive primary health care to

migrant and seasonal farmworkers and

their families in their home base or as

they work along one of the three migrant

streams. The technical and nonfinancial

assistance will be arranged for or

provided within available resources by

four separate grantees in response to

MHC requests for: (1) vision screening

and treatment services, (2) bilingual

seasonal outreach staff, (3) peer

counselor training and outreach, and (4)

outreach staff specializing in identifying

children and youth who fall through the

‘‘cracks’’ of health care services.

Legislation governing these activities

can be found at section 329 of the PHS

Act. Paragraph (1)(B) of section 329(a)

requires that a migrant health center

provide ‘‘as may be appropriate for

particular centers, supplemental health

services necessary for the adequate

support of primary health services,’’ and

paragraph (1)(G) requires that a migrant

health center provide ‘‘information on

the availability and proper use of health

services and services which promote

and facilitate optimal use of health

services, including if a substantial

number of the individuals in the

population served by a center are of

limited English-speaking ability, the

services of appropriate personnel fluent

in the language spoken by a

predominant number of such

individuals’’.

Number and Amount of Awards

Each individual and/or organization

is limited to submitting a maximum of

one grant proposal for any one of the

four activities mentioned. A maximum

of 4 separate grants will be awarded for:

optometric technical assistance for

MHCs nationwide (approximately

$45,000); the recruitment, training and

placement of outreach allied health and

health professionals with MHCs on the

East Coast (approximately $800,000);

the development, implementation and

promotion of farmworker peer counselor

programs at MHCs nationwide

(approximately $225,000); and the

enhancement of farmworker outreach

health care services targeting infants,

children and youth at MHCs in Florida,

in addition, to State and local strategic

planning (approximately $320,000).

Eligible Applicants

Eligible applicants are public and

private nonprofit entities with culturally

competent and diverse staff which have

demonstrated experience, as appropriate

to the requested grant, in optometric

technical assistance for MHCs;

farmworker outreach; the recruitment,

training and placement of health and

allied health professionals at MHCs; or

in farmworker peer counselor

recruitment, training and placement.

Criteria for Evaluation

Regulations governing these awards

provide that the Secretary will award

funds to applicants which, in her

judgment, will best promote the

purposes of the statute, taking into

consideration (a) the cost effectiveness

of the application, and (b) the number

of centers and entities to be served by

the applicant. 42 CFR 56.704. In

addition to these two criteria, the

Secretary, in considering what will best

promote the purposes of the statue, will

consider:

(1) The extent to which the

applicant’s program activity

demonstrates and addresses the

particular needs of the migrant and

seasonal farmworkers and migrant

health centers;

(2) The degree to which the applicant

addresses the overall goals and

objectives of one of the aforementioned

activities;

(3) The appropriateness and adequacy

of the methodology which describes

how the activity will be evaluated, along

with relevant timeliness;

(4) The information contained in

annual progress reports (for existing

grantees only);

(5) The extent to which the project

plan describes activities in measurable

terms;

(6) The extent of the organization’s

prior related and applicable experience

(to be documented by a short synopsis

of work completed for each Federal and

non-Federal grant received, contact

person(s) and phone number(s)); and

(7) The degree to which the fiscal and

administrative management systems,

and the budget are well organized,

detailed, justified and consistent with

the project plan.

All applications for the technical and

nonfinancial assistance to MHCs will be

reviewed competitively by a PHS

Objective Review Committee.

Other Award Information

The grants awarded under this notice

are not subject to the provisions of

Executive Order 12372 or the Public

Health System Reporting Requirements.

In the OMB Catalog of Federal

Domestic Assistance, the Migrant Health

Center program is Number 93.129.

Dated: April 14, 1995.

Ciro V. Sumaya,

Administrator.

[FR Doc. 95–10019 Filed 4–21–95; 8:45 am]

BILLING CODE 4160–15–P

Health Resources Services

Administration

Availability of Funds for Grants To

Build Primary Health Care Capacity in

the Pacific Basin

AGENCY: Health Resources and Services

Administration, PHS.

ACTION: Notice of availability of funds.

SUMMARY: The Health Resources and

Services Administration (HRSA)

announces the availability of

approximately $1.3 million in fiscal

year (FY) 1995 for competing

applications for the Pacific Basin Health

Initiative. This Initiative supports the

development of primary health care

infrastructure in the Pacific Basin, and

funds will be awarded under the

authority of section 301 of the Public

Health Service (PHS) Act. The overall

goal of the program is to achieve the

effective delivery of comprehensive

primary health care services and to

encourage community responsibility for

health promotion and disease

prevention. The six Pacific jurisdictions

affected by this initiative are the three

flag territories (the Commonwealth of

the Northern Mariana Islands, American

Samoa, and Guam), and the three

sovereign nations whose relationships

with the U.S. are governed by Compacts
20110 Federal Register / Vol. 60, No. 78 / Monday, April 24, 1995 / Notices

of Free Association (the Federated

States of Micronesia, the Republic of the

Marshall Islands and the Republic of

Palau).

Approximately 15–20 awards will be

made, ranging from approximately

$15,000 to $200,000, for up to three-year

project periods and one-year budget

periods. The average award will be

approximately $75,000.

The PHS is committed to achieving

the health promotion and disease

prevention objectives of Healthy People

2000, a PHS-led national activity for

setting health priorities. The Pacific

Basin Health Initiative will contribute

toward meeting the Healthy People 2000

objectives cited for: clinical preventive

services, environmental health,

maternal and infant health, nutrition,

oral health, diabetes and chronic

disabling conditions, and health data

collection. Potential applicants may

obtain a copy of Healthy People 2000

(Full Report: Stock No. 017–001–00474–

0) or Healthy People 2000 (Summary

Report: Stock No. 017–001–00473–1)

through the Superintendent of

Documents, Government Printing

Office, Washington, DC 20402–9325

(Telephone 202–783–3238).

Public Law 103–227, the Pro-Children

Act of 1994, prohibits smoking in

certain facilities in which education,

library, day care, regular and routine

health care and early childhood

development services are provided to

children. Smoking must also be

prohibited in indoor facilities that are

constructed, operated or maintained

with Federal funds.

DUE DATE: Applications are due by July

1, 1995. Applications will be considered

as having met the deadline if they are:

(1) received on or before the established

deadline date; or (2) sent on or before

the established deadline date and

received in time for orderly processing.

Applicants should obtain a legibly dated

receipt from a commercial carrier or the

U.S. Postal Service or obtain a legibly

dated U.S. Postal Service postmark.

Private metered postmarks will not be

accepted as proof of timely mailing. Late

applications will not be considered for

funding and will be returned to the

applicant.

ADDRESSES FOR APPLICATION KITS:

Application kits and additional

guidance (Form PHS 5161–1 with

revised face sheet DHHS form 424, as

approved by the OMB under control

number 0937–0189) may be obtained

from, and completed applications sent

to: Bureau of Primary Health Care, c/o

Houston Associates, Inc., 1010 Wayne

Avenue, Suite 1200, Silver Spring,

Maryland 20910. The telephone number

is (800) 523–2192. The FAX number is

(800) 523–2193. Ms. Harriet Green,

Acting Branch Chief, Grants

Management Office can also assist with

grants policy and business management

issues. The telephone number is (301)

594–4242. The FAX number is (301)

594–4073. Her Internet address is:

hgreen@hrsa.ssw.dhhs.gov.

FOR FURTHER INFORMATION CONTACT: For

general program information and

technical assistance, contact: Tom

Coughlin, Chief, Special Initiatives,

Policy and Evaluation Branch, Division

of Programs for Special Populations,

Bureau of Primary Health Care, 4350

East-West Highway, 9th Floor, Bethesda,

Maryland 20814, Telephone (301) 594–

4450, fax (301) 594–2470. Prospective

applicants are encouraged to send or

FAX a letter of intent before May 31,

1995. This will allow program staff the

opportunity to offer technical

assistance.

SUPPLEMENTARY INFORMATION: The six

jurisdictions have different levels of

economic/social development and

varying capacities to meet the primary

health care needs of their rapidly

expanding populations, but they share

characteristics of many developing

nations, such as: Poor health status

indicators including high infant

mortality rates, rapidly expanding

populations, a large portion of the

health care budget spent on off-island

referrals, a shortage of health care

professionals, and high rates of poverty.

Based on these basic needs, the

Pacific Basin Health Initiative is

designed to support infrastructure

development and capacity building for

comprehensive primary health care

delivery and preventive services in the

six jurisdictions. It is the intention of

the program to increase the

jurisdictions’ long-term self-sufficiency

by investing in human resource and

administrative development.

Through collaboration with the health

departments in the Pacific jurisdictions,

the Bureau of Primary Health Care is

committed to achieving the health

promotion and disease prevention

objectives as defined by the individual

Pacific jurisdictions. The Bureau

intends to fund activities that best meet

the program goals, originate within the

jurisdiction(s), and align with the areas

of concern outlined by each of the

jurisdictions’ Health Departments. A

listing of the Health Department

contacts and the areas of concern

outlined by the six jurisdictions will be

provided in the application package.

Program Areas of Emphasis

In addition to the areas of concern

outlined by the jurisdictions, the Bureau

has identified the following three areas

of emphasis:

(1) Build local capacity to develop,

improve upon and operationalize

appropriate models for the delivery of

comprehensive primary health care and

prevention services—including

strengthening of human resource

components. This area of emphasis

focuses on developing long-term,

internal planning capacity and projects

that demonstrate feasible and

sustainable models of delivery.

(2) Integrate information systems

among various health sectors within

each jurisdiction.

(3) Promote services to remote islands

and underserved communities.

Eligible Applicants

An eligible applicant is a public or

private nonprofit entity within the

jurisdictions or any U.S. state.

Restrictions

Applications may not exceed 50 pages

including the cover sheet and

appendices for new applicants and 55

pages for previously funded applicants

(to include end-of-the year project

reports). Grant funds may not be used to

supplant locally funded public

programs. Grant funds may not be used

to pay for major construction or for the

acquisition of major pieces of

equipment. However, a very limited

amount of grant funds may be requested

for alterations, renovations and

equipment purchases (less than

$25,000).

Applicants who propose projects that

were primarily funded by PHS or other

governmental agencies (such as

laboratory capacity and epidemiology/

CDC; sanitation/EPA) must specify why

the funding from these agencies is

insufficient or why this Initiative better

serves the purposes of the project.

Criteria for Evaluation

Eligible applicants will be evaluated

based upon the following:

Need

• The extent to which the applicant

documents need for proposed services

in the community or jurisdiction(s)

based upon:

(1) A thorough description of

demographic and health status

indicators of the populations to be

served as they relate to primary health

care; (2) an identification of gaps within

the existing health care system; and (3)

an assessment of barriers within the
Federal Register / Vol. 60, No. 78 / Monday, April 24, 1995 / Notices 20111

existing system that hinder the delivery

of primary care services.

Organizational Capacity/Staffing

Expertise

• The extent to which applicants

demonstrate the expertise of the staff

and organizational capacity to

implement the project based upon:

(1) Experience in and knowledge of

the proposed service area and health

service project; (2) strong leadership and

staffing plans; and (3) demonstration by

grantees, previously funded under this

Initiative, of their past success in

managing and implementing projects.

Coordination/Collaboration:

• The extent to which services will be

integrated:

(1) Within the community; (2) with

needs identified by officials of the

jurisdiction(s); and (3) with the private

sector, where applicable.

Sustainability/Capacity Building

• The extent to which applicants

demonstrate that the proposed projects

will: (1) Build local capacity, (2) relate

to the jurisdiction(s)’ master health plan

or areas of concern; and (3) if

applicable, decrease dependence on

costly off-island referrals.

Health Care Plan (Proposed Plan to

Close Gaps in Services)

• The adequacy of the project

description will be evaluated based

upon the extent to which:

(1) Problem statements are clear and

are based on the needs assessment;

(2) Long-term goals are appropriate,

measurable, and relate to the problem

statements;

(3) Objectives are realistic, measurable

and appropriate to the population being

served;

(4) Action-steps are feasible and have

a reasonable time-line, and;

Evaluation

• The adequacy of the evaluation

plan designed to measure how well the

goals and objectives were achieved.

• The extent to which grantees

previously funded under this Initiative

met their goals and objectives and

analyzed their achievements and

shortcomings.

Budget

The appropriateness of the budget in

relation to other resources and the

adequacy of the budget justification and

future financial plans to support the

proposed interventions for this

initiative.

This program is not subject to the

Public Health System Reporting

Requirements.

This program is subject to the

provisions of Executive Order 12372

concerning intergovernmental review of

Federal programs as implemented by 45

CFR part 100. Executive Order 12372

allows States the option of setting up a

system to review applications from

within their States under certain Federal

programs. The application kit, to be

made available under this notice, will

contain a listing of States which have

chosen to set up a review system and

will provide a single point of contact

(SPOC) in the States for that review.

Applicants (other than federally

recognized Indian tribal governments)

should contact their State 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 of each

affected State. The due date for State

process recommendations is 60 days

after the appropriate application

deadline date. The BPHC does not

guarantee that it will accommodate or

explain its responses to State process

recommendations received after the due

date.

The OMB Catalog of Federal Domestic

Assistance number for this program is

93.163.

Dated: April 19, 1995.

Ciro V. Sumaya,

Administrator.

[FR Doc. 95–10070 Filed 4–21–95; 8:45 am]

BILLING CODE 4160–15–P

DEPARTMENT OF HOUSING AND

URBAN DEVELOPMENT

Office of General Counsel

[Docket No. D–95–1089; FR–3909–D–01]

Order of Succession, Acting General

Counsel

AGENCY: Office of General Counsel,

HUD.

ACTION: Notice of Order of Succession.

SUMMARY: In this notice, the General

Counsel for the Department of Housing

and Development designates the Order

of Succession for the position of General

Counsel, and revokes the prior Order of

Succession for this position.

EFFECTIVE DATE: April 18, 1995.

FOR FURTHER INFORMATION CONTACT: John

P. Opitz, Assistant General Counsel for

Training and Administrative Law,

Department of Housing and Urban

Development, Room 10246, 451 7th

Street, SW, Washington, DC 20410, 202–

708–9991. A telecommunications device

for hearing-impaired persons (TDD) is

available at 202–708–3259. [These are

not toll-free numbers.]

SUPPLEMENTARY INFORMATION: The

General Counsel for the Department of

Housing and Urban Development is

issuing this Order of Succession of

officials authorized to serve as Acting

General Counsel when, by reason of

absence, disability, or vacancy in office,

the General Counsel is not available to

exercise the powers or perform the

duties of the office. The authorization to

act under this Order is subject to the

120-day rule of the Vacancies Act, 5

U.S.C. 3348, whereby a vacancy caused

by death or resignation of an appointee,

whose appointment is vested in the

President by and with the advice and

consent of the Senate, may be filled

temporarily for not more than 120 days.

Accordingly, the General Counsel

designates the following order of

succession:

Section A. Order of Succession

During any period when, by reason of

absence, disability, or vacancy in office,

the General Counsel is not available to

exercise the powers or perform the

duties of the Office of General Counsel,

the following are hereby designated to

serve as Acting General Counsel:

(1) Deputy General Counsel (Civil

Rights & Litigation);

(2) Deputy General Counsel (Programs

& Regulations);

(3) Deputy General Counsel

(Operations);

(4) Associate General Counsel for

Assisted Housing and Community

Development;

(5) Associate General Counsel for

Legislation and Regulations;

(6) Associate General Counsel for

Program Enforcement;

(7) Associate General Counsel for

Insured Housing;

(8) Associate General Counsel for

Finance and Regulatory Enforcement.

(9) Associate General Counsel for

Litigation and Fair Housing

Enforcement.

(10) Associate General Counsel for

Human Resources Law.

These officials shall serve as Acting

General Counsel in the order specified

herein, and no official shall serve unless

all the other officials, whose position

titles precede his/hers in this order, are

unable to act by reason of absence,

disability, or vacancy in office. If all the

officials designated in this order of

succession are unable to serve as Acting

General Counsel by reason of absence,

disability or vacancy in office, officials

designated to serve as acting officials for

these designated officials shall serve in