[Federal Register Volume 61, Number 129 (Wednesday, July 3, 1996)]
[Notices]
[Pages 34843-34846]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-16946]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[Announcement 658]


State Grants to Support the Evaluation of 5 A Day Nutrition 
Programs and Physical Activity Programs

Introduction

    The Centers for Disease Control and Prevention (CDC) announces the 
availability of fiscal year (FY) 1996 funds for grants to support the 
evaluation of State and community nutrition and physical activity 
intervention programs.
    This announcement addresses one required component and one optional 
component:

I. ``5 A Day Evaluation'' for supporting the evaluation of 5 A Day 
for Better Health nutrition intervention programs. Applicants must 
apply for the 5 A Day Evaluation component.
II. ``Physical Activity Evaluation'' for supporting the evaluation 
of a physical activity intervention. Application for the Physical 
Activity Evaluation component is optional.

    The CDC is committed to achieving the health promotion and disease 
prevention objectives of ``Healthy People 2000'' a national activity to 
reduce morbidity and mortality and improve the quality of life. This 
announcement is related specifically to the priority area of Nutrition 
with a secondary emphasis on Physical Activity and Fitness. (For 
ordering a copy of ``Healthy People 2000'' see the Section, ``Where to 
Obtain Additional Information.'')

Authority

    This program is authorized under section 317(k)(2) [42 U.S.C. 
247b(k)(2)] of the Public Health Service Act, as amended.

Smoke-Free Workplace

    CDC encourages all grant recipients to provide a smoke-free 
workplace and promote the nonuse of all tobacco products, and Public 
Law 103-227, the Pro-Children Act of 1994, prohibits smoking in certain 
facilities that receive Federal funds in which education, library, day 
care, health care, and early childhood development services are 
provided to children.

Eligible Applicants

    Eligible applicants are the official public health agencies of 
States or their bona fide agents. This includes the District of 
Columbia, American Samoa, the Commonwealth of Puerto Rico, the Virgin 
Islands, the Federated States of Micronesia, Guam, the Northern Mariana 
Islands, the Republic of the Marshall Islands, the Republic of Palau, 
and federally recognized Indian tribal governments, that have 
established,

[[Page 34844]]

clearly defined, evaluable, long-range 5 A Day for Better Health 
projects in a specific community channel.

Availability of Funds

    Approximately $600,000 is available in FY 1996 to fund 
approximately 9 awards.
    A. 5 A Day Evaluation:
    Approximately $450,000 is available to fund approximately 6 awards. 
It is expected that the average award will be $75,000 ranging from 
$60,000 to $90,000 for a 5 A Day for Better Health project in a 
specific community channel (e.g., youth and civic clubs, after school 
care programs, schools or preschools, churches, service groups, food 
assistance programs, worksites, supermarkets, health clinics, media, 
etc.).
    B. Physical Activity Evaluation:
    Approximately $150,000 is available to fund approximately 3 awards 
to evaluate physical activity interventions. It is expected that the 
average award will be $50,000 ranging from $35,000 to $60,000. In order 
to be eligible for Part B, applicants must apply for Part A.
    It is expected that the awards will begin on or about September 30, 
1996, and will be made for a 12-month budget period within a project 
period of one year. Funding estimates may vary and are subject to 
change.
    Awards under this announcement will not be sufficient to fully 
support an applicant's proposed activities, but are meant to be used in 
conjunction with other resources--whether direct funding or in-kind 
contributions--that the applicant may have available.

Purpose

    These awards will support State efforts to evaluate nutrition and 
physical activity intervention programs. Emphasis will be placed on 
evaluations of community interventions, preferably through 
environmental approaches, such as policy or administrative changes, or 
testing the effects of multiple strategies designed to increase the 
consumption of fruits and vegetables and to increase moderate-intensity 
(i.e., the equivalent of a brisk walk at 3 to 4 mph) physical activity.

Program Requirements

    Program areas that will be supported under this grant are:
    A. 5 A Day Evaluation (required):
    Evaluation of a 5 A Day intervention in one or more specific 
community channels.
    B. Physical Activity Evaluation (optional):
    Evaluation of a physical activity intervention in one or more 
specific community channels.

    Note: Use of the same or complementary targeted populations for 
both the 5 A Day and the Physical Activity evaluations is 
encouraged.

    Applicants should propose an evaluation plan for a clearly defined, 
established, long-range effort in a specific community channel in 
accordance with the following definitions:
    A. Clearly Defined:
    Intervention objectives are clearly stated; activities necessary to 
accomplish objectives are described, to include who is responsible for 
each activity and when they will be accomplished; and work is done 
within a specific channel with a defined targeted audience.
    B. Established:
    For the 5 A Day evaluation component, the applicant is licensed 
with the National Cancer Institute (NCI) and has developed an ongoing 5 
A Day Program. For both evaluation components, evaluating pretested or 
piloted interventions is desirable.
    C. Evaluation Plan:
    Clear, measurable evaluation objectives and expected outcomes are 
defined with appropriate statistical power. Use of current theoretical 
frameworks to guide the evaluation study is desirable. A combination of 
process and impact objectives are also desirable, with outcome 
objectives where feasible. In designing the study, consideration should 
be given to the number of individuals or groups needed to detect 
realistic changes in post intervention outcome measures when compared 
with pre-intervention measures. Sample sizes should give adequate power 
(80%) to detect these changes. If the appropriate design expertise does 
not exist within the State health department, inclusion of a university 
affiliate on the project team is desirable.
    D. Long Range:
    The program is not just a single activity at one point in time, but 
a sustained effort involving appropriate behavior change strategies. 
Programs including environmental approaches, such as administrative or 
policy changes, are encouraged.

Evaluation Criteria

    5 A Day Evaluation and Physical Activity applications will be 
allocated 100 points each. Applications will be reviewed and evaluated 
according to the following criteria:
    A. Background: (25 Points)
    The degree to which the applicant clearly describes a long range, 
clearly defined, evaluable project, including a description of the 
intervention targeted population, method, and community channel(s).
    B. Program Plan: (45 Points)
    The adequacy of the applicant's plan to carry out the evaluation 
within the 12-month time period, including the specific objectives, 
methods, and measures to be used in the evaluation.
    C. Capacity: (30 Points)
    The capabilities of the personnel (including consultants where 
appropriate) to carry out the evaluation.
    D. Budget: (Not Weighted)
    The extent to which the applicant provides a detailed budget and 
line-item justification that is consistent with the evaluation plan.
    E. Human Subjects: (Not Scored)
    Whether or not exempt from the Department of Health and Human 
Services (HHS) regulations, are procedures adequate for the protection 
of human subjects? Recommendations on the adequacy of protections 
include: (1) Protections appear adequate and there are no comments to 
make or concerns to raise, (2) protections appear adequate, but there 
are comments regarding the protocol, (3) protections appear inadequate 
and the ORG has concerns related to human subjects; or (4) disapproval 
of the application is recommended because the research risks are 
sufficiently serious and protection against the risks are inadequate as 
to make the entire application unacceptable.

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 (other than federally recognized 
Indian tribal Governments) should contact their State Single Point of 
Contact (SPOC) as early as possible to alert them to the prospective 
applications and receive any necessary instructions on the State 
process. For proposed projects serving more than one State, the 
applicant is advised to contact the SPOC of each affected State. A 
current list of SPOCs is included in the application kit. If SPOCs have 
any State process recommendations on applications submitted to CDC, 
they should send them to Sharron P. Orum, Grants Management Officer, 
Grants Management Branch, Procurement and Grants Office, Centers for 
Disease Control and Prevention (CDC), 255 East Paces Ferry Road, NE., 
Room 314, Mailstop E-18, Atlanta, GA 30305, no later than 30 days after 
the application deadline. The appropriation for this

[[Page 34845]]

financial assistance program was received late in the fiscal year and 
would not allow for an application date which would accommodate the 60-
day State recommendation process period. The Program Announcement 
Number and Program Title should be referenced on the document. The 
granting agency does not guarantee to ``accommodate or explain'' State 
process recommendations it receives after that date.
    Indian tribes are strongly encouraged to request tribal government 
review of the proposed application. If tribal governments have any 
tribal process recommendations on applications submitted to CDC, they 
should forward them to Sharron P. Orum, Grants Management Office, 
Grants Management Branch, Centers for Disease Control and Prevention 
(CDC), 255 East Paces Ferry Road, NE., Room 314, Mailstop E-18, 
Atlanta, GA 30305. This should be done no later than 30 days after the 
application deadline. The granting agency does not guarantee to 
``accommodate or explain'' for tribal process recommendations it 
receives after that date.

Public Health System Reporting Requirements

    This program is not subject to the Public Health System Reporting 
Requirements.

Catalog of Federal Domestic Assistance Number

    The Catalog of Federal Domestic Assistance number is 93.283.

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.

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. In addition to other applicable 
committees, Indian Health Service (IHS) institutional review committees 
also must review the project if any component of IHS will be involved 
or will support the research. If any American Indian community is 
involved, its tribal government must also approve that portion of the 
project applicable to it. The applicant will be responsible for 
providing assurance in accordance with the appropriate guidelines and 
form provided in the application kit. Should human subjects review be 
required, the proposed workplan should incorporate timelines for such 
development and review activities.

Women, Racial and Ethnic Minorities

    It is the policy of the Centers for Disease Control and Prevention 
(CDC) and the Agency for Toxic Substances and Disease Registry (ATSDR) 
to ensure that individuals of both sexes and the various racial and 
ethnic groups will be included in CDC/ATSDR- supported research 
projects involving human subjects, whenever feasible and appropriate. 
Racial and ethnic groups are those defined in OMB Directive No. 15 and 
include American Indian, 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 subjects. Further guidance to this policy 
is contained in the Federal Register, Vol. 60, No. 179, pages 47947-
47951, Friday, September 15, 1995.

Application Submission and Deadline

    The original and two copies of the application PHS Form 5161-1 
(Revised 7/92, OMB Number 0937-0189) must be submitted to Sharron P. 
Orum, Grants Management Officer, Grants Management Branch, Procurement 
and Grants Office, Centers For Disease Control and Prevention (CDC), 
255 East Paces Ferry Road, NE., Room 314, Mailstop E-18, Atlanta, GA 
30305, on or before August 2, 1996.
    1. Deadline: Applications shall be considered as meeting the 
deadline if they are either:
    (a) Received on or before the deadline date; or
    (b) Sent on or before the deadline date and received in time for 
submission to the objective review group. (Applicants must request a 
legibly dated U.S. Postal Service postmark or obtain a legibly dated 
receipt from a commercial carrier or U.S. Postal Service. Private 
metered postmarks shall not be accepted as proof of timely mailing.)
    2. Late Applications: Applications that do not meet the criteria in 
1.(a) or 1.(b) above are considered late applications. Late 
applications will not be considered in the current competition and will 
be returned to the applicant.

Where To Obtain Additional Information

    A complete program description and information on application 
procedures are contained in the application package. Business 
management technical assistance may be obtained from Albertha Carey, 
Grants Management Specialist, Grants Management Branch, Procurement and 
Grants Office, Centers For Disease Control and Prevention (CDC), 255 
East Paces Ferry Road, NE., Room 314, Mailstop E-18, Atlanta, GA 30305, 
telephone (404) 842-6508, fax (404) 842-6513, or Internet or CDC WONDER 
electronic mail at <<a href="/cdn-cgi/l/email-protection#f3928a90c2b39c838083949cc2dd969edd909790dd949c85"><span class="__cf_email__" data-cfemail="7011091341301f000300171f415e151d5e1314135e171f06">[email protected]</span></a>>.
    Programmatic technical assistance may be obtained from Sarah 
Kuester, MS, RD, Division of Nutrition and Physical Activity, National 
Center for Chronic Disease Prevention and Health Promotion, Centers for 
Disease Control and Prevention (CDC), 4770 Buford Highway, NE., 
Mailstop K-26, Atlanta, GA 30341-3724, telephone (770) 488-4281, fax 
(770) 488-4479, or Internet or CDC WONDER electronic mail at 
<<a href="/cdn-cgi/l/email-protection#f88b9993cab89b9b9c9c96c9d69d95d69b9c9bd69f978e"><span class="__cf_email__" data-cfemail="5c2f3d376e1c3f3f3838326d723931723f383f723b332a">[email protected]</span></a>>.
    Please refer to Announcement Number 658 when requesting information 
and 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.
    There may be delays in mail delivery and difficulty in reaching the 
CDC Atlanta offices during the 1996 Summer Olympics. Therefore, CDC 
suggests applicants use Internet, follow all instructions in this 
announcement, and leave messages on the contact person's voice mail for 
more timely responses to any questions.


[[Page 34846]]


    Dated: June 27, 1996.
Joseph R. Carter
Acting Associate Director for Management and Operations, Centers for 
Disease Control and Prevention (CDC).
[FR Doc. 96-16946 Filed 7-02-96; 8:45 am]
BILLING CODE 4163-18-P


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