Federal Register / Vol. 66, No. 96 / Thursday, May 17, 2001 / Notices 27505

address cancer care in the rural

Appalachian region ($876,663).

4. University of Rhode Island, Cancer

Prevention Research Center to provide

interactive interventions to at-risk

populations ($856,672).

5. Sisters of Charity Health Care

System, to ensure that patients have

access to early detection of

gastrointestinal cancers ($175,144).

6. Marin County, California to

evaluate high incidence of breast cancer

in the San Francisco Bay Area

($202,745).

Note: Title 2 of the United States Code,

Chapter 26, Section 1611 states that an

organization described in section 501(c)(4) of

the Internal Revenue Code of 1986 that

engages in lobbying activities is not eligible

to receive Federal funds constituting an

award, grant, cooperative agreement,

contract, loan, or any other form.

C. Availability of Funds

Approximately $4,106,322 is available

in FY 2001 to fund six awards. It is

expected that the award will begin on or

about August 1, 2001, and will be made

for a 12-month budget period within a

one year project period. Funding

estimates may change.

D. Where To Obtain Additional

Information

This and other CDC announcements

can be found on the CDC home page

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

Click on ‘‘Funding’’ then ‘‘Grants and

Cooperative Agreements.’’

To obtain business management

technical assistance, contact: Glynnis

Taylor, Grants Management Specialist,

Grants Management Branch,

Procurement and Grants Office, Centers

for Disease Control and Prevention

(CDC), 2920 Brandywine Road, Room

3000, Atlanta, GA 30341–4146,

Telephone: (770) 488–2752, E-mail

address: gld1@cdc.gov.

For program technical assistance,

contact: Susan True, M.Ed., Branch,

Chief, Program Services Branch,

Division of Cancer Prevention and

Control,National Center for Chronic

Disease Prevention and Health,

Promotion (NCCDPHP), 4770 Buford

Highway, NE, MS K–57, Atlanta,

Georgia 30341,Telephone: (770) 488–

4880, E-mail address: smt7@cdc.gov.

Dated: May 11, 2001.

John L. Williams,

Director, Procurement and Grants Office,

Centers for Disease Control and Prevention

(CDC).

[FR Doc. 01–12423 Filed 5–16–01; 8:45 am]

BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Centers for Disease Control and

Prevention

[Program Announcement 01038]

Notice of Availability of Funds;

Cooperative Agreement for 2001

National Breast and Cervical Cancer

Early Detection Program

A. Purpose

The Centers for Disease Control and

Prevention (CDC) announces the

availability of fiscal year (FY) 2001

funds for a cooperative agreement

program for the National Breast and

Cervical Cancer Early Detection Program

(NBCCEDP). This program addresses the

‘‘Healthy People 2010’’ priority area

related to cancer.

The purpose of the NBCCEDP is to

apply a State, territorial, or tribal public

health approach to increase access to

and use of screening services. The

NBCCEDP was established through the

Breast and Cervical Cancer Mortality

Prevention Act of 1990 (Public Law

101–354) and provides screening

services for low income women. Funded

programs will establish a

comprehensive breast and cervical

cancer early detection screening

program that includes the following

program components: breast and

cervical cancer screening, tracking,

follow-up and case management; public

education and outreach; professional

education; quality assurance and

improvement; surveillance and

evaluation; coalitions and partnerships;

and management, hereafter referred to

as the NBCCEDP program components.

The President has committed the

nation to an ambitious goal: by the year

2010, to eliminate the disparities in

health status experienced by racial and

ethnic minority populations. The

NBCCEDP has been established to move

closer to this goal by addressing the

deficits in breast and cervical cancer

screening and management among these

women.

B. Eligible Applicants

Assistance will be provided only to

the official health departments of States

or their bona fide agents, including the

District of Columbia, the

Commonwealth of Puerto Rico, the

Virgin Islands, the Commonwealth of

the Northern Mariana Islands, the

Republic of Palau, and federally

recognized Indian Tribal governments.

In consultation with States, assistance

may be provided to political

subdivisions of States.

States and Tribes currently receiving

CDC funds under Program

Announcement 96023, entitled 1996

National Breast and Cervical Cancer

Early Detection Program, are eligible to

apply for funding under this

announcement.

1. The following States and Territories

are not eligible to apply:

a. American Samoa, California,

Colorado, Maryland, Michigan,

Minnesota, Missouri, Nebraska, New

Mexico, North Carolina, South Carolina,

Texas, and West Virginia, which are

funded under Program Announcement

718 entitled National Breast and

Cervical Cancer Early Detection

Program.

b. Alaska, Arizona, Arkansas,

Connecticut, Florida, Georgia, Illinois,

Iowa, Kansas, Louisiana, Maine,

Massachusetts, New Jersey, New York,

Ohio, Oklahoma, Oregon, Pennsylvania,

Rhodes Island, Utah, Vermont,

Washington, Wisconsin, Puerto Rico,

and Guam, which are funded under

Program Announcement 99052 entitled

National Breast and Cervical Cancer

Early Detection Program.

2. The following Tribes are not

eligible to apply:

a. Consolidated Tribal Health Project,

Inc. (CA) and Southeast Regional Health

Consortium (AK), which are funded

under Program Announcement 718

entitled National Breast and Cervical

Cancer Early Detection Program.

b. Arctic Slope Native Association

(AK), Cherokee Nation (OK), Cheyenne

River Sioux Tribe (OK), Poarch Band of

Creek Indians (AL), South Central

Foundation (AK), and South Puget

Intertribal Planning Agency (WA),

which are funded under Program

announcement 99052 entitled National

Breast & Cervical Cancer Early Detection

Program.

C. Availability of Funds

1. Funds Available for States

Approximately $22,421,667 is

available in FY 2001 to fund

approximately 15 States and the District

of Columbia. It is expected that awards

will range from $600,000 to $4,000,000.

2. Funds Available for Territories and

Tribes

Approximately $5,400,000 is available

in FY 2001 to fund approximately 9

Territories or Tribes. It is expected that

awards will range from $200,000 to

$1,000,000.

It is expected that awards will begin

on September 30, 2001, and will be

made for a 12-month budget period

within a project period of up to five

years. Funding estimates may change.

27506 Federal Register / Vol. 66, No. 96 / Thursday, May 17, 2001 / Notices

1Treatment is defined as any medical or surgical

intervention recommended by a clinician, and

provided for the management of a diagnosed

condition.

2CDC, through its delegation from the Secretary,

is tasked with implementing its programs.

Therefore, when questions regarding the programs

and the statutes behind them arise, CDC may

provide definitions or explanations of what the

statute as a whole, or terms contained therein,

mean, in order to ensure proper implementation of

its programs. CDC is entitled to deference in its

interpretation of such statutes. CDC interprets ‘‘low

income women’’ to include those that are

‘‘uninsured’’ and ‘‘underinsured.’’ For the

NBCCEDP, CDC defines an uninsured woman as

one who has no health insurance and an

underinsured woman as one who meets at least one

of the following criteria: (1) A woman who has

health insurance but whose coverage does not, to

any extent, reimburse for the allowable screening or

diagnostic procedure; (2) a woman who cannot

afford her insurance provider’s deductible or

required co-payment for the allowable screening or

diagnostic procedure; (3) a woman whose insurance

supports the allowable screening and diagnostic

procedure but at intervals greater than those

recommended by the NBCCEDP; and (4) a woman

who does not have reasonable access to a provider

included under her insurance coverage.

3CDC, through its delegation from the Secretary,

is tasked with implementing its programs.

Therefore, when questions regarding the programs

Continuation awards for funded

projects within an approved project

period will be made on the basis of

disease burden, performance, and the

availability of funds.

3. Direct Assistance

Applicants may request Federal

personnel as direct assistance, in lieu of

a portion of financial assistance.

4. Requirements Related to Use of Funds

a. 60/40 Requirement: Not less than

60 percent of cooperative agreement

funds must be expended for screening,

tracking, follow-up and the provision of

appropriate support services such as

case management. Cooperative

agreement funds supporting public

education and outreach, professional

education, quality assurance and

improvement, surveillance and program

evaluation, coalitions and partnerships,

and management may not exceed 40

percent of the approved budget. [Section

1503(a)(1) and (4) of the PHS Act, as

amended] Further information about the

60/40 distribution is provided in the

NBCCEDP Policies and Procedure

Manual, Section II, beginning on page

10. The NBCCEDP Policies and

Procedures Manual can be accessed

through the Internet at http://

www.cdc.gov/cancer/nbccedp or the

program technical assistant contact

listed in Section M, ‘‘Where to Obtain

Additional Information.’’

b. Inpatient Hospital Services:

Cooperative agreement funds must not

be expended to provide inpatient

hospital or treatment 1 services [Section

1504(g) of the PHS Act, as amended].

Refer to the NBCCEDP Policies and

Procedures Manual, Section IV,

‘‘Reimbursement Policies for Screening

and Diagnostic Services,’’ beginning on

page 1, for additional information about

allowable screening and diagnostic

services.

c. Administrative Expenses: Not more

than 10 percent of the total funds

awarded may be expended annually for

administrative expenses. These

administrative expenses are in lieu of

and replace indirect costs. [Section

1504(f) of the PHS Act, as amended.]

Administrative expenses are considered

a portion of the 40 percent component

of the budget.

D. Recipient Financial Participation

Requirement

Recipient financial participation is

required for this program in accordance

with the authorizing legislation. Section

1502(a) and (b)(1), (2), and (3) of the

PHS Act, as amended, requires

matching funds from non-Federal

sources in an amount not less than $1

for each $3 of Federal funds awarded

under this program. However, Title 48

of the U.S. Code 1469a(d) requires

DHHS to waive matching fund

requirements for Guam, U.S. Virgin

Islands, American Samoa and the

Commonwealth of the Northern Mariana

Islands up to $200,000.

Matching funds may be cash or

equivalent in-kind or donated services,

including equipment, fairly evaluated.

Contributions may be made directly or

through donations from public or

private entities. Public Law 93–638

authorizes tribal organizations

contracting under the authority of Title

I and compacting under the authority of

Title III to use funds received under the

Indian Self-Determination Act as

matching funds.

Applicants may also designate as

State, Territory, or Tribe matching funds

any non-Federal amounts expended

pursuant to Title XIX of the Social

Security Act for the screening, tracking,

follow-up and case management of

women for breast and cervical cancers.

Matching funds may not include: (1)

Payment for treatment services or the

donation of treatment services; (2)

services assisted or subsidized by the

Federal government; or (3) the indirect

or overhead costs of an organization.

In determining the matching fund

contribution, applicants should

calculate the average amount of nonFederal contributions toward breast and

cervical cancer programs and activities

for the two year period preceding the

first Federal fiscal year of funding for

NBCCEDP. This amount is referred to as

Maintenance of Effort (MOE). Only

those non-Federal contributions in

excess of the MOE amount may be

considered as matching funds.

Supplanting existing program efforts

with Federal or non-Federal sources is

not allowable.

Costs used to satisfy the matching

requirements are subject to the same

prior approval requirements and rules of

allowability as those which govern

project costs supported by Federal

funds. All costs used to satisfy the

matching requirements must be

documented by the applicant and will

be subject to audit. Specific rules and

regulations governing the matching fund

requirement are included in the OMB

Circular A–87 ‘‘Cost Principles for State,

Local and Indian Tribal Governments’’

and PHS Grants Policy Statement,

Section 6.

For further information about the

matching fund requirement, see the

NBCCEDP Policies and Procedures

Manual, Section II, pages 19–21 and

page 35.

E. Requirements of The Breast and

Cervical Cancer Mortality Prevention

Act of 1990 (Public Law 101–354) and

Related Amendments

1. Required Screening Services:

Programs must ensure that screening

and rescreening procedures are

available for both breast and cervical

cancers and include a clinical breast

exam, mammography, pelvic exam and

Pap test. [Section 1503(a)(2)(A) and (B).]

2. Screening Procedures: If a new or

improved, and superior, screening

procedure becomes widely available

and is recommended for use, this

superior procedure will be utilized in

the program. [Section 1503(b) of the

PHS Act, as amended.]

3. Priority for Low-income Women:

Eligibility for screening services under

the NBCCEDP is limited to uninsured or

under insured 2 women at or below 250

percent of the Federal poverty line. The

official poverty line is established by the

Director of the Office of Management

and Budget (OMB) and revised by the

Secretary of DHHS in accordance with

Section 673(2) of the Omnibus Budget

Reconciliation Act of 1991 [Section

1504(a) of the PHS Act, as amended].

Policies related to eligibility for

screening are detailed in the NBCCEDP

Policies and Procedures Manual,

Section IV.

4. Medical Referrals: Programs are

required to provide appropriate referrals

for medical treatment of women

screened in the Program and to ensure,

to the extent practicable, the provision

of appropriate, affordable 3 and timely

Federal Register / Vol. 66, No. 96 / Thursday, May 17, 2001 / Notices 27507

and the statutes behind them arise, CDC may

provide definitions or explanations of what the

statute as a whole, or terms contained therein,

mean, in order to ensure proper implementation of

its programs. CDC is entitled to deference in its

interpretation of such statutes. Because the

NBCCEDP gives priority to serving low-income

women, CDC interprets ‘‘appropriate referrals’’ to

also mean ‘‘affordable referrals.’’

diagnostic and treatment services

[Section 1501(a)(2) of the PHS Act, as

amended.] The Breast and Cervical

Cancer Treatment and Prevention Act

(BCCTPA) of 2000 (Public Law 106–354)

amends Title XIX of the Social Security

Act to give States the option to provide

Medicaid coverage to women who have

been screened under the NBCCEDP and

found to have breast or cervical precancerous conditions or cancer.

Additional information about this law

can be obtained from the following web

site: http://www.cdc.gov/cancer/

nbccedp.

5. Service Delivery Area: Programs are

required to establish breast and cervical

cancer screening services throughout

the State, Territory, or Tribe. [Section

1504(c)(1) of the PHS Act, as amended.]

Funds may not be awarded under this

announcement unless the State,

Territory, or Tribe involved agrees that

services and activities will be made

available throughout the State,

Territory, or Tribe, including

availability to members of any Indian

Tribe or tribal organization (as such

terms are defined in Section 4 of the

Indian Self-Determination and

Education Assistance Act). CDC may

waive [Section 1504 (c)(2) of the PHS

Act, as amended] this requirement if it

is determined that compliance by the

State, Territory, or Tribe would result in

an inefficient allocation of resources

with respect to carrying out a

comprehensive breast and cervical

cancer early detection program [as

described in Section 1501(a)]. A request

from the recipient outlining appropriate

and detailed justification would be

required before the waiver is approved.

6. Payer of Last Resort: Funds may not

be awarded under this announcement

unless the State, Territory, or Tribe

involved agrees that funds will not be

expended to make payment for any item

or service that will be paid or can

reasonably be expected to be paid by:

a. Any State, Territory, or Tribe

compensation program, insurance

policy, or Federal or State, Territory, or

Tribe health benefits program.

b. An entity that provides health

services on a prepaid basis. [Section

1504(d)(1) and (2) of the PHS Act, as

amended.]

7. Medicare Limit for Reimbursement

of Services: The amount paid by a State,

Territory, or Tribe for a screening

procedure may not exceed the amount

that would be paid under part B of Title

XVIII of the Social Security Act

(Medicare)[Section 1501(b)(3) of the

PHS Act, as amended].

8. Limitation on Imposition of Fees for

Services: Funds may not be awarded

under this announcement unless the

State, Territory, or Tribe involved agrees

that if charges are to be imposed on

clients for the provision of services or

program activities, such fees/charges for

allowable screening and diagnostic

evaluation will be:

a. Assessed according to a schedule of

fees made available to the public

[Section 1504(b)(1) of the PHS Act,

amended];

b. Adjusted to reflect the income of

the woman screened [Section 1504(b)(2)

of the PHS Act, as amended.]; and

c. Totally waived for any woman with

an income of less than 100 percent of

the Federal poverty line [Section

1504(b)(3) of the PHS Act, as amended].

Additionally, the schedule of fees/

charges should not exceed the

maximum allowable charges established

by the Medicare Program administered

by the Health Care Financing

Administration (HCFA). Fee/charge

schedules should be developed in

accordance with guidelines described in

the interim final rule (42 CFR Parts 405

and 534) which implements Section

4163 of the Omnibus Budget

Reconciliation Act of 1990 (Public Law

101–508) which provides limited

coverage for screening mammography

services.

9. Quality Assurance Requirements:

Cooperative agreement funds may not

be awarded [under Section 1501(a)(5) of

the PHS Act, as amended] unless the

State, Territory, or Tribe involved agrees

to assure, in accordance with the

applicable law, the quality of screening

procedures provided.

a. All facilities conducting

mammography screening procedures

funded by the Program must be MQSA

certified (Mammography Quality

Standards Act of 1992). [Section 1503

(c) of the PHS Act, as amended].

Additional information about quality

assurance is included in the NBCCEDP

Policies and Procedures Manual,

Section II, page 14.

b. All facilities conducting cervical

screening procedures funded by the

Program must be CLIA certified

(Clinical Laboratory Improvement

Amendments of 1988). Pathologists

participating in the Program must

record their findings using the Bethesda

System. [Section 1503(d) of the PHS

Act, as amended] Additional

information about quality assurance is

included in the NBCCEDP Policies and

Procedures Manual, Section II, page 14.

10. Grantee Contracting: If a nonprofit private entity and a private entity

that is not a non-profit entity both

submit applications to a State/Tribe/

Territory, the State/Tribe/Territory may

give priority, based on a competitive

review process, to the application

submitted by the non-profit private

entity in any case in which the State/

Tribe/Territory determines that the

quality of such application is equivalent

to the quality of the application

submitted by the other private entity

[Section 1501(b) of the PHS Act, as

amended].

F. Program Requirements

In conducting activities to achieve the

purpose of this program, the recipient

will be responsible for the activities

under 1. (Recipient Activities), and CDC

will be responsible for the activities

listed under 2. (CDC Activities).

1. Recipient Activities

a. Implement a comprehensive breast

and cervical cancer early detection

screening program that includes the

NBCCEDP program components

delineated in the Purpose, Section A

[Section 1501(a)(1–6)]. Descriptions of

the NBCCEDP program components,

including each component’s minimum

core expectations, are provided in

Attachment 1.

b. Attend and participate in

sponsored events: Attendance at

sponsored training, meetings, site visits,

reverse site visits, and conferences is

required. Funds may be included in the

budget request for this purpose.

c. Convene a Program Directors’

meeting at least once a year for

information-sharing and problemsolving.

2. CDC Activities

Provide technical assistance to

Grantees to support their planning,

implementation and evaluation of each

NBCCEDP program component.

Technical assistance from CDC may

address:

a. Practical application of Public Law

101–354, including amendments to the

law;

b. Design and implementation of

program components;

c. Interpretation of current scientific

literature related to the early detection

of breast and cervical cancer;

d. Interpretation of program outcome,

screening and surveillance data;

e. Overall operational planning and

program management.

27508 Federal Register / Vol. 66, No. 96 / Thursday, May 17, 2001 / Notices

4Cultural minorities are defined as communities

which, in order to preserve or portect cultural or

religious beliefs or practices, limit contact with

other people or the larger community.

5Rarely screened is defined by the NBCCEDP as

a woman who has not received a Pap test during

the past five years.

6Program Progress Indicators have been

developed to provide a systematic aproach for rapid

assessment of program progress. Program progress

indicators are defined as performance measures

used to track critical processes over time to signify

progress toward a particular goal or outcome of the

program.

3. Assist With Training on Selected

Topics

4. Conduct Site Visits

Program Consultants may conduct site

visits or coordinate reverse site visits to

assess program progress and/or

mutually resolve problems.

G. Application Content

Use the information in the

Requirements (Section E), Recipient

Activities (Section F and related

attachments), and Evaluation Criteria

(Section G) sections to develop the

application content. Applications will

be evaluated on the criteria listed in

Section G. Because this is a competitive

program announcement, CDC requires

Applicants to submit certain data and

performance indicators in order that it

be considered in making funding

decisions. The application, including

budget, justification and appendices,

should be no more than 125 doublespaced unbound pages, printed on one

side of 8 1⁄2 x 11′′ paper, suitable for

photocopying, with one inch margins

and 12 point font. Applicants should

number each page and include a header

with the Applicant’s program name.

Please interpret the maximum page

limits as a ceiling, rather than a goal.

1. Executive Summary (Maximum 4

Pages)

The applicant should provide a clear,

concise summary to include the: (1)

Need for the program; (2) number and

characteristics of women to be screened;

(3) requested amount of Federal

funding; and (4) past performance

indicating the applicant’s capability to

implement the program.

2. Background and Need (Maximum 6

Pages, Including Matrix)

The applicant should describe:

a. The State, Territory, or Tribal breast

and cervical cancer age-adjusted

mortality rates averaged over five years

and ranked nationally (States should

use SEER or State Cancer Registry data

for the period 1993–1997);

b. The State, Territory, or tribal

incidence rates for breast and cervical

cancer by age, race, and ethnicity

(where available) (States should use

data from their Cancer Registries for

1998 or the most recent year available);

c. The number of women who are at

or below 250 percent of the Federal

poverty level and uninsured, by age

(18–39; 40–49; 50–64; 65+) and racial/

ethnic distribution (if possible, use 1990

Census data, unless 2000 Census data is

available); and

d. The unmet screening and

rescreening needs of uninsured and

under-insured women (where available).

Applicants are encouraged to present

these data (a–d above) using the

Background and Need matrix,

Attachment 2.

e. The priority populations for

screening, including supporting data

and/or justification for their selection.

Broadly, priority populations can be

described as women who are racial,

ethnic and/or cultural 4 minorities, such

as American Indians, Alaska Natives,

African-Americans, Hispanics, Asian

and Pacific Islanders, lesbians, women

with disabilities, and women who live

in geographically or culturally isolated

communities in urban and rural areas.

The term priority populations, as

defined above, will be used throughout

this document.

Breast and cervical cancer death rates

vary by race and ethnicity; therefore,

applicants must review related state and

local morbidity and mortality rates to

identify specific priority populations in

need of breast and cervical cancer

screening in their geographic area.

Programs should aim to eliminate racial

health disparities by prioritizing

populations that are under screened

and/or disproportionately affected by

breast and/or cervical cancer for

recruitment and enrollment.

Regardless of the geographic area,

priority for breast cancer screening

should be given to women age 50 to 64

years of age. Priority for cervical cancer

screening should be given to rarely 5 or

never screened women.

f. The specific barriers to screening

services that impede women in the

priority populations from participating

in breast and cervical cancer screening

and diagnostic services.

3. Capability for Program

Implementation (Maximum 10 Pages,

Not Including Letters of Commitment)

a. Applicants should address their

capability to implement the proposed

activities as measured by their

accomplishments as part of an existing

or past NBCCEDP program or relevant

past experiences funded by other

sources.

(1) States, Territories, or Tribes

currently receiving NBCCEDP funds

should detail their accomplishments in

operating a comprehensive breast and

cervical cancer early detection program.

Applicants should address

accomplishments in program and fiscal

management, infrastructure

development, and service delivery by

summarizing progress in meeting

NBCCEDP fiscal year 2001 Program

Progress Indicators.6 These program

progress indicators are listed in the

NBCCEDP Policies and Procedures

Manual, Section III, beginning on page

3. Applicants should use the most

recent data available to summarize these

indicators.

(2) Territories and Tribes not

currently receiving CDC NBCCEDP

funds should address relevant past

experiences in conducting any of the

NBCCEDP program components for

cancer control, chronic disease control

or other relevant areas.

b. Letters of Commitment: Applicants

should include letters of commitment

(dated within the last three months)

from key partners, participants, and

community leaders that detail their

commitment to and participation in the

proposed program. If the applicant is a

Tribe, also include either of the

following documentation, as

appropriate: (1) A signed and dated

tribal resolution supporting the

application from the Indian Tribe served

by the project. If the applicant includes

more than one Indian Tribe, resolutions

from all Tribes to be served must be

included; or (2) A letter of support for

the application from the Board of

Directors of an Urban Indian

organization(s) or Indian Health

organization(s), signed by the Board

Chairman.

c. Other Accomplishments:

Applicants should include information

about any other accomplishments that

reflect capability and capacity for

implementing a breast and cervical

cancer early detection program.

4. Work Plan (Maximum 30 Pages)

The applicant should develop a

detailed work plan that, for each

NBCCEDP program component,

describes: proposed goals; measures of

success related to goals; specific,

measurable, attainable, realistic and

time-phased objectives; and activities to

attain the objectives. The minimum core

expectations for each program

component should be addressed in the

work plan. Be reminded that

descriptions of the NBCCEDP program

Federal Register / Vol. 66, No. 96 / Thursday, May 17, 2001 / Notices 27509

components are included as Attachment

1.

The work plan should include a time

table for program implementation that

specifies dates for the accomplishment

of all proposed activities. Applicants are

encouraged to use the NBCCEDP work

plan template available through the

Internet at http://www.cdc.gov/cancer/

nbccedp/training/index.htm. This

template is included in the 30-page

limit but may be single spaced.

Applicants should include an

attachment to the work plan with

realistic screening projections for fiscal

year 2001–2002 that are based on past

screening performance. Screening

projections should be provided with the

following detail: the number of women

to be screened by the program by age,

race, ethnicity and other identified

priority populations (applicant’s

cultural minorities identified in the

Background and Need section as

priority populations). In addition, the

applicant should include a projection of

the number of rarely and never screened

women to receive a Pap test. Projected

screening levels for racial and ethnic

populations should be based on

population estimates of the number of

women in the Program area who meet

NBCCEDP age and income eligibility

guidelines, as well as past screening

performance. Applicants are encouraged

to present the screening projections

using the Screening Projections matrix,

Attachment 3. Applicants with current

NBCCEDP funding from CDC should

provide a brief narrative justification

that includes recent screening data

supporting the projections.

If the applicant has submitted a

request to the HCFA and received

approval to provide Medicaid coverage

for treatment to women screened under

the NBCCEDP with breast or cervical

cancer, or pre-cancerous conditions of

the breast or cervix, complete

Attachment 4, the Breast and Cervical

Cancer Prevention and Treatment Act

Form.

5. Organizational Structure (Maximum

15 Pages)

The applicant should provide the

following supporting documents related

to organizational structure:

a. An organizational chart (can be

single spaced) indicating the placement

of the proposed Program in the

department or organization and the

structure of the proposed breast and

cervical cancer early detection program

management and staffing;

b. Documentation of available

resources in the State, Territory, or

Tribe for the payment or reimbursement

of breast and cervical cancer screening,

including the Medicaid program;

c. The proposed schedule of fees and

charges for breast and cervical cancer

screening and diagnostic services,

consistent with maximum Medicare

reimbursement rates, if fees will be

imposed (single line spacing is

acceptable). Include a description of the

use of the proposed schedule of fees and

charges in the Program. In States,

Territories, or Tribes where there are

multiple Medicare rates and a single

reimbursement rate is being proposed,

the applicant must provide justification

for approval.

d. Documentation of how the State,

Territory, or Tribe will assure that funds

will be used in a cost-effective manner.

e. A description of how the State,

Territory, or Tribe will establish or

enhance linkages with their State

Cancer Registry program if the

Applicant has a State Registry with the

North American Association of Central

Cancer Registries (NAACCR)

certification. For more information

about Cancer Registries see http://

www.cdc.gov/cancer/npcr, http://wwwseer.ims.nci.nih.gov, and for NAACCR

certification see http://

www.NAACCR.org.

6. Source Data for Matching

Requirement (Maximum 5 Pages)

a. Maintenance of Effort: The

applicant should detail the average

amount of non-Federal dollars

expended for breast and cervical cancer

programs and activities made by a State,

Territory, or Tribe for the two year

period preceding the first Federal fiscal

year of NBCCEDP funding. This amount

will be used to establish the

maintenance of effort baseline for

current and future match requirements.

b. Sources of Match: The applicant

should detail the State, Territory, or

tribal allowable sources of matching

funds for the Program and the estimated

amounts from each. The applicant

should document the procedures for

determining the value of non-cash

matching funds. Further information

about the Matching Funds Requirement

can be found in the NBCCEDP Policies

and Procedures Manual, Section II,

pages 19–21 and page 35.

c. Documentation of Match Received:

The applicant should describe

procedures for documenting the actual

amount of match received.

7. Budget With Justification (Maximum

7 Pages)

a. Provide a detailed line item-budget

(can be single spaced) with a separate

narrative justification (for both Federal

and non-Federal funds) of all proposed

operating expenses consistent with the

program activities described in this

announcement. The budget may include

line items for personnel, fringe benefits,

travel, contractors, consultants,

equipment, administrative, and other

expenses. Not less than 60 percent of

Federal funds will be expended for

screening, tracking, follow-up and other

support services such as case

management. Not more than 10 percent

of Federal funds will be expended for

administrative expenses. The following

information is required for all contracts:

(1) Name of contractor; (2) method of

selection; (3) period of performance; (4)

scope of work; (5) method of

accountability; and (6) itemized budget

with justification for each contract.

b. A detailed line-item breakdown of

the 60/40 distribution should be

provided. A sample 60/40 budget

breakdown is included in the NBCCEDP

Policies and Procedures Manual,

Section II, page 38. For further

information about the 60/40

requirement, please refer to the

NBCCEDP Policies and Procedures

Manual, Section II, page 10.

c. The applicant should submit a

completed Screening and Diagnostic

Worksheet which is used to estimate the

amount of funding needed to reimburse

providers for allowable clinical services

provided to eligible women served in

your program. Further information

about the Screening and Diagnostic

Worksheet is provided in the NBCCEDP

Policies and Procedures Manual,

Section IV, pages 21–25. An electronic

version of the Screening and Diagnostic

Worksheet, an EXCEL spreadsheet, may

be obtained through the program

technical assistance contact listed in

Section M, Where to Obtain Additional

Information.

d. To request Federal, directassistance assignees, include:

(1) Number of assignees requested;

(2) Description of the position and

proposed duties;

(3) Ability or inability to hire locally

with financial assistance;

(4) Justification for request;

(5) Organizational chart and name of

intended supervisor;

(6) Opportunities for training,

education, and work experiences for

assignees; and

(7) Description of assignee’s access to

computer equipment for communication

with CDC (e.g., personal computer at

home, personal computer at

workstation, shared computer at

workstation on site, shared computer at

a central office).

27510 Federal Register / Vol. 66, No. 96 / Thursday, May 17, 2001 / Notices

H. Submission and Deadline

Submit the original and two copies of

PHS 5161–1 (OMB Number 0937–0189).

Forms are available in the application

kit and at the following Internet address:

www.cdc.gov/od/pgo/forminfo.htm

On or before June 27, 2001 submit the

application to the Grants Management

Specialist identified in the ‘‘Where to

Obtain Additional Information’’ section

of this announcement.

I. Evaluation Criteria (100 Points)

Applications will be evaluated

individually against the criteria below

which reflect an emphasis on disease

burden and program quality. Funding

for Tribes and Territories will be

competitive based on review by a panel

of independent reviewers. All

applicants representing States will be

funded. State applications will undergo

technical acceptability reviews by

independent reviewers.

1. Background and Need (20 Points)

The extent and clarity with which the

applicant describes the disease burden,

size of potentially eligible population,

unmet screening needs, size, selection

and characteristics of the priority

populations and extent to which the

applicant has identified barriers to care

that can be addressed through program

activities.

2. Capability for Program

Implementation (10 Points)

The extent to which the applicant

appears likely to be successful in

implementing the proposed activities as

measured by:

a. Prior performance reflected by the

NBCCEDP program progress indicators

or, for applicants not currently receiving

NBCCEDP funds, their success as

measured by relevant past experiences

in conducting a similar program(s).

b. Letters of commitment from key

partners, participants, and community

leaders that detail their commitment to

and participation in the proposed

program. If the applicant is a Tribe, the

inclusion of a tribal resolution(s) or

letter of support from the Board of

Directors is required.

c. Other accomplishments that reflect

the capability of the applicant to

implement a breast and cervical cancer

screening program.

3. Work Plan (60 Points)

The degree of comprehensiveness and

quality of the work plan represented by

the goals, measures of success related to

goals, objectives and activities to attain

the objectives for each of the NBCCEDP

program components and a time table

for program implementation. The degree

of comprehensiveness in addressing the

minimum core expectations for each

NBCCEDP program component within

the work plan as detailed in the

descriptions included as Attachment 1.

The extent to which realistic screening

projections are provided based on the

applicant’s past screening history (if

applicable) and detailed separately for

Pap tests and mammograms by the

number of women to be screened for the

2001–2002 program year by age, race,

ethnicity, and other priority populations

identified by the applicant in the

Background and Need section. In

addition, the extent to which realistic

screening projections are provided for

Pap tests among rarely and never

screened women.

4. Organizational Structure (10 Points)

The appropriateness of the applicant’s

organizational structure; documentation

of the applicant’s available resources for

the payment or reimbursement of breast

and cervical cancer screening, including

the Medicaid program; the proposed

schedule of fees consistent with

Medicare reimbursement rates, if

applicable; the assurance that funds will

be used in a cost effective manner; and

the description of linkages between the

proposed program and the State Cancer

Registry, if applicable.

5. Source Data for Matching

Requirement (Not Weighted)

The extent to which the applicant

provides clear evidence of maintenance

of effort, sources of match, and a means

to document actual match received.

6. Budget With Justification (Not

Weighted)

The extent to which the proposed

budget is reasonable, justified,

consistent, and in compliance with this

program announcement.

7. Human Subjects (Not Weighted)

The extent to which the application

adequately addresses the requirement of

45 CFR Part 46 for the protection of

human subjects. An application will be

disapproved if the research risks are

sufficiently serious and protection

against risks is so inadequate as to make

the entire application unacceptable.

J. Technical Reporting Requirements

Provide CDC with the original plus

two copies of:

1. Semiannual progress reports, to be

submitted no later than 90 days after

each semiannual reporting period. All

manuscripts published as a result of the

work supported in part or whole by the

cooperative agreement must be

submitted with the progress reports.

2. Financial status report (FSR), no

more than 90 days after the end of each

budget period.

3. Final financial report and

performance report, no more than 90

days after the end of the project period.

Send all reports to the Grants

Management Specialist identified in the

‘‘Where to Obtain Additional

Information’’ section of this

announcement.

The following additional

requirements are applicable to this

program. For descriptions of each, see

the Appendix.

AR–1—Human Subjects Requirement

AR–2—Requirements for Inclusion of

Women and Racial and Ethnic

Minorities in Research

AR–7—Executive Order 12372 Review

AR–9—Paperwork Reduction Act

Requirements

AR–10—Smoke-Free Workplace

Requirements

AR–11—Healthy People 2010

AR–12—Lobbying Restrictions

K. Authority and Catalog of Federal

Domestic Assistance Number

This program is authorized under

sections 1501, 1502, 1507 and 1509 [42

U.S.C. 300k, 42 U.S.C. 300l, and 42

U.S.C. 300n–3] of the Public Health

Service Act, as amended. The Catalog of

Federal Domestic Assistance number is

93.919.

L. Where To Obtain Additional

Information

This and other CDC announcements

can be found on the CDC home page

Internet address—http://www.cdc.gov.

Click on ‘‘Funding’’ then ‘‘Grants and

Cooperative Agreements.’’

Should you have questions after

reviewing the contents of all the

documents, business management

technical assistance may be obtained

from: Glynnis Taylor, Grants

Management Specialist, Grants

Management Branch, Procurement and

Grants Office, Program Announcement

01038, Centers for Disease Control and

Prevention (CDC), 2920 Brandywine

Road, Room 3000, Atlanta, GA 30341–

4146, Telephone number: (770) 488–

2752, Email address: gld1@cdc.gov.

For program technical assistance,

contact: Amy DeGroff, Program Services

Branch, Division of Cancer Prevention

and Control, National Center for

Chronic Disease Prevention and Health

Promotion, Centers for Disease Control

and Prevention (CDC), 4770 Buford

Highway, NE., Mailstop K–57, Atlanta,

GA 30341–3724, Telephone number:

(770) 488–4248, Email address:

asd1@cdc.gov.

Federal Register / Vol. 66, No. 96 / Thursday, May 17, 2001 / Notices 27511

Dated: May 11, 2001.

John L. Williams,

Director, Procurement and Grants Office,

Centers for Disease Control and Prevention

(CDC).

[FR Doc. 01–12420 Filed 5–16–01; 8:45 am]

BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Centers for Disease Control and

Prevention

[Program Announcement 01131]

National Programs That Build the

Capacity of Schools To Prevent

Foodborne Illness Through

Coordinated School Health Programs;

Notice of Availability of Funds

A. Purpose

The Centers for Disease Control and

Prevention (CDC) announces the

availability of fiscal year (FY) 2001

funds for a cooperative agreement

program for National Programs That

Build the Capacity of Schools to Prevent

Foodborne Illness and Other Important

Health Problems Through Coordinated

School Health Programs. This program

addresses the ‘‘Healthy People 2010’’

focus areas of Educational and

Community-Based Programs.

The purpose of this program is to

develop a national program to build the

capacity of state and local education

and health agencies, and others to

prevent foodborne illness and other

important health problems as part of a

coordinated school health program.

B. Eligible Applicants

Assistance will be provided to

national organizations that are private

health, education, or social service

agencies (professional, or voluntary);

qualify as a non-profit 501(c)(3) entity;

have the capacity and experience to

assist their local affiliates; and have

affiliate offices or local, state, or regional

membership constituencies in a

minimum of ten states and territories.

National organizations that are funded

currently by CDC/Division of

Adolescent and School Health (DASH)

under program announcements 99023,

97065, 00026, 00081, 00109, 00719,

98885, 99072, 00079 or 00618 are not

eligible for this program announcement.

A listing of CDC/DASH funded national

organizations that are not eligible to

apply is provided in Appendix I.

Note: Title 2 of the United States Code,

Chapter 26, Section 1611 states that an

organization described in section 501(c)(4) of

the Internal Revenue Code of 1986 that

engages in lobbying activities is not eligible

to receive Federal funds constituting an

award, grant, cooperative agreement,

contract, loan, or any other form.

C. Availability of Funds

Approximately $168,000 is available

in FY 2001 to fund one award. It is

expected that the awards will begin on

or about August 15, 2001, and will be

made for a 12-month budget period

within a project period of up to four

years. Funding estimates may change.

Priority will be given to organizations

whose direct constituencies are

directors, administrators and managers

of school food service programs.

Affiliate offices and local, state, or

regional membership constituencies

may not apply in lieu of, or on behalf

of, their parent national office.

Continuation awards within an

approved project period will be made

on the basis of satisfactory progress as

evidenced by required reports and the

availability of funds.

D. Program Requirements

In conducting activities to achieve the

purpose of this program, the recipient

shall be responsible for conducting

activities under section 1 (Recipient

Activities), and CDC will be responsible

for conducting activities under section 2

(CDC Activities) as listed below:

1. Recipient Activities

a. Collaborate with constituents; state

and local education, health, agriculture,

and social service agencies; nongovernmental partners; and federal

government agencies to implement a

national strategy to prevent foodborne

illness as part of coordinated school

health programs.

b. Establish specific, measurable, and

realistic goals, objectives and evaluation

measures to reduce and/or manage

school foodborne illness outbreaks.

c. As a part of the National Food

Safety Initiative, establish an

operational plan that includes

collaborating with federal and state

agencies and others engaged in food safe

schools program-related activities, and

developing or using existing disciplinespecific training materials that build the

capacity of school food service

personnel to implement the school food

service component of a model

coordinated school food safety schools

program, and to integrate that

component with other components.

d. Participate in quarterly meetings of

the National Coalition for Food Safe

Schools.

e. Developing or using existing

discipline-specific training materials for

accompanying a model coordinated

school food safe schools program for

constituents.

f. Disseminating programmatic

information through appropriate

methods, such as:

1. Sharing materials that would

reduce school foodborne illness or

manage an outbreak through a variety of

mechanisms (e.g. clearinghouses,

conferences and/or workshops,

newsletters, annual progress reports,

etc.);

2. Sharing project-related news and

information with state and local

education and health agencies, national

organizations, and others through the

Internet, other computer networks, the

mail and at workshops and conferences.

g. Educating and enabling school food

service managers, decision makers and

others who are members of the national

organizations to act individually and

collectively to support locally

determined programs to reduce/manage

school foodborne illness outbreaks.

h. Educating and enabling families,

media, businesses, and others in the

community to act individually and

collectively to support coordinated

school health programs to reduce/

manage school foodborne illness

outbreaks.

i. Building the capacity of community

agencies and parents to establish and/or

maintain programs that reduce/manage

school foodborne illness outbreaks;

j. Providing technical assistance and

training to professionals and parents to

use proven, effective strategies and

programs to prevent behaviors that

place elementary through college-aged

young people at risk for foodborne

illness.

k. Participating in national

conferences to promote model food safe

schools programs.

2. CDC Activities

a. Coordinate with national, state, and

local education, health and social

service agencies as well as other

relevant organizations in planning and

conducting national strategies designed

to prevent foodborne illness through the

development and implementation of a

national food safe schools program.

b. Assist with programmatic

consultation and guidance related to

program planning, implementation, and

evaluation; assessment of program

objectives; and dissemination of

successful strategies, experiences, and

evaluation reports.

c. Participate in planning meetings

with national, state, and local education

agencies and other appropriate agencies

to address issues and program activities

related to improving coordinated school

health programs; and strengthen the