Federal Register / Vol. 70, No. 163 / Wednesday, August 24, 2005 / Notices 49623

Dated: August 11, 2005. 

Joan F. Karr, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention.

[FR Doc. 05–16367 Filed 8–23–05; 8:45 am] 

BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Cooperative Agreement To Build Local 

Capacity To Respond to the HIV/AIDS 

Epidemic in the Caribbean, as Part of 

the President’s Emergency Plan for 

AIDS Relief 

Announcement Type: New. 

Funding Opportunity Number: CDC–

RFA–AA157. 

Catalog of Federal Domestic 

Assistance Number: 93.067. 

Key Dates: Application Deadline:

September 19, 2005. 

I. Funding Opportunity Description

Authority: This program is authorized 

under sections 301 and 307 of the Public 

Health Service Act [42 U.S.C. 24l and 2421, 

as amended, and under Public Law 108–25 

(United States Leadership Against HIV/AIDS, 

Tuberculosis and Malaria Act of 2003) [22 

U.S.C. 7601].

Background: President Bush’s 

Emergency Plan for AIDS Relief has 

called for immediate, comprehensive 

and evidence-based action to turn the 

tide of global HIV/AIDS. The initiative 

aims to treat more than two million 

HIV-infected people with effective 

combination anti-retroviral therapy by 

2008; care for ten million HIV-infected 

and affected persons, including those 

orphaned by HIV/AIDS, by 2008; and 

prevent seven million infections by 

2010, with a focus on 15 priority 

countries, including 12 in sub-Saharan 

Africa. The five-year strategy for the 

Emergency Plan is available at the 

following Internet address: http://

www.state.gov/s/gac/rl/or/c11652.htm. 

With an average adult HIV prevalence 

of 2.3 percent, the Caribbean is the 

second-most affected region in the 

world, according to the 2004 Annual 

Report from the Joint United Nations 

Programme on HIV and AIDS 

(UNAIDS). Overall, the highest HIVinfection levels among women in the 

Americas are in Caribbean countries, 

and AIDS has become the leading cause 

of death in the Caribbean among adults 

aged 15–44 years (Caribbean 

Epidemiology Centre, Pan-American 

Health Organization (PAHO), World 

Health Organization (WHO), 2004). A 

regional response to HIV/AIDS is 

necessary in the Caribbean because of 

population mobility, the limited 

response capacity of individual 

countries, and the need for a 

multisectoral, collaborative strategy (A 

Study of the Pan Caribbean Partnership 

Against HIV/AIDS 2004). 

Purpose: The purpose of this funding 

announcement is to build progressively 

an indigenous, sustainable response to 

regional HIV epidemic in the Caribbean 

through the rapid expansion of 

innovative, culturally appropriate, highquality HIV/AIDS prevention and care 

interventions, and improved linkages to 

confidential HIV counseling and testing 

and HIV treatment services by targeting 

rural and other underserved populations 

in the West Indies. 

Under the leadership of the U.S. 

Global AIDS Coordinator, as part of the 

President’s Emergency Plan, the U.S. 

Department of Health and Human 

Services (HHS) works with host 

countries and other key partners to 

assess the needs of each country and 

design a customized program of 

assistance that fits within the host 

nation’s strategic plan. 

HHS focuses on two or three major 

program areas in each country. Goals 

and priorities include the following: 

• Achieving primary prevention of 

HIV infection through activities such as 

expanding confidential counseling and 

testing programs, building programs to 

reduce mother-to-child transmission, 

and strengthening programs to reduce 

transmission via blood transfusion and 

medical injections.

• Improving the care and treatment of 

HIV/AIDS, sexually transmitted diseases 

(STDs) and related opportunistic 

infections by improving STD 

management; enhancing care and 

treatment of opportunistic infections, 

including tuberculosis (TB); and 

initiating programs to provide antiretroviral therapy (ART). 

• Strengthening the capacity of 

countries to collect and use surveillance 

data and manage national HIV/AIDS 

programs by expanding HIV/STD/TB 

surveillance programs and 

strengthening laboratory support for 

surveillance, diagnosis, treatment, 

disease-monitoring and HIV screening 

for blood safety. 

Measurable outcomes of the program 

will be in alignment with the numerical 

goals of the President’s Emergency Plan 

for AIDS Relief and one (or more) of the 

performance goal(s) for the HHS/CDC 

National Center for HIV, Sexually 

Transmitted Disease and Tuberculosis 

Prevention (NCHSTP) within HHS: 

Increase the proportion of HIV-infected 

people who are linked to appropriate 

prevention, care and treatment services; 

strengthen the capacity nationwide to 

monitor the epidemic; develop and 

implement effective HIV prevention 

interventions; and evaluate prevention 

programs. 

This announcement is only for nonresearch activities supported by HHS, 

including CDC. If an applicant proposes 

research activities, HHS will not review 

the application. For the definition of 

‘‘research’’, please see the HHS/CDC 

web site at the following Internet 

address: http://www.cdc.gov/od/ads/

opspoll1.htm. 

Activities: The recipient of these 

funds is responsible for activities in 

multiple program areas designed to 

target underserved populations in the 

Caribbean. Either the awardee will 

implement activities directly or will 

implement them through its subgrantees 

and/or subcontractors; the awardee will 

retain overall financial and 

programmatic management under the 

oversight of HHS/CDC and the strategic 

direction of the Office of the U.S. Global 

AIDS Coordinator. The awardee must 

show a measurable progressive 

reinforcement of the capacity of 

indigenous organizations and local 

communities to respond to the national 

HIV epidemic, as well as progress 

towards the sustainability of activities. 

Applicants should describe activities 

in detail as part of a four-year action 

plan (U.S. Government Fiscal Years 

2005–2008 inclusive) that reflects the 

policies and goals outlined in the fiveyear strategy for the President’s 

Emergency Plan. 

The grantee will produce an annual 

operational plan in the context of this 

four-year plan, which the U.S. 

Government Emergency Plan team on 

the ground in the Caribbean will review. 

The grantee may work on some of the 

activities listed below in the first year 

and in subsequent years, and then 

progressively add others from the list to 

achieve all of the Emergency Plan 

performance goals, as cited in the 

previous section. 

Based on its competitive advantage 

and proven field experience, the 

winning applicant will undertake a 

broad range of activities to meet the 

numerical Emergency Plan targets 

outlined above. For each of these 

activities, the grantee will give priority 

to evidence-based, yet culturally 

adapted, innovative approaches.

Capacity-building technical assistance 

activities covered under this cooperative 

agreement are limited to the following: 

1. Strengthen organizational 

infrastructure of HIV prevention, care 

and treatment programs located within 

the Caribbean Region. 

49624 Federal Register / Vol. 70, No. 163 / Wednesday, August 24, 2005 / Notices 

a. Provide technical assistance in the 

management of HIV prevention, care 

and treatment programs. Examples 

include, but are not limited to the 

following: (1) Organizational 

assessments to determine the needs, 

resources, readiness and gaps of 

organizational infrastructure systems 

(e.g., governance, management, 

administration, personnel, and fiscal); 

(2) proposal development and grant 

writing; (3) resource development, 

including development of 

reimbursement mechanisms, 

identification of other funding sources 

and development of public/private 

partnership strategies; (4) management 

information systems (data management); 

(5) strategic planning; (6) leadership 

development; (7) team building; (8) 

human resources management, 

including staff and volunteer 

recruitment, management, retention and 

training; (9) organizational qualityassurance and monitoring; (10) program 

marketing and public relations; and (11) 

cross-cultural communications. 

b. Plan and conduct site visits, study 

tours, conferences and/or meetings for 

member country health officials. 

c. Provide technical assistance and 

training in strategic planning, training of 

trainers, and manual development and 

dissemination. 

d. Provide organizational 

development of Secretariat Staff and 

Executive Board to respond to the needs 

of the organization. Examples include, 

but are not limited to: (1) Training; (2) 

skill building in management; (3) 

increasing human capacity and 

infrastructure; (4) expanding sources of 

funding, and securing multi-year 

funding; and (5) development of overall 

governance documents, including 

defining roles and responsibilities of 

members, Secretariat Staff, and 

Executive Board. 

2. Strengthen HIV prevention, care 

and treatment programs located within 

the Caribbean Region. 

a. Provide technical assistance in the 

design, implementation, and 

management of prevention, care and 

treatment programs. 

b. Develop and disseminate resource 

toolkits for National AIDS Programs in 

the Caribbean Region that programs can 

use to assist in planning, 

implementation and evaluation of 

programs. 

c. Translate existing resource 

materials for use in HHS/CDC GAP 

Caribbean Regional countries and 

territories. 

d. Establish peer-to-peer technical 

assistance networks from AIDS 

programs to AIDS programs (by 

optimizing cultural similarities and 

common language), including the 

continuation of technical exchange in 

the Caribbean Regional countries and 

territories; development of a mentoring 

program; and twinning relationships 

with the United States (especially in 

communities of the Caribbean diaspora) 

and other international AIDS programs.

e. Identify and share technical best 

practices (U.S. and international), new 

research and HIV treatment regimens. 

f. Increase communication via phone, 

the web and regular mail, including 

translation and interpretation into the 

four working languages of the countries 

and territories located within the 

Caribbean Region. 

g. Facilitate program management 

workshops to include, but not limited 

to, general program management, 

resource mobilization, monitoring and 

evaluation, migration and mobility, and 

policy development. 

3. Strengthen policy development for 

HIV prevention, care and treatment 

programs located within the Caribbean 

Region. 

a. Develop issue briefs and 

organizational policy papers, including 

but not limited to: Stigma and 

discrimination; technical assistance; 

and migration and mobility, translated 

into the four working languages of the 

Caribbean Region. 

b. Complete regional reviews of the 

status and trends regarding HIV-related 

stigma and discrimination; develop a 

matrix of all regional programs and 

policies for combating stigma and 

discrimination; and increase member’s 

abilities to serve as local resources for 

the mitigation of stigma and 

discrimination in their respective 

countries or territories. 

c. Increase the knowledge base for 

existing HIV-related policies through 

the completion of databases on existing 

regional HIV/AIDS policies and 

programs, and skill building of public 

health officials to participate in the 

development of country-relevant 

policies. 

Administration: The winning 

applicant must comply with all HHS 

management requirements for meeting 

participation and progress and financial 

reporting for this cooperative agreement. 

(See HHS Activities and Reporting 

sections below for details), and comply 

with all policy directives established by 

the Office of the U.S. Global AIDS 

Coordinator. 

In a cooperative agreement, HHS staff 

is substantially involved in the program 

activities, above and beyond routine 

grant monitoring.

HHS/CDC activities for this program 

are as follows: 

1. Provide policy and program 

information for rapid dissemination and 

implementation. 

2. Provide technical advice in the 

development of systems to implement 

HHS/CDC policies and programs. 

3. Provide consultation and scientific 

and technical assistance in planning, 

operating, analyzing and evaluating HIV 

prevention, care and treatment programs 

and program-evaluation activities. 

4. Disseminate current information, 

including best practices, in all areas of 

HIV prevention, care and treatment. 

5. Monitor progress in achieving the 

purpose of this program, as well as 

project objectives. 

6. Assist in assessing internal program 

operations, and in evaluating overall 

effectiveness of programs. 

7. Organize an orientation meeting 

with the grantee to brief it on applicable 

U.S. Government, HHS, and Emergency 

Plan expectations, regulations and key 

management requirements, as well as 

report formats and contents. The 

orientation could include meetings with 

staff from HHS agencies and the Office 

of the U.S. Global AIDS Coordinator. 

8. Review and approve the process 

used by the grantee to select key 

personnel and/or post-award 

subcontractors and/or subgrantees to be 

involved in the activities performed 

under this agreement. 

9. Review and approve grantee’s 

annual work plan and detailed budget. 

10. Review and approve grantee’s 

monitoring and evaluation plan, 

including for compliance with the 

strategic information guidance 

established by the Office of the U.S. 

Global AIDS Coordinator. 

11. Meet on a monthly basis with 

grantee to assess monthly expenditures 

in relation to approved work plan and 

modify plans as necessary. 

12. Meet on a quarterly basis with 

grantee to assess quarterly technical and 

financial progress reports and modify 

plans as necessary. 

13. Meet on an annual basis with 

grantee to review annual progress report 

for each U.S. Government Fiscal Year, 

and to review annual work plans and 

budgets for subsequent year. 

14. Provide technical assistance, as 

mutually agreed upon, and revise 

annually during validation of the first 

and subsequent annual work plans. This 

could include expert technical 

assistance and targeted training 

activities in specialized areas, such as 

strategic information, project 

management, confidential counseling 

and testing, palliative care, treatment 

literacy, and adult learning techniques. 

15. Provide in-country administrative 

support to help grantee meet U.S. 

Federal Register / Vol. 70, No. 163 / Wednesday, August 24, 2005 / Notices 49625

Government financial and reporting 

requirements. 

Please note: Either HHS staff or staff 

from organizations that have 

successfully competed for funding 

under a separate HHS contract, 

cooperative agreement or grant will 

provide technical assistance and 

training. 

II. Award Information 

Type of Award: Cooperative 

Agreement. (HHS involvement in this 

program is listed in the Activities 

Section above.) 

Fiscal Year Funds: 2005. 

Approximate Total Funding:

$150,000. (This amount is an estimate, 

and is subject to availability of funds.) 

Approximate Number of Awards:

One.

Approximate Average Award:

$150,000. (This amount is for the first 

12-month budget period, and includes 

direct costs.) 

Floor of Award Range: $100,000. 

Ceiling of Award Range: $150,000. 

(This amount is for the first 12-month 

budget period.) 

Anticipated Award Date: September 

23, 2005. 

Budget Period Length: 12 months. 

Project Period Length: Five years. 

Throughout the project period, HHS’ 

commitment to continuation of awards 

will be conditioned on the availability 

of funds, evidence of satisfactory 

progress by the recipient (as 

documented in required reports), and 

the determination that continued 

funding is in the best interest of the 

Federal Government. 

III. Eligibility Information 

III.1. Eligible Applicants 

Applications may be submitted by: 

• Public nonprofit organizations 

• Private nonprofit organizations 

• Universities 

• Colleges 

• For profit organizations 

• Small, minority, women-owned 

businesses 

• Community-based organizations 

• Research institutions 

• Hospitals 

• Faith-based organizations 

• Federally recognized Indian tribal 

governments 

• Indian tribes 

• Indian tribal organizations 

• State and local governments or their 

Bona Fide Agents (this includes the 

District of Columbia, the 

Commonwealth of Puerto Rico, the 

Virgin Islands, the Commonwealth of 

the Northern Marianas Islands, 

American Samoa, Guam, the Federated 

States of Micronesia, the Republic of the 

Marshall Islands, and the Republic of 

Palau) 

• Political subdivisions of States (in 

consultation with States) 

Additionally, applicants must meet 

the criteria listed below: 

• Have at least three years of 

documented HIV/AIDS related program 

implementation experience in the 

Caribbean Region. 

• Have, in one organization, ability 

and experience in convening and 

working in an on-going manner with 

senior public sector HIV/AIDS program 

officers/coordinators from at least 15 

Caribbean nations on technical areas of 

treatment, care and prevention. 

• Have experience in partnership and 

collaboration with other regional HIV/

AIDS organizations. 

• Be a member of the Pan Caribbean 

AIDS Partnership (PANCAP). 

III.2. Cost-Sharing or Matching Funds 

Matching funds are not required for 

this program. Although matching funds 

are not required, preference will go to 

organizations that can leverage 

additional funds to contribute to 

program goals. 

III.3. Other 

If applicants request a funding 

amount greater than the ceiling of the 

award range, HHS/CDC will consider 

the application non-responsive, and it 

will not enter into the review process. 

We will notify you that your application 

did not meet the submission 

requirements. 

Special Requirements: If your 

application is incomplete or nonresponsive to the special requirements 

listed in this section, it will not enter 

into the review process. We will notify 

you that your application did not meet 

submission requirements. 

• HHS/CDC will consider late 

applications non-responsive. See 

section ‘‘IV.3. Submission Dates and 

Times’’ for more information on 

deadlines. 

• Note: Title 2 of the United Sates 

Code Section 1611 states that an 

organization described in Section 

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

that engages in lobbying activities is not 

eligible to receive Federal funds 

constituting an award, grant, or loan. 

IV. Application and Submission 

Information 

IV.1. Address To Request Application 

Package

To apply for this funding opportunity 

use application form PHS 5161–1. 

HHS strongly encourages you to 

submit your application electronically 

by using the forms and instructions 

posted for this announcement at

http://www.grants.gov.

Application forms and instructions 

are available on the HHS/CDC web site, 

at the following Internet address:

http://www.cdc.gov/od/pgo/

forminfo.htm.

If you do not have access to the 

Internet, or if you have difficulty 

accessing the forms on-line, you may 

contact the HHS/CDC Procurement and 

Grants Office Technical Information 

Management Section (PGO–TIM) at: 

770–488–2700. We can mail application 

forms to you. 

IV.2. Content and Form of Submission 

Application: You must submit a 

project narrative with your application 

forms. You must submit the narrative in 

the following format: 

• Maximum number of pages: Thirtyfive (35). If your narrative exceeds the 

page limit, we will only review the first 

pages within the page limit. 

• Font size: 12 point unreduced 

• Paper size: 8.5 by 11 inches 

• Page margin size: One inch 

• Printed only on one side of page 

• Double-spaced 

• Numbered pages 

• Held together only by rubber bands 

or metal clips; not bound in any other 

way. 

• Application must be submitted in 

English 

Your narrative should address 

activities to be conducted over the 

entire project period, and must 

thoroughly develop the program plan. 

The program plan will include a 

description of your program and 

strategy, objectives, activities, timelines, 

program experience, management plan 

and organization structure, and 

measures of effectiveness as follows: 

• Program and Strategy 

Provide a description of your 

proposed program and the strategy for 

implementation. Include a description 

of the administrative, financial, 

accounting and human resource models 

used to build the organizational 

infrastructure capacity e.g., grant 

writing, fiscal management, board and 

staff development). Also, include a 

description of the plan to support 

capacity building and technical 

assistance needs of the National AIDS 

Programs located within the Caribbean 

Region. 

• Objectives 

What are your objectives for 

addressing the general and focus areaspecific activities? 

• Activities 

What are your proposed activities? 

These activities must relate to each of 

the objectives listed above. 

49626 Federal Register / Vol. 70, No. 163 / Wednesday, August 24, 2005 / Notices 

• Timeline (e.g., GANNT Chart) 

Provide a timeline and list staff 

responsible for implementing activities 

in the first year. 

• Program Experience 

Describe your organization’s program 

experience as it relates to the proposed 

activities in this program 

announcement. Address the methods 

that you have used to provide similar 

services in the past. Also, include an 

explanation of how funds used in this 

cooperative agreement will be used 

differently, or in ways that will expand 

upon programs that are supported with 

existing or future funds. Address your 

organization’s experience and capacity 

to provide technical assistance that 

responds effectively to the cultural and 

linguistic characteristics of your 

recipients. In answering this question, 

describe the types of services provided 

and list any culturally and linguistically 

appropriate curricula and materials that 

your organization has adapted or 

developed. 

• Management Plan and 

Organizational Structure 

Describe your management and 

staffing plan to conduct or support the 

essential components of this cooperative 

agreement, including a description of 

the roles, responsibilities and 

relationships of all staff supported 

through this cooperative agreement. 

(Organizational charts and resumes of 

all key staff to demonstrate their 

qualifications may be included in the 

appendices). 

• Measures of Effectiveness

These must relate to the performance 

goals stated in the ‘‘Purpose’’ section of 

this announcement. Measures must be 

objective and quantitative, and must 

measure the intended outcome of this 

cooperative agreement. 

• Budget and Budget Justification 

(Not included in page limit. Reviewed 

but not scored.) Include a detailed and 

justified budget required to accomplish 

the objectives for the first year of the 

project. Justify all operating expenses in 

relation to the planned activities and 

stated objectives. HHS/CDC may not 

fund or approve all proposed activities. 

Be precise about the program purpose of 

each budget item and itemize 

calculations wherever appropriate. Is 

the itemized budget for conducting the 

project, along with justification, 

reasonable, and consistent with stated 

objectives and planned program 

activities? 

You may include additional 

information in the application 

appendices. The appendices will not 

count toward the narrative page limit. 

This additional information includes 

the following: 

• Curriculum Vitas/Resumes of 

current staff who will work on the 

activity 

• Organizational Charts 

• A list of culturally and 

linguistically appropriate materials that 

are available, and are currently being 

delivered. 

• A description of funding from other 

sources (international, regional, local, 

private, etc.) to conduct similar 

activities. This should include a 

summary of current funds received with 

the name of the sponsoring 

organization/source of income, level of 

funding, description of how funds have 

been used and budget period. Identify 

proposed personnel who will conduct 

and oversee the activities of this project, 

and all funding sources supporting 

these individuals (include their roles 

and responsibilities). 

The budget justification will not 

count in the narrative page limit. 

Although the narrative addresses 

activities for the entire project, the 

applicant should provide a detailed 

budget only for the first year of 

activities, while addressing budgetary 

plans for subsequent years. 

You must have a Dun and Bradstreet 

Data Universal Numbering System 

(DUNS) number to apply for a grant or 

cooperative agreement from the Federal 

Government. The DUNS number is a 

nine-digit identification number, which 

uniquely identifies business entities. 

Obtaining a DUNS number is easy, and 

there is no charge. To obtain a DUNS 

number, access 

www.dunandbradstreet.com or call 1–

866–705–5711. 

For more information, see the HHS/

CDC web site at: http://www.cdc.gov/od/

pgo/funding/grantmain.pdf. If your 

application form does not have a DUNS 

number field, please write your DUNS 

number at the top of the first page of 

your application, and/or include your 

DUNS number in your application cover 

letter. 

Additional requirements that could 

require you to submit additional 

documentation with your application 

are listed in section ‘‘VI.2. 

Administrative and National Policy 

Requirements.’’

IV.3. Submission Dates and Times 

Application Deadline Date:

September 19, 2005.

Explanation of Deadlines:

Applications must be received in the 

HHS/CDC Procurement and Grants 

Office by 4 p.m. Eastern Time on the 

deadline date. 

You may submit your application 

electronically at www.grants.gov. We 

consider applications completed on-line 

through Grants.gov as formally 

submitted when the applicant 

organization’s Authorizing Official 

electronically submits the application to 

www.grants.gov. We will consider 

electronic applications as having met 

the deadline if the applicant 

organization’s Authorizing Official has 

submitted the application electronically 

to Grants.gov on or before the deadline 

date and time. 

If you submit your application 

electronically with Grants.gov, your 

application will be electronically time/

date stamped, which will serve as 

receipt of submission. You will receive 

an e-mail notice of receipt when HHS/

CDC receives the application. 

If you submit your application by the 

United States Postal Service or 

commercial delivery service, you must 

ensure the carrier will be able to 

guarantee delivery by the closing date 

and time. If HHS/CDC receives your 

submission after closing because: (1) 

Carrier error, when the carrier accepted 

the package with a guarantee for 

delivery by the closing date and time; or 

(2) significant weather delays or natural 

disasters, you will have the opportunity 

to submit documentation of the carrier’s 

guarantee. If the documentation verifies 

a carrier problem, HHS/CDC will 

consider the submission as received by 

the deadline. 

If you submit a hard copy application, 

HHS/CDC will not notify you upon 

receipt of your submission. If you have 

a question about the receipt of your 

application, first contact your courier. If 

you still have a question, contact the 

PGO–TIM staff at: 770–488–2700. Before 

calling, please wait two to three days 

after the submission deadline. This will 

allow time for us to process and log 

submissions. 

This announcement is the definitive 

guide on application content, 

submission address, and deadline. It 

supersedes information provided in the 

application instructions. If your 

submission does not meet the deadline 

above, it will not be eligible for review, 

and we will discard it. We will notify 

you that you did not meet the 

submission requirements. 

IV.4. Intergovernmental Review of 

Applications 

Executive Order 12372 does not apply 

to this program. 

IV.5. Funding Restrictions 

Restrictions, which you must take 

into account while writing your budget, 

are as follows: 

• Funds may not be used for research. 

• Reimbursement of pre-award costs 

is not allowed. 

Federal Register / Vol. 70, No. 163 / Wednesday, August 24, 2005 / Notices 49627

• Funds may be spent for reasonable 

program purposes, including personnel, 

travel, supplies, and services. 

Equipment may be purchased if deemed 

necessary to accomplish program 

objectives; however, prior approval by 

HHS/CDC officials must be requested in 

writing. 

• All requests for funds contained in 

the budget shall be stated in U.S. 

dollars. Once an award is made, HHS/

CDC will not compensate foreign 

grantees for currency exchange 

fluctuations through the issuance of 

supplemental awards. 

• The costs that are generally 

allowable in grants to domestic 

organizations are allowable to foreign 

institutions and international 

organizations, with the following 

exception: With the exception of the 

American University, Beirut and the 

World Health Organization, Indirect 

Costs will not be paid (either directly or 

through sub-award) to organizations 

located outside the territorial limits of 

the United States or to international 

organizations regardless of their 

location.

• The applicant may contract with 

other organizations under this program; 

however, the applicant must perform a 

substantial portion of the activities 

(including program management and 

operations, and delivery of prevention 

services for which funds are required). 

• All requests for funds contained in 

the budget, shall be stated in U.S. 

dollars. Once an award is made, HHS/

CDC will not compensate foreign 

grantees for currency exchange 

fluctuations through the issuance of 

supplemental awards. 

• You must obtain annual audit of 

these HHS/CDC funds (program-specific 

audit) by a U.S.-based audit firm with 

international branches and current 

licensure/authority in-country, and in 

accordance with International 

Accounting Standards or equivalent 

standard(s) approved in writing by 

HHS/CDC. 

• A fiscal Recipient Capability 

Assessment may be required, prior to or 

post award, in order to review the 

applicant’s business management and 

fiscal capabilities regarding the 

handling of U.S. Federal funds. 

• Funds received from this 

announcement will not be used for the 

purchase of antiretroviral drugs for 

treatment of established HIV infection 

(with the exception of nevirapine in 

Prevention of Mother-to-Child 

Transmission (PMTCT) cases and with 

prior written approval), occupational 

exposures, and non-occupational 

exposures and will not be used for the 

purchase of machines and reagents to 

conduct the necessary laboratory 

monitoring for patient care. 

• Needle Exchange—No funds 

appropriated under this Act shall be 

used to carry out any program of 

distributing sterile needles or syringes 

for the hypodermic injection of any 

illegal drug. 

Prostitution and Related Activities:

The U.S. Government is opposed to 

prostitution and related activities, 

which are inherently harmful and 

dehumanizing, and contribute to the 

phenomenon of trafficking in persons. 

Any entity that receives, directly or 

indirectly, U.S. Government funds in 

connection with this document 

(‘‘recipient’’) cannot use such U.S. 

Government funds to promote or 

advocate the legalization or practice of 

prostitution or sex trafficking. Nothing 

in the preceding sentence shall be 

construed to preclude the provision to 

individuals of palliative care, treatment, 

or post-exposure pharmaceutical 

prophylaxis, and necessary 

pharmaceuticals and commodities, 

including test kits, condoms, and, when 

proven effective, microbicides. 

A recipient that is otherwise eligible 

to receive funds in connection with this 

document to prevent, treat, or monitor 

HIV/AIDS shall not be required to 

endorse or utilize a multisectoral 

approach to combating HIV/AIDS, or to 

endorse, utilize, or participate in a 

prevention method or treatment 

program to which the recipient has a 

religious or moral objection. Any 

information provided by recipients 

about the use of condoms as part of 

projects or activities that are funded in 

connection with this document shall be 

medically accurate and shall include the 

public health benefits and failure rates 

of such use.

In addition, any recipient must have 

a policy explicitly opposing prostitution 

and sex trafficking. The preceding 

sentence shall not apply to any ‘‘exempt 

organizations’’ (defined as the Global 

Fund to Fight AIDS, Tuberculosis and 

Malaria, the World Health Organization 

and its six Regional Offices, the 

International AIDS Vaccine Initiative or 

to any United Nations agency). 

The following definition applies for 

purposes of this clause: 

• Sex trafficking means the 

recruitment, harboring, transportation, 

provision, or obtaining of a person for 

the purpose of a commercial sex act. 22 

U.S.C. 7102(9). 

All recipients must insert provisions 

implementing the applicable parts of 

this section, ‘‘Prostitution and Related 

Activities,’’ in all sub-agreements under 

this award. These provisions must be 

express terms and conditions of the subagreement, must acknowledge that 

compliance with this section, 

‘‘Prostitution and Related Activities,’’ is 

a prerequisite to receipt and 

expenditure of U.S. Government funds 

in connection with this document, and 

must acknowledge that any violation of 

the provisions shall be grounds for 

unilateral termination of the agreement 

prior to the end of its term. Recipients 

must agree that HHS may, at any 

reasonable time, inspect the documents 

and materials maintained or prepared 

by the recipient in the usual course of 

its operations that relate to the 

organization’s compliance with this 

section, ‘‘Prostitution and Related 

Activities.’’

All prime recipients that receive U.S. 

Government funds (‘‘prime recipients’’) 

in connection with this document must 

certify compliance prior to actual 

receipt of such funds in a written 

statement that makes reference to this 

document (e.g., ‘‘[Prime recipient’s 

name] certifies compliance with the 

section, ‘‘Prostitution and Related 

Activities.’’’) addressed to the agency’s 

grants officer. Such certifications by 

prime recipients are prerequisites to the 

payment of any U.S. Government funds 

in connection with this document. 

Recipients’ compliance with this 

section, ‘‘Prostitution and Related 

Activities,’’ is an express term and 

condition of receiving U.S. Government 

funds in connection with this 

document, and any violation of it shall 

be grounds for unilateral termination by 

HHS of the agreement with HHS in 

connection with this document prior to 

the end of its term. The recipient shall 

refund to HHS the entire amount 

furnished in connection with this 

document in the event HHS determines 

the recipient has not complied with this 

section, ‘‘Prostitution and Related 

Activities.’’

You may find guidance for 

completing your budget on the HHS/

CDC web site, at the following Internet 

address: http://www.cdc.gov/od/pgo/

funding/budgetguide.htm.

IV.6. Other Submission Requirements 

Application Submission Address:

HHS/CDC strongly encourages you to 

submit applications electronically at 

www.grants.gov. You will be able to 

download the application package from 

www.grants.gov, complete it off-line, 

and then upload and submit the 

application via the Grants.gov site. We 

will not accept e-mail submissions. If 

you are having technical difficulties in 

Grants.gov, you may reach them by email at support@grants.gov or by phone 

at 1–800–518–4726 (1–800–518–

GRANTS). The Customer Support 

49628 Federal Register / Vol. 70, No. 163 / Wednesday, August 24, 2005 / Notices 

Center is open from 7 a.m. to 9 p.m. 

Eastern Time, Monday through Friday. 

HHS/CDC recommends that you 

submit your application to Grants.gov 

early enough to resolve any 

unanticipated difficulties prior to the 

deadline. You may also submit a backup paper submission of the application. 

We must receive any such paper 

submission in accordance with the 

requirements for timely submission 

detailed in Section IV.3. of the grant 

announcement. You must clearly mark 

the paper submission: ‘‘BACK-UP FOR 

ELECTRONIC SUBMISSION.’’

The paper submission must conform 

to all requirements for non-electronic 

submissions. If we receive both 

electronic and back-up paper 

submissions by the deadline, we will 

consider the electronic version the 

official submission.

We strongly recommend that you 

submit the grant application by using 

Microsoft Office products (e.g., 

Microsoft Word, Microsoft Excel, etc.). If 

you do not have access to Microsoft 

Office products, you may submit a PDF. 

You may find directions for creating 

PDF files on the Grants.gov web site. 

Use of file formats other than Microsoft 

Office or PDF could make your file 

unreadable for our staff.

OR

Submit the original and two hard 

copies of your application by mail or 

express delivery service to the following 

address: Technical Information 

Management—AA157, CDC 

Procurement and Grants Office, U.S. 

Department of Health and Human 

Services, 2920 Brandywine Road, 

Atlanta, GA 30341. 

V. Application Review Information 

V.1. Criteria 

Applicants must provide measures of 

effectiveness that will demonstrate the 

accomplishment of the various 

identified objectives of the cooperative 

agreement. Measures of effectiveness 

must relate to the performance goals 

stated in the ‘‘Purpose’’ section of this 

announcement. Measures must be 

objective and quantitative, and must 

measure the intended outcome. 

Applicants must submit these measures 

of effectiveness with the application, 

and they will be an element of 

evaluation. 

We will evaluate your application 

against the following criteria: 

1. Program Plan (40 Points) 

a. Is the program and strategy based 

on sound reasoning or evidence? Does 

the applicant describe strategies that are 

pertinent and match those identified in 

the five-year strategy of the President’s 

Emergency Plan and activities that are 

evidence-based, realistic, achievable, 

measurable and culturally appropriate 

in the Caribbean to achieving the goals 

of the Emergency Plan? 

b. Are the proposed program 

objectives specific, measurable, 

achievable and time-phased? 

c. What is the likelihood that the 

proposed program activities will 

accomplish the proposed program 

objectives and contribute to the 

numerical goals of the President’s 

Emergency Plan for AIDS Relief in Haiti 

and Guyana? 

d. Is the proposed timeline feasible? 

2. Program Experience (20 Points) 

Is the applicant’s program experience 

relevant to the provision of the services 

they intend to provide? Does the staff 

involved have appropriate fluency and 

skill in local languages? 

3. Organizational Capacity (20 Points) 

Does the applicant demonstrate 

current organizational capacity to 

provide the interventions that they 

intend to provide? 

4. Evaluation Monitoring Plan (20 

Points) 

Does the applicant propose a system 

for reviewing and adjusting program 

activities based on monitoring 

information? Does the applicant include 

indicators for each program milestone 

and incorporated into the financial and 

programmatic reports? Are all indicators 

drawn from the Emergency Plan 

Indicator Guide? Can the system 

generate financial and program reports 

to show disbursement of funds, and 

progress towards achieving the 

objectives of the Emergency Plan in 

Haiti and Guyana?

5. Budget and Budget Justification 

(Reviewed, but not scored) 

Is the itemized budget for conducting 

the project, along with justification, 

reasonable, and consistent with the fiveyear strategy and goals of the President’s 

Emergency Plan and Emergency Plan 

activities in the Caribbean? 

V.2. Review and Selection Process 

The HHS/CDC Procurement and 

Grants Office (PGO) staff will review 

applications for completeness, and HHS 

Global AIDS program will review them 

for responsiveness. Incomplete 

applications and applications that are 

non-responsive to the eligibility criteria 

will not advance through the review 

process. Applicants will receive 

notification that their application did 

not meet submission requirements. 

An objective review panel will 

evaluate complete and responsive 

applications according to the criteria 

listed in the ‘‘V.1. Criteria’’ section 

above. All persons who serve on the 

panel will be external to the U.S. 

Government Country Program Office. 

The panel may include both Federal and 

non-Federal participants. 

In addition, the following factors 

could affect the funding decision: 

It is possible for one organization to 

apply as lead grantee with a plan that 

includes partnering with other 

organizations, preferably local. 

Although matching funds are not 

required, preference will be go to 

organizations that can leverage 

additional funds to contribute to 

program goals. 

Applications will be funded in order 

by score and rank determined by the 

review panel. HHS/CDC will provide 

justification for any decision to fund out 

of rank order. 

V.3. Anticipated Announcement and 

Award Dates 

September 23, 2005. 

VI. Award Administration Information 

VI.1. Award Notices 

Successful applicants will receive a 

Notice of Award (NoA) from the HHS/

CDC Procurement and Grants Office. 

The NoA shall be the only binding, 

authorizing document between the 

recipient and HHS/CDC. An authorized 

Grants Management Officer will sign the 

NoA, and mail it to the recipient fiscal 

officer identified in the application. 

Unsuccessful applicants will receive 

notification of the results of the 

application review by mail. 

VI.2. Administrative and National 

Policy Requirements 

45 CFR Part 74 and Part 92

For more information on the Code of 

Federal Regulations, see the National 

Archives and Records Administration at 

the following Internet address: http://

www.access.gpo.gov/nara/cfr/cfr-tablesearch.html. 

The following additional 

requirements apply to this project:

• AR–4 HIV/AIDS Confidentiality 

Provisions 

• AR–6 Patient Care 

• AR–10 Smoke-Free Workplace 

Requirements 

• AR–12 Lobbying Restrictions

Applicants can find additional 

information on these requirements on 

the HHS/CDC Web site at the following 

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

od/pgo/funding/ARs.htm. 

You need to include an additional 

Certifications form from the PHS5161–

1 application in your Grants.gov 

electronic submission only. Please refer 

to http://www.cdc.gov/od/pgo/funding/

PHS5161-1-Certificates.pdf. Once you 

Federal Register / Vol. 70, No. 163 / Wednesday, August 24, 2005 / Notices 49629

1Behaviors that increase risk for HIV 

transmission including engaging in casual sexual 

encounters, engaging in sex in exchange for money 

or favors, having sex with an HIV-positive partner 

or one whose status is unknown, using drugs or 

abusing alcohol in the context of sexual 

interactions, and using intravenous drugs. Women, 

even if faithful themselves, can still be at risk of 

becoming infected by their spouse, regular male 

partner, or someone using force against them. Other 

high-risk persons or groups include men who have 

sex with men and workers who are employed away 

from home.

have filled out the form, please attach it 

to your Grants.gov submission as Other 

Attachment Forms. 

VI.3. Reporting Requirements 

You must provide HHS/CDC with an 

original, plus two hard copies of the 

following reports: 

1. Interim progress report, due no less 

than 90 days before the end of the 

budget period. The progress report will 

serve as your non-competing 

continuation application, and must 

contain the following elements: 

a. Current Budget Period Activities 

and Objectives. 

b. Current Budget Period Financial 

Progress. 

c. New Budget Period Program 

Proposed Activities and Objectives. 

d. Budget and budget narrative with 

justification.

e. Measures of Effectiveness, 

including progress against the 

numerical goals of the President’s 

Emergency Plan for AIDS Relief for the 

Caribbean. 

f. Additional Requested Information. 

2. Financial status report, no more 

than 90 days after the end of the budget 

period. The financial report must show 

obligations, disbursements and funds 

remaining by program activity. 

Indicators must be developed for each 

program milestone and incorporated 

into the periodic financial and 

programmatic reports. All indicators 

need to be drawn from The Emergency 

Plan Indicator Guide. 

3. Annual Reports are due within no 

later than 90 days of the end of the 

budget period. The report should detail 

progress toward achieving program 

milestones and projected next year 

activities. Indicators must be developed 

for each program milestone and 

incorporated into the annual financial 

and programmatic reports. All 

indicators need to be drawn from the 

Emergency Plan. Reports should include 

progress against the numerical goals of 

the President’s Emergency Plan for 

AIDS Relief for the Caribbean. 

4. Final financial and performance 

reports, no more than 90 days after the 

end of the project period. 

Recipients must mail these reports to 

the Grants Management or Contract 

Specialist listed in the ‘‘Agency 

Contacts’’ section of this announcement. 

VII. Agency Contacts 

We encourage inquiries concerning 

this announcement. 

For general questions, contact: 

Technical Information Management 

Section, CDC Procurement and Grants 

Office, U.S. Department of Health and 

Human Services, 2920 Brandywine 

Road, Atlanta, GA 30341, Telephone: 

770–488–2700. 

For program technical assistance, 

contact: Ken Hunt, Project Officer, HHS 

Global AIDS Program, Caribbean 

Regional Office, U.S. Embassy, 15 

Queens Park West, Port of Spain, 

Trinidad, WI, Telephone: 868–628–

7325, E-mail: khunt@cdc.gov. 

For financial, grants management, or 

budget assistance, contact: Vivian 

Walker, Grants Management Specialist 

CDC Procurement and Grants Office, 

U.S. Department of Health and Human 

Services, 2920 Brandywine Road, 

Atlanta, GA 30341, Telephone: 770–

488–2724, E-mail: VWalker@cdc.gov. 

VIII. Other Information 

Applicants can find this and other 

HHS funding opportunity 

announcements on the HHS/CDC Web 

site, Internet address: http://

www.cdc.gov (click on ‘‘Funding’’ then 

‘‘Grants and Cooperative Agreements’’), 

and on the Web site of the HHS Office 

of Global Health Affairs, Internet 

address: http://www.globalhealth.gov.

Dated: August 17, 2005. 

William P. Nichols, 

Director, Procurement and Grants Office, 

Centers for Disease Control and Prevention, 

U.S. Department of Health and Human 

Services.

[FR Doc. 05–16816 Filed 8–23–05; 8:45 am] 

BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Strengthening HIV/AIDS, TB and STI 

Prevention, Control and Treatment in 

the Oromia Area of the Southwest 

Region of the Federal Democratic 

Republic of Ethiopia 

Announcement Type: New . 

Funding Opportunity Number:

AA136. 

Catalog of Federal Domestic 

Assistance Number: 93.067. 

Key Dates: Application deadline:

September 19, 2005. 

I. Funding Opportunity Description 

Authority: This program is authorized 

under sections 301(a) and 307 of the 

Public Health Service Act [42 U.S.C. 241 

and 2421], as amended, and under 

Public Law 108–25 (United States 

Leadership Against HIV/AIDS, 

Tuberculosis and Malaria Act of 2003) 

[U.S.C. 7601]. 

Background: President Bush’s 

Emergency Plan for AIDS Relief has 

called for immediate, comprehensive 

and evidence-based action to turn the 

tide of global HIV/AIDS. The initiative 

aims to treat more than two million 

HIV-infected people with effective 

combination anti-retroviral therapy by 

2008; care for ten million HIV-infected 

and affected persons, including those 

orphaned by HIV/AIDS, by 2008; and 

prevent seven million infections by 

2010, with a focus on 15 priority 

countries, including 12 in sub-Saharan 

Africa. The five-year strategy for the 

Emergency Plan is available at the 

following Internet address: http://

www.state.gov/s/gac/rl/or/c11652.htm. 

The Emergency Plan goals specific to 

Ethiopia are to treat at least 210,000 

HIV-infected individuals and care for 

1,050,000 HIV-affected individuals, 

including orphans. 

Purpose: The U.S. Department of 

Health and Human Services (HHS) 

announces the availability of Fiscal Year 

(FY) 2005 funds for a cooperative 

agreement for strengthening the 

activities on the prevention, control, 

and treatment of Human 

Immunodeficiency Virus Infection and 

Acquired Immunodeficiency Syndrome, 

other Sexually Transmitted Infections 

and Tuberculosis (HIV/AIDS/STI/TB) 

among students and faculty of higher 

education institutions in the Oromia 

area of Southwest Ethiopia. 

This project particularly aims to: (1) 

Improve HIV/AIDS/STI/TB prevention 

following the Abstinence, Be Faithful, 

and, for populations engaged in highrisk behaviors,1 Correct and Consistent 

Condom Use (ABC) strategies, control, 

and treatment programs; (2) strengthen 

training in HIV/AIDS/STI/TB care and 

treatment, (3) implement HIV/AIDS/

STI/TB related targeted monitoring and 

evaluations and development plans; (4) 

establish a technical support and 

training unit to support the Oromia 

Regional Health Bureau and assist HIV/

AIDS/STI/TB program implementation 

in the Oromia region of Southwest 

Ethiopia; (5) conduct prevention, care 

and treatment of HIV/AIDS/STIs 

programs among students and faculty at 

institutions of higher education in the 

region and (6) develop the health system 

and infrastructure important for the