Federal Register / Vol. 61, No. 88 / Monday, May 6, 1996 / Notices 20257

Report, Stock No. 017–001–00474–0) or

Healthy People 2000 (Summary Report,

Stock No. 017–001-00473–1) through

the Superintendent of Documents,

Government Printing Office,

Washington, DC 20402–9325, telephone

(202) 512–1800.

Dated: April 26, 1996.

Diane D. Porter,

Acting Director, National Institute for

Occupational Safety and Health Centers for

Disease Control and Prevention (CDC).

[FR Doc. 96–11144 Filed 5–03–96; 8:45 am]

BILLING CODE 4163–19–P

[Announcement Number 616]

Sexually Transmitted Diseases Faculty

Expansion Program

Introduction

The Centers for Disease Control and

Prevention (CDC) announces the

expected availability of fiscal year (FY)

1996 funds for a cooperative agreement

program to provide resources to support

faculty positions specializing in

sexually transmitted diseases (STD) to

schools of medicine in the United

States. The Department of Health and

Human Services (DHHS) is committed

to achieving the health promotion and

disease prevention objectives of

‘‘Healthy People 2000,’’ a national

activity to reduce morbidity and

mortality and improve the quality of

life. This announcement is related to the

priority area of STD and HIV Infection.

(For ordering a copy of ‘‘Healthy People

2000,’’ see the section WHERE TO OBTAIN

ADDITIONAL INFORMATION.)

Authority

This program is authorized under

section 318 of the Public Health Service

Act, 42 U.S.C. 247c–1, as amended.

Regulations governing Grants for STD

Research Demonstrations and Public

and Professional Education are codified

in Part 51b, Subparts A and F of Title

42, Code of Federal Regulations.

Smoke-Free Workplace

The CDC strongly encourages all grant

recipients to provide a smoke-free

workplace and to promote the non-use

of all tobacco products, and Public Law

103–227, the Pro-Children Act of 1994,

prohibits smoking in certain facilities

that receive Federal funds in which

education, library, day care, health care,

and early childhood development

services are provided to children.

Eligible Applicants

Competition for these funds is limited

to clinical departments of schools of

medicine in the United States where

CDC is not currently funding STD

Prevention/Training Centers or where

the National Institutes of Health (NIH) is

not currently funding Sexually

Transmitted Diseases Cooperative

Research Centers or STD institutional

training programs. The rationale for this

limited competition is that those areas

where STD Prevention/Training Centers

and NIH STD Cooperative Research

Centers or STD Institutional Training

Programs are located already have

expertise in STDs and have established

training and collaborations similar to

those described as goals of this

announcement.

Availability of Funds

Approximately $650,000 is expected

to be available in FY 1996 to fund

approximately five awards for a 12-

month budget period within a 5-year

project period. It is expected that the

awards will begin on or about

September 30, 1996. It is estimated that

the average award (including direct and

indirect cost) for the first year will be

$130,000, ranging between $120,000

and $140,000. Continuation awards

within the project period will depend

on satisfactory progress and the

availability of funds. It is anticipated

that the awards for the second year will

be level with those of the first year.

In the third year, CDC will provide 50

percent of the original award, and the

remainder, summing to at least the same

level as the original award, will be

provided as a guaranteed salary shared

by the medical school and the

collaborating health department. In the

fourth and fifth years, CDC will

contribute a maximum of 25 percent of

the original award, with the remainder

of the funds documented through a

collaborating effort between the medical

school and the health department

(which cannot be reduced below the

level of the original award).

Computation of the salary should

include cost-of-living and merit

increases, if applicable. In-kind

contributions, such as space and

equipment may not be considered in the

total program costs. Total program costs

for the purposes of determining

contributions consist of the five items

listed under the USE OF FUNDS section.

Use of Funds

Cooperative agreement funds may be

used to support:

• The salary and benefits of a faculty

member,

• Travel to three project-related

meetings during budget period,

• Supplies necessary for professional

training activities,

• Not more than $15,000 annually to

support relevant research by faculty

member,

• Indirect cost.

Funds may not be used to lease space;

to provide diagnostic and treatment

facilities or services; or to pay other

expenses normally supported by the

applicant or the collaborating health

department. Funds may not be used for

renovation of facilities. Federal funds

may not be used to replace training

support. The purpose of this cooperative

agreement is to enable the school of

medicine to provide STD training and

education by establishing a faculty

position in sexually transmitted

diseases in a clinical department and

not to supplant existing sources of

funding for a current faculty member.

Any materials developed in whole or

in part with CDC funds shall be subject

to a nonexclusive, irrevocable, royaltyfree license to the government to

reproduce, translate, publish, or

otherwise use and authorize others to

use for government purposes.

Purpose

The general purpose of this

cooperative agreement is:

1. To enable the awardee institutions

to provide training and education in

STDs by developing a faculty position

dedicated to the area of sexually

transmitted diseases in schools of

medicine where such clinical and

research expertise does not currently

exist.

2. To support the development of

linkages between health departments

and medical schools in the area of STD

prevention through jointly appointed

staff who strengthen the scientific basis

of programmatic activities by

undertaking research, clinical care, and

teaching responsibilities.

Specifically, the recipient supported

under the STD Faculty Expansion

Program will be expected to establish a

faculty member to provide to medical

students, house staff, and fellows:

1. Preclinical, didactic instruction in

the pathogenesis, natural history,

epidemiology, and management of STDs

sufficient to produce a sound

educational basis for subsequent clinical

instruction, and

2. Clinical instruction in the

prevention, diagnosis and treatment of

STDs.

The recipient will establish a faculty

member who will also be expected to:

1. Care for STD patients at one or

more clinics supported by the State or

local health department, and

2. Develop STD research programs,

preferably in collaboration with local or

state health departments.
20258 Federal Register / Vol. 61, No. 88 / Monday, May 6, 1996 / Notices

Program Requirements

In conducting activities to achieve the

purpose of this program, the recipient

will be responsible for the activities

under A. (Recipient Activities), and

CDC will be responsible for the

activities listed under B. (CDC

Activities), as listed below:

A. Recipient Activities

1. Establish a full-time faculty

position in STDs in a clinical

department (e.g., internal medicine,

pediatrics, obstetrics and gynecology,

preventive or community medicine, or

family practice) with the authority and

responsibility to carry out the

requirements of this program.

2. Maintain an agreement with a State

or local health department and the

medical school for a jointly appointed

position that would include the

potential for use of the health

department’s clinical facilities by the

faculty member for clinical teaching and

research in STDs. The faculty member

will be either a permanent, part-time

employee or a contractor of the health

department.

3. Based on the experiences of other

successful medical school programs,

participating schools are required to

modify the medical school curriculum

to include a minimum of 4 hours of

lectures on clinical and epidemiologic

aspects of STDs during the 2nd year and

a minimum of 20 hours of lectures and

clinical instruction to be required of all

medical students in the 3rd or 4th year.

A minimum of 25 hours of lectures and

clinical instruction must be provided for

all residents in primary care specialties.

Clinical instruction of medical students

and residents will take place at the

health department facility described in

section 2, above.

4. Provide opportunities for the

faculty member for research through the

medical school, the health department,

or both. Clinical or prevention-oriented

research should be particularly

encouraged. The research involvement

of the faculty member requires the

approval of CDC.

5. Structure the faculty position to

maximize the likelihood of long-term

financial support after the termination

of CDC support.

6. Arrange for semiannual meetings

with the CDC project officer during the

first two years and annual meetings

during the last three years of the project

period to review progress, observe

training, and review evaluation.

7. Develop and carry out an

evaluation of the effectiveness of the

STD Faculty Expansion Program

through analysis and interpretation of

data on medical student and resident

performance and on the overall impact

on State and local STD prevention goals,

and report this data in appropriate

format to CDC.

B. CDC Activities

1. Be available to provide technical

assistance to facilitate the planning and

implementation of curriculum changes,

the linkages with local or State health

departments, and the clinical or

prevention-oriented research program.

2. Be available to provide assistance

in the design of an evaluation of the

effectiveness of the STD Faculty

Expansion Program through analysis

and interpretation of data on medical

student and resident performance and

the overall impact on state and local

STD prevention goals.

3. Arrange an annual meeting of CDCsupported faculty members to review

accomplishments, discuss any problems

and propose modifications.

Evaluation Criteria

The applications will be evaluated

according to the following criteria:

1. The need for faculty expertise in

STDs in the school and geographic area:

The strength of the documentation of

the need for a faculty member with

clinical and research expertise in STDs

expertise and the STD prevalence or

incidence in the area where the medical

school is located. (20 points)

2. The strength of the agreement with

the health department: The quality of

the documentation of a commitment

from the State or local health

department to provide clinical facilities,

part-time employment and financial

support for the faculty member in clinic

facilities that routinely examine and

treat a sufficient number of STD clients

to provide adequate training for medical

students and members of the house

staff. The degree to which the applicant

demonstrates innovative approaches to

the medical school/health department

collaboration that will contribute to

locally relevant STD prevention

research and programmatic activities.

(20 points)

3. The quality of the assurances to

continue support: The extent to which

the department submitting the

application demonstrates a commitment

to assuring research opportunities and

financial support for the faculty member

during the grant period. (15 points)

4. The commitment to curriculum

changes: The extent to which the

applicant documents commitments from

the school of medicine to implement the

curriculum changes described under

program requirements. Consideration

will be given to those schools which

demonstrate the largest commitment of

additional hours for high quality

instruction to the largest percentage of

students and residents over the life of

the project. Consideration will also be

given to institutions that propose to

collaborate on similar training with

other medical schools or residency

training programs in their geographic

area. (15 points)

5. Qualifications for faculty member:

The quality of the documentation of

proposed qualifications for the faculty

member, including infectious disease

training, significant clinical experience

with STDs, evidence of STD research

productivity, and training in public

health and/or epidemiology. A

description of the selection or search

process, including a proposed

timeframe. (15 points)

6. Evaluation plan: The quality of the

plan for evaluation of the effectiveness

(cost) and usefulness of the training in

terms of improved services, prevention

research, or achievement of prevention

goals. (10 points)

7. Strong commitment and assurances

that the faculty position and the training

will be continued after CDC support is

diminished and terminated. (5 points)

8. Budget: The budget will be

evaluated for the extent to which it is

reasonable, clearly justified, and

consistent with the intended use of the

funds. The level of support will depend

on the availability of funds. (not scored)

Executive Order 12372 Review

Applications are subject to

Intergovernmental Review of Federal

Programs as governed by Executive

Order (E.O.) 12372. E.O. 12372 sets up

a system for State and local government

review of proposed Federal assistance

applications. Applicants should contact

their State Single Point of Contact

(SPOC) as early as possible to alert them

to the prospective applications, and

receive any necessary instructions on

the State process. For proposed projects

serving more than one State, the

applicant is advised to contact the SPOC

for each affected State. A current list of

SPOCs is included in the application

kit. If SPOCs have any State process

recommendations on applications

submitted to CDC, they should send

them to Van Malone, Grants

Management Officer, Grants

Management Branch, Procurement and

Grants Office, Centers for Disease

Control and Prevention (CDC), 255 East

Paces Ferry Road, NE., Room 300,

Mailstop E–14, Atlanta, GA 30305, not

later than 60 days after due date for

receipt of applications. The Program

Announcement Number and Program

Title should be referenced on the
Federal Register / Vol. 61, No. 88 / Monday, May 6, 1996 / Notices 20259

document. CDC does not guarantee to

‘‘accommodate or explain’’ State process

recommendations it receives after that

date.

Public Health System Reporting

Requirements

This program is subject to the Public

Health System Reporting Requirements.

Under these requirements, all

community-based nongovernmental

applicants must prepare and submit the

items identified below to the head of the

appropriate State and/or local health

agency(s) in the program area(s) that

may be impacted by the proposed

project no later than the receipt date of

the Federal application. The appropriate

State and/or local health agency is

determined by the applicant. The

following must be provided:

A. A copy of the face page of the

application (SF424).

B. A summary of the project that

should be titled ‘‘Public Health System

Impact Statement’’ (PHSIS), not to

exceed one page, and include the

following:

1. A description of the population to

be served;

2. A summary of the services to be

provided; and

3. A description of the coordination

plans with the appropriate State and/or

local health agencies.

If the State and/or local health official

should desire a copy of the entire

application, it may be obtained from the

State Single Point of Contact (SPOC) or

directly from the applicant.

Catalog of Federal Domestic Assistance

Number

The Catalog of Federal Domestic

Assistance Numbers are 93.978,

Sexually Transmitted Disease Research,

Demonstrations, and Public Information

and Education Grants, and 93.941, HIV

Demonstration, Research, Public and

Professional Education Projects.

Other Requirements

Paperwork Reduction Act

Projects that involve the collection of

information from 10 or more individuals

and funded by the cooperative

agreement will be subject to review by

the Office of Management and Budget

(OMB) under the Paperwork Reduction

Act.

Confidentiality

Applicants must have in place

systems to ensure the confidentiality of

patient records.

Human Subjects

If the proposed project involves

research on human subjects, the

applicant must comply with the

Department of Health and Human

Services Regulations, 45 CFR Part 46,

regarding the protection of human

subjects. Assurance must be provided to

demonstrate that the project will be

subject to initial and continuing review

by an appropriate institutional review

committee. The applicant will be

responsible for providing assurance in

accordance with the appropriate

guidelines and form provided in the

application kit.

Women, Racial and Ethnic Minorities

It is the policy of the Centers for

Disease Control and Prevention (CDC)

and the Agency for Toxic Substances

and Disease Registry (ATSDR) to ensure

that individuals of both sexes and the

various racial and ethnic groups will be

included in CDC/ATSDR-supported

research projects involving human

subjects, whenever feasible and

appropriate. Racial and ethnic groups

are those defined in OMB Directive No.

15 and include American Indian,

Alaskan Native, Asian, Pacific Islander,

Black and Hispanic. Applicants shall

ensure that women, racial and ethnic

minority populations are appropriately

represented in applications for research

involving human subjects. Where clear

and compelling rationale exist that

inclusion is inappropriate or not

feasible, this situation must be

explained as part of the application.

This policy does not apply to research

studies when the investigator cannot

control the race, ethnicity and/or sex of

the subjects. Further guidance to this

policy is contained in the Federal

Register, Vol. 60, No. 179, pages 47947–

47951, and dated Friday, September 15,

1995.

HIV/AIDS Requirements

Recipients must comply with the

document entitled, Content of AIDSRelated Written Materials, Pictorials,

Audiovisuals, Questionnaires, Survey

Instruments, and Educational Sessions

(June 1992) (a copy is in the application

kit). To meet the requirements for a

program review panel, recipients are

encouraged to use an existing program

review panel, such as the one created by

the State health department’s HIV/AIDS

Prevention Program. If the recipient

forms its own program review panel, at

least one member must also be an

employee (or a designated

representative) of a State or local health

department. The names of the review

panel members must be listed on the

Assurance of Compliance form CDC

0.1113, which is also included in the

application kit. The recipient must

submit the program review panel’s

report that indicates all materials have

been reviewed and approved.

Before funds can be used to develop

HIV/AIDS-related materials, determine

whether suitable materials are already

available at the CDC National AIDS

Clearinghouse.

Application Submission and Deadline

Applications lacking required

documentation as requested in the

Application Content section of the

Program Announcement will be

considered incomplete and returned

without review. The original and two

copies of the application PHS Form

5161–1 (OMB Number 0937–0189) and

one electronic copy on disk must be

submitted to Van Malone, Grants

Management Officer, Attention:

Kimberly Boyd, Grants Management

Specialist, Grants Management Branch,

Procurement and Grants Office, Center

for Disease Control and Prevention

(CDC), 255 East Paces Ferry Road, NE.,

Room 300, Mailstop E–15, Atlanta, GA

30305, on or before July 1, 1996.

1. Deadline: Applications shall be

considered as meeting the deadline if

they are:

A. Received on or before the deadline

or

B. Sent on or before the deadline date

and received in time for submission to

the independent review committee.

(Applicants must request a legibly dated

U.S. Postal Service postmark or obtain

a legibly dated receipt from a

commercial carrier or U.S. Postal

Service. Privately metered postmarks

will not be acceptable proof of timely

mailing.)

2. Late Applications: Applications

that do not meet the criteria in 1.A. or

1.B. are considered late applications and

will not be considered in the current

competition and will be returned to the

applicant.

Where to Obtain Additional

Information

A complete program description,

information on application procedures,

an application package, and business

management technical assistance may

be obtained from Kimberly Boyd, Grants

Management Specialist, Grants

Management Branch, Procurement and

Grants Office, Centers for Disease

Control and Prevention (CDC), 255 East

Paces Ferry Road, NE., Room 300,

Mailstop E–15, Atlanta, GA 30305,

telephone (404) 842–6592, facsimile

(404) 842–6513, or via Internet

<KPT0@OPSPGO1.em.cdc.gov>.

Programmatic technical assistance may

be obtained from H. Trent MacKay,

M.D., M.P.H., Medical Epidemiologist,

Training and Health Communications
20260 Federal Register / Vol. 61, No. 88 / Monday, May 6, 1996 / Notices

1 In addition to persons who meet all

requirements of 45 CFR 400.43, ‘‘Requirements for

documentation of refugee status,’’ eligibility for

targeted assistance includes Cuban and Haitian

entrants, certain Amerasians from Vietnam who are

admitted to the U.S. as immigrants, and certain

Amerasians from Vietnam who are U.S. citizens.

(See section II of this notice on ‘‘Authorization.’’)

The term ‘‘refugee’’, used in this notice for

convenience, is intended to encompass such

additional persons who are eligible to participate in

refugee program services, including the targeted

assistance program.

Refugees admitted to the U.S. under admissions

numbers set aside for private-sector-initiative

admissions are not eligible to be served under the

targeted assistance program (or under other

Branch, Division of STD Prevention,

National Center for HIV, STD, and TB

Prevention (NCHSTP), Centers for

Disease Control and Prevention (CDC),

1600 Clifton Road, NE., Mailstop E–02,

Atlanta, GA 30333, telephone (404)

639–8370, facsimile (404) 639–8609, or

via Internet

<TXM3@CPSSTD1.em.cdc.gov>.

Please refer to Announcement 616

‘‘STD Faculty Expansion Program’’

when requesting information or

submitting an application.

Potential applicants may obtain a

copy of ‘‘Healthy People 2000’’ (Full

Report: Stock No. 017–001–00474–0) or

‘‘Healthy People 2000’’ (Summary

Report: Stock No. 017–001–00473–1)

referenced in the INTRODUCTION through

the Superintendent of Documents,

Government Printing Office,

Washington, DC 20402–9325, telephone

(202) 512–1800.

Dated: April 30, 1996.

Joseph R. Carter,

Acting Associate Director for Management

and Operations, Centers for Disease Control

and Prevention (CDC).

[FR Doc. 96–11214 Filed 5–3–96; 8:45 am]

BILLING CODE 4163–18–P

Health Resources and Services

Administration

Agency Information Collection

Activities: Proposed Collection:

Comment Request

In compliance with the requirement

of Section 3506(c)(2)(A) of the

Paperwork Reduction Act of 1995 for

opportunity for public comment on

proposed data collection projects, the

Health Resources and Services

Administration (HRSA) will publish

periodic summaries of proposed

projects being developed for submission

to OMB under the Paperwork Reduction

Act of 1995. To request more

information on the proposed project or

to obtain a copy of the data collection

plans and instruments, call the HRSA

Reports Clearance Officer on (301) 443–

1129.

Comments are invited on: (a) Whether

the proposed collection of information

is necessary for the proper performance

of the functions of the agency, including

whether the information shall have

practical utility; (b) the accuracy of the

agency’s estimate of the burden of the

proposed collection of information; (c)

ways to enhance the quality, utility, and

clarity of the information to be

collected; and (d) ways to minimize the

burden of the collection of information

on respondents, including through the

use of automated collection techniques

or other forms of information

technology.

Proposed Projects

Scholarship Program for Students of

Exceptional Financial Need (EFN) and

Program of Financial Assistance for

Disadvantaged Health Professions

Students (FADHPS): Regulatory

Requirements (OMB No. 0915–0028)—

Revision and Extension—The EFN

Scholarship Program, authorized by

section 736 of the Public Health Service

(PHS) Act, and the FADHPS Program,

authorized by section 740(a)(2)(F) of the

PHS Act, provide financial assistance to

schools of allopathic and osteopathic

medicine and dentistry for awarding

tuition scholarships to health

professions students who are of

exceptional financial need. To be

eligible for support under the FADHPS

Program, a student must also be from a

disadvantaged background. In return for

this support, students of allopathic and

osteopathic medicine must agree to

complete residency training in primary

care and practice in primary care for 5

years after completing residency

training. Students of dentistry must

agree to practice in general dentistry for

5 years after completing residency

training.

The program regulations contain

recordkeeping requirements designed to

ensure that schools maintain adequate

records for the government to monitor

program activity and that funds are

spent as intended. The program

application has been dropped from this

package because no new applications

are expected. The burden estimates for

the regulatory requirements are as

follows:

Regulatory section

Number of

recordkeepers

Hours per

year

Total burden hours

57.2804(b)(3) & 57.2904(b)(1)(ii) Documentation of Cost of Attendance ................................................ 200 0.167 hrs.

(10 min.) ....

33.4

57.2809(b) & 57.2909 (b) Records Requirements ................................................................................... 200 0.167 hrs.

(10 min.) ....

33.4

Note: Estimated total annual burden is 67 hours.

Send comments to Patricia Royston,

HRSA Reports Clearance Officer, Room

14–36, Parklawn Building, 5600 Fishers

Lane, Rockville, MD 20857. Written

comments should be received within 60

days of this notice.

Dated: May 1, 1996.

J. Henry Montes,

Associate Administrator for Policy

Coordination.

[FR Doc. 96–11256 Filed 5–03–96; 8:45 am]

BILLING CODE 4160–15–P

Administration for Children and

Families

Refugee Resettlement Program;

Proposed Availability of Formula

Allocation Funding for FY 1996

Targeted Assistance Grants for

Services to Refugees in Local Areas of

High Need

AGENCY: Office of Refugee Resettlement

(ORR), ACF, HHS.

ACTION: Notice of proposed availability

of formula allocation funding for FY

1996 targeted assistance grants to States

for services to refugees 1 in local areas of

high need.