[Federal Register Volume 59, Number 33 (Thursday, February 17, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-3601]
[[Page Unknown]]
[Federal Register: February 17, 1994]
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FEDERAL RESERVE SYSTEM
[PN 2164]
Emergency Medical Services for Children Demonstration Grants
AGENCY: Health Resources and Services Administration (HRSA), PHS, HHS.
ACTION: Notice of availability of funds.
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SUMMARY: The HRSA in collaboration with the National Highway Traffic
Safety Administration (NHTSA) announces the availability of fiscal year
(FY) 1994 funds for grants authorized under section 1910 of the PHS
Act. These discretionary grants will be made to States or accredited
schools of medicine to support projects for the expansion and
improvement of emergency medical services for children (EMSC). Funds
appropriated by Public Law 103-112 will be used for this purpose. Under
the EMSC program authority, awards are made for project periods of up
to 2 years.
The NHTSA participated with the HRSA in developing program
priorities for the EMSC program for FY 1994. The NHTSA will share the
Federal monitoring responsibilities for EMSC awards made during FY 1994
and will continue to provide ongoing technical assistance and
consultation in regard to the required collaboration/linkages between
applicants and their Highway Safety Offices and Emergency Medical
Services Agencies for the State(s). Grantees funded under this program
are expected to work collaboratively with the State trauma systems
planning and development projects funded by the Bureau of Health
Resources Development, HRSA.
The PHS is committed to achieving the health promotion and disease
prevention objectives of Healthy People 2000, a PHS led national
activity for setting priority areas. The EMSC grant program will
directly address the Healthy People 2000 objectives related to
emergency medical services and trauma systems linking prehospital,
hospital, and rehabilitation services in order to prevent trauma deaths
and long-term disability. Potential applicants may obtain a copy of
Healthy People 2000 (Full Report: Stock No. 017-001-00474-0) or Healthy
People 2000 (Summary Report: Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington, DC
20402-9325 (telephone 202 783-3238).
ADDRESSES: Grant applications for Emergency Medical Services for
Children Demonstration Grants (Revised PHS form #5161-1, approved under
OMB #0937-0189) must be obtained from and submitted to: Grants
Management Branch, Maternal and Child Health Bureau, HRSA, room 18-12,
Parklawn Building, 5600 Fishers Lane, Rockville, Maryland 20857, Attn:
EMSC, telephone 301 443-1440.
DATES: The application deadline date is May 6, 1994, for all categories
except planning grants, which are due March 25, 1994. These are
different from the dates announced in the Federal Register on February
2, 1994 (59 FR 4925). Competing applications will be considered to be
on time if they are either:
(1) Received on or before the deadline date, or
(2) Postmarked on or before the deadline date and received in time
for orderly processing. Applicants should request a legibly dated
receipt from a commercial carrier or the U.S. Postal Service, or obtain
a legibly dated U.S. Postal Service postmark. Private metered postmarks
will not be accepted as proof of timely mailing.
Late competing applications or those sent to an address other than
specified in the ADDRESS section will be returned to the applicant.
FOR FURTHER INFORMATION: Requests for technical or programmatic
information should be directed to Jean Athey, Ph.D., Division of
Maternal, Infant, Child and Adolescent Health, Maternal and Child
Health Bureau, Health Resources and Services Administration, room 18A-
39, Parklawn Building, 5600 Fishers Lane, Rockville, Maryland 20857,
telephone 301 443-4026. Requests for technical or programmatic
information from NHTSA should be directed to Garry Criddle, R.N., CDR,
USCG/USPHS, Department of Transportation, NHTSA EMS Division, NTS-42,
400 7th Street SW., Washington, DC 20590, telephone 202 366-5440.
Requests for information concerning business management issues should
be directed to: Maria Carter, Grants Management Specialist, Grants
Management Branch, Maternal and Child Health Bureau, at the address
listed in the ADDRESSES section above.
In addition, this program funds two national EMSC resource centers
that are available to provide technical assistance and support to
applicants, particularly in the areas of: (1) Understanding EMSC
terminology; (2) developing a manageable approach to EMSC
implementation; (3) obtaining local support for the grant application
process; (4) facilitating development of community linkages for a
collaborative effort; (5) identifying products of previously-funded
EMSC projects of interest to potential applicants; and (6) offering
advice on grant writing. Applicants may contact: James Seidel, M.D.,
Ph.D., or Deborah Henderson, R.N., M.A., National EMSC Resource
Alliance, Research and Education Institute, Harbor/UCLA Medical Center,
1001 West Carson Street, suite S, Torrance, CA 90502, telephone 310
328-0720; or Jane Ball, R.N., Dr. P.H., EMSC National Resource Center,
Children's National Medical Center, Emergency Trauma Services, 111
Michigan Ave., NW., Washington, DC 20010, telephone 202 745-5188.
SUPPLEMENTARY INFORMATION:
Program Background and Objectives
The Emergency Medical Services for Children statute (Section 1910
of the PHS Act, as amended) establishes a program of two-year grants to
States, through a State-designated agency, or to an accredited medical
school within the State, for projects for the expansion and improvement
of emergency medical services for children who need treatment for
trauma or critical illness. For purposes of this grant program, the
term ``State'' includes the 50 States, the District of Columbia, the
Commonwealth of Puerto Rico, the Virgin Islands, the Northern Mariana
Islands, Guam, American Samoa, the Republic of Palau, the Republic of
the Marshall Islands, and the Federated States of Micronesia. The term
``school of medicine'' is defined as having the same meaning as set
forth in Section 799(1)(A) of the PHS Act (42 U.S.C. 295p(1)(A)).
``Accredited'' in this context has the same meaning as set forth in
section 799(1)(E) of the PHS Act (42 U.S.C. 295p(1)(E)). It is the
intent of this grant program to stimulate further development or
expansion of ongoing efforts in the States to reduce the problems of
life-threatening pediatric trauma and critical illness. The Department
does not intend to award grants which would duplicate grants previously
funded under the Emergency Medical Services Systems Act of 1972 or
which would be used simply to increase the availability of emergency
medical services funds allotted to the State under the Preventive
Health Services Block Grant.
Funding Categories
There will be four categories of competition for funding this year:
State planning grants, State systems grants, targeted issue grants, and
resource capacity grants. States may apply for only one of the first
two categories, but are not restricted in applying for the last two
categories.
Category (1): State Planning Grants
Planning grants are intended for States that have never received an
EMSC grant and that are not at a stage of readiness to initiate a full-
scale implementation project. States (or medical schools within those
States) that have not received prior EMSC implementation grants are the
only applicants eligible for this category. Planning grants are
designed to enable a State to assess needs and develop a strategy to
begin to address those needs. Funds may be used to hire staff to assist
in the assessment of EMSC needs of the State; obtain technical
assistance from national, State, regional or local resources; help
formulate a State plan for the integration of EMSC services into the
existing State EMS plan; and plan a more comprehensive grant proposal
based upon a needs assessment performed during the planning grant
project period. A comprehensive approach, addressing physical,
psychological, and social aspects of EMSC along the continuum of care,
should be reflected. An ongoing working relationship with Federal EMSC
program staff and resource center staff, beginning with the initiation
of a planning grant application, is strongly encouraged. Budget
requests in this category should not exceed $50,000, The project period
is for one year only, with no renewal. Applications in this category
are due earlier than other categories. The application deadline is
March 25, 1994.
Category (2): State Systems Grants
This category of grants has two subcategories: implementation
grants and system enhancement grants. Proposals for State systems
grants may be framed within the context of the changing conditions of
health care delivery anticipated under health care reform.
Subcategory (A): implementation grants. Implementation grants will
improve the capacity of a State's Emergency Medical Services program to
address the particular needs of children. Implementation grants are
used to assist States in integrating research-based knowledge and
state-of-the-art systems development approaches into the existing State
EMS/trauma systems using the experience and products of previous EMSC
grantees. Grants of up to $250,000 per award for each twelve month
budget period are anticipated. Project periods are up to two years. Up
to five grants will be awarded. For this competition, we intend to fund
applications from States (and medical schools within those States) that
have not as yet received support, or that have received only partial
support under this program as part of a regional alliance. This means
that approved applications from States (and medical schools within
those States) with no or very limited prior EMSC program support will
be funded before approved applications from outside this group.
Applications will not be accepted for both planning grants and
implementation grants simultaneously from the same State.
Subcategory (B): system enhancement grants. System enhancement
grants will fund activities that represent the next logical step or
steps to take in institutionalizing EMSC activities within the State
EMS system and achieving program goals outlined in this announcement
and further elaborated in the 1993 Institute of Medicine Report to
Congress entitled Emergency Medical Services for Children. (A copy of
the Executive Summary of this report will be enclosed with the
application kit. The full report is available for $49.95 from National
Academy Press, 2101 Constitution Avenue, NW., Box 285, Washington, DC
20055.) For example, funding might be used to improve linkages between
local and regional or State agencies, to develop pediatric standards
for a region, or to assure effective field triage of the child in
physical or emotional crisis to appropriate facilities and/or other
resources. Activities implemented under prior EMSC program funding but
not completed or made self-sustaining during the original
implementation project period will not be considered suitable. States
that have previously received EMSC funds may apply for a system
enhancement grant, as long as they will not also be receiving
implementation grant funds during the project period of the systems
enhancement grant. Grants of up to $150,000 are anticipated for the
first year, with grants of up to $100,000 for the second year.
Category (3): Targeted Issues Grants
The third funding category is that of targeted issues grants on
topics of importance to EMSC. These grants are intended to address
specific, focused issues related to the development of EMSC capacity,
with the potential to serve as national or regional models. Proposals
in this category must have a well conceived methodology to evaluate the
impact of the activity. The Director of the Maternal and Child Health
Bureau (MCHB) will judge the acceptability of projects proposed in this
category. Prospective applicants are urged to contact EMSC program
staff well in advance of submitting their formal applications, so that
the work of proposal development can be avoided if the proposed project
is judged to be inappropriate for submission in this category.
Priorities for this category have been chosen from topics
recommended by the 1993 Institute of Medicine Report on EMSC.
Priorities and examples include:
--Education and Training. For this priority, proposals are sought
which develop or evaluate education or training geared to improving
EMS providers' ability to address underdeveloped elements in EMSC.
They may relate to particular areas of attention, such as the
psychosocial aspects of EMSC, or to particular populations that are
underserved or isolated. Proposals focusing on underserved or
isolated populations of children might target the needs of Native
Americans, Native Alaskans, or Native Hawaiians, adolescents,
developmentally disabled, mentally ill, homeless, or children living
in rural areas or inner cities. Educational programs might also be
developed for particular groups, such as parents, volunteers,
caretakers, teachers, firefighters, medical control or medical
dispatch personnel. Assessment of the effectiveness of the training,
using appropriate outcome measures, is a key objective for proposals
in this category. Proposals are expected to incorporate existing
materials whenever possible; however, innovations in media or
instructional techniques are encouraged. Projects could include the
conversion of previously developed teaching materials to interactive
video format, the development of curricula or training exercises to
promote improved EMS management of psychosocial crises, or the
utilization of multidisciplinary seminars or study groups to enhance
collaboration on pediatric emergency care between primary and
specialty providers.
--Data and Information System Management. For this priority,
proposals are sought which reflect an understanding of the uses to
which data are to be applied (e.g., patient care, quality
assessment, resource allocation, research, etc.) and of the
questions they are to answer. Projects should reflect familiarity
with efforts of NHTSA, HRSA, the Centers for Disease Control and
Prevention (CDC), and the EMSC program to develop national uniform
data sets, if appropriate to the proposed project. States are
encouraged to develop EMS data systems which include all the
elements of a national uniform data set and are capable of
describing the nature of EMS provided to children. Demonstrations of
linkage of data sources to provide an optimal picture of EMS
furnished to children is one example of a proposed project under
this priority; such proposals would be expected to show considerable
familiarity with previous linkage efforts by the above organizations
and others. Another example is the improvement of the quality of
data that relate mechanisms of injury to assigned E-codes.
--Communications. For this priority, proposals are sought which take
advantage of new telecommunications technologies to improve EMS for
children. Proposals could promote access to ``911'' or ``enhanced
911'' emergency telephone systems. For example, projects might use
the ``Make the Right Call'' campaign on a statewide basis, with
modifications that include educating the public--including
children--about when to access EMS services for children; such
projects would be expected to incorporate a well conceived
evaluation of the impact of such a campaign. Alternatively,
proposals could promote the use of advanced technologies to improve
care for children. For example, projects might use new technology to
improve communications among health care facilities, linking
hospitals, health care agencies and/or providers; or to educate
various categories of providers by providing on-line pediatric
medical control via new technology. Proposals are also sought which
evaluate, describe, analyze, or improve the pattern of EMS
communications, dispatcher protocols, or on-line medical control as
they affect the care of children or in relationship to pediatric
utilization of emergency medical services. This priority has been
developed in cooperation with HRSA's Trauma Care Systems Planning
and Development Program.
--Violence and Injury Prevention. For this priority, activities
could include advocacy, education, training, or curriculum
development, especially in the development of programs which expand
the role of EMS personnel in prevention of injury, interpersonal
violence, or youth-on-youth violence. Innovative strategies to link
EMS personnel with law enforcement personnel, primary care
providers, and community resources are sought. Examples are programs
to reduce children's access to firearms or to educate children about
the use of seatbelts or bicycle helmets. Further examples include
the use of EMS personnel as trainer/educators, advocates, and
organizers for community based violence prevention initiatives in
schools and other settings serving youth, such as recreation
centers, detention centers, or youth employment centers; or the use
of EMS records to study the characteristics of violence or for
education about the consequences of violence. Violence and injury
prevention initiatives might also focus on enhancing preparation of
EMS personnel for providing initial attention and arranging
appropriate follow-up when there are violent, destructive, damaging,
or hurtful behaviors, or when there are injury-risking behaviors,
such as combined drinking and driving, substance abuse, or attempted
suicide by intentional overdosing on drugs.
--Psychosocial/Behavioral. Proposals are sought for this priority
focusing on strategies to reduce the emotional toll of childhood
emergencies on the child, family, and/or providers. Examples include
development and evaluation of techniques to increase the sensitivity
of EMS personnel to psychosocial issues affecting children,
adolescents, and their families and enhance EMS provider skills,
knowledge, and crisis intervention capability in dealing with these
issues; development and evaluation of approaches and techniques for
assisting EMS personnel in dealing with child and family crises
arising from abuse, neglect, sexual assault, or noncompliant and
other high risk behaviors; or activities that foster greater synergy
between primary care and mental health specialty personnel in
dealing with psychosocial aspects of EMSC.
Up to five grants will be awarded in Category (3), at least one
in each priority area, if approved. States that have received EMSC
funding as well as those that have never received EMSC funding may
compete in this category. Grants for this activity of up to $150,000
per award for each twelve month budget period are anticipated.
Project periods are up to two years.
Category (4): Resource Capacity Cooperative Agreements
Up to two resource centers will be supported through cooperative
agreements under this funding category. One of these will include
maintenance and distribution of EMSC products among its activities and
will receive more funds than the other. Resource centers are intended
to provide assistance to the public, professional groups, and grantees
on issues of importance in developing an EMSC system. In addition to
monitoring and technical assistance, Federal involvement will include
the following:
--Making available the services of experienced MCHB personnel as
participants in the planning and development of all phases of the
project.
--Participation, as appropriate, in any conferences and meetings
conducted during the period of the cooperative agreement.
--Review, approval, and implementation of procedures to be
established for accomplishing the scope of work.
--Assistance and referral in the establishment of Federal
interagency contacts that may be needed to carry out the project and
assisting MCHB dissemination and program communication goals.
--Participation in the dissemination of project products.
If time permits, comments from the public will be accepted on the
categories, priorities, and preferences described above. Any comments
which members of the public wish to make should be submitted to: Chief,
Grants Management Branch, at the address listed in the ADDRESSES
section.
Availability of Funds
Approximately $7,500,000 is available for grants under the EMSC
program, of which approximately $3,600,000 will be used for new grants.
Of this total, the distribution of funds for new grants is anticipated
to be as follows:
------------------------------------------------------------------------
Maximum Project
Category number of Estimated amounts period
awards* available* (years)
------------------------------------------------------------------------
(1) State Planning......... 4 $200,000 1
(2) State Systems:
(A) Implementation..... 5 1,250,000 2
(B) System Enhancement. 4 600,000 2
(3) Targeted Issues........ 5 750,000 2
(4) Resource Capacity...... 2 800,000 2
------------------------------------------------------------------------
*All grant amounts in this notice include indirect costs.
Special Concerns
The MCHB places special emphasis on improving service delivery to
children from culturally identifiable populations who have been
disproportionately affected by barriers to accessible care. This means
that EMSC projects are expected to serve and appropriately involve in
project activities members of ethnoculturally distinct groups, unless
there are compelling programmatic or other justifications for not doing
so. The MCHB's intent is to ensure that project outcomes are of benefit
to culturally distinct populations and to ensure that the broadest
possible representation of culturally distinct and historically
underrepresented groups is supported through programs and projects
sponsored by the MCHB. This same special emphasis applies to improving
service delivery to children with special health care needs.
Project Review and Funding
The Department will review applications in the preceding funding
categories as competing applications and will fund those which, in the
Department's view, are consistent with the statutory purpose of the
program, with particular attention to children from culturally distinct
populations and children with special health care needs; and that best
meet the purposes of the EMSC program and address achievement of
applicable Healthy People 2000 objectives related to emergency medical
services and trauma systems.
Review Criteria
The review of applications will take into consideration the
following criteria:
For Category (1) State Planning Grants
--Evidence of the State's commitment to improve pediatric emergency
care services and to continue with EMSC program implementation.
--The adequacy of the applicant's proposed method to identify
problems and conduct a needs assessment.
--Evidence of the applicant's understanding of obstacles to EMSC
activity in the past, and the completeness of proposed strategies to
overcome these obstacles.
--The adequacy of the applicant's proposed planning process for
improving EMSC.
--The soundness of the methods the applicant will use to: (1)
Recruit, select and assemble appropriate participants, including
minorities, with demonstrated expertise and experience in EMS;
trauma systems; child health issues; and emergency care for
children; and (2) obtain input from potential consumers of a State
EMSC plan.
--Reasonableness of the proposed budget, soundness of the
arrangements for fiscal management, effectiveness of use of
personnel, and likelihood of project completion within the proposed
grant period.
For Categories (2) and (3) State Systems and Targeted Issues
Grants
--The adequacy of the applicant's understanding of the problem of
pediatric trauma and critical illness in the grant locale, including
the special problems of (a) children with special health care needs
(CSHCN) and their families; and (b) minority children and families
(including Native Americans, Native Hawaiians, and Alaska Natives).
--The appropriateness of project objectives and outcomes in relation
to the specific nature of the problems identified by the applicant.
--In relation to the state of the art, the soundness,
appropriateness, comprehensiveness, cost effectiveness, and
responsiveness of the proposed methodology for achieving project
goals and outcome objectives.
--The soundness of the plan for evaluating progress in achieving
project objectives and outcomes.
--Reasonableness of the proposed budget, soundness of the
arrangements for fiscal management, effectiveness of use of
personnel, and likelihood of project completion within the proposed
grant period.
--The extent to which the applicant will employ products and
expertise of EMSC programs from other States, especially of current
and former grantees of the Federal EMSC program.
--The extent to which the project gives special emphasis to the
issues identified in the Special Concerns section of this notice.
For Category (2) State Systems Grants only, the following
additional criteria
--The extent to which the applicant can ensure institutionalization
of the proposed project.
--The extent to which the applicant demonstrates collaboration and
coordination with any trauma care systems implementation plan funded
by HRSA.
--Evidence that the applicant will: (1) Collaborate and coordinate
with other participants in the EMSC continuum, e.g., the State
Emergency Medical Services agency; the State MCH/CSHCN agency; the
State Highway Safety Office; other relevant State agencies, such as
mental health; tribal nations; state and local professional
organizations; private sector voluntary organizations; business
organizations; parent advocacy groups; consumer or community
representatives; hospital organizations; and any other ongoing
federally funded projects in EMS, injury prevention, and rural
health;
--Evidence that the applicant will integrate EMSC systems into the
primary care delivery system.
For Category (4) Resource Capacity Cooperative Agreements
--The adequacy of the applicant's understanding of the problem of
pediatric trauma and critical illness, including the special
problems of (a) CSHCN and their families; and (b) minority children
and families (including Native Americans, Native Hawaiians, and
Alaska Natives). This understanding includes knowledge of and
experience with strategies to overcome identified problems as well
as knowledge of and experience with the Title V MCH Block Grant.
--The appropriateness of project objectives and outcomes in relation
to the specific nature of the problems identified by the applicant.
--The soundness, appropriateness, comprehensiveness, cost
effectiveness and responsiveness of the proposed methodology for
achieving project goals and outcome objectives.
--The extent to which the proposed resources are necessary and
sufficient for project activities.
--The soundness of the plan for evaluating progress in achieving
project objectives and outcomes.
--Reasonableness of the proposed budget, soundness of the
arrangements for fiscal management, effectiveness of use of
personnel, and likelihood of project completion within the proposed
grant period.
--The extent to which the applicant is capable of successfully
carrying out the project, particularly, the qualifications of
proposed staff.
--The extent to which the applicant will employ products and
expertise of EMSC programs, especially those of current and former
EMSC program grantees.
--The extent to which the project gives special emphasis to the
issues identified in the Special Concerns section of this notice.
--The likelihood of success of the applicant's proposed strategies
for promoting coordination and collaboration between separate
centers providing different resource capacities.
Eligible Applicants
Applications for funding will be accepted from States and
accredited schools of medicine. Applications which involve more than a
single State will also be accepted. In developing the proposed project,
applicants must seek the participation and support of local or regional
trauma centers and other interested entities within the State, such as
local government and health and medical organizations in the private
sector. If the applicant is a school of medicine, the application must
be endorsed by the State. The State's endorsement must acknowledge that
the applicant has consulted with the State and that the State has been
assured that the applicant will work with the State on the proposed
project.
Any State (or medical school within that State) may apply for any
category or subcategory of grant, subject to the following
considerations based on equitable geographic distribution of EMSC
funds, differences in purpose among EMSC grant categories, and
variation among States in EMSC program progress:
For Category (1) Planning Grants, States (or medical
schools within those States) that have received prior EMSC
implementation grants may not apply for planning grants.
For Category (2)(A) Implementation Grants, applications
from States (and medical schools within those States) that have not
previously received EMSC program funds, or that have received only
partial support under this program as part of a regional alliance, will
receive preference for funding in this subcategory. This means that
approved applications from States (and medical schools within those
States) with no or very limited prior EMSC program support will be
funded ahead of approved applications from outside this group.
For Category (2)(B) System Enhancement Grants, States (and
medical schools within States) that have previously received EMSC funds
may apply for a system enhancement grant, as long as they will not also
be receiving implementation funds during the project period of the
systems enhancement grant. States that have not previously received
EMSC funds are advised to apply first for implementation category
funds.
For Category (3) Targeted Issues Grants, eligibility is
not affected by receipt of other EMSC funding.
For Category (4) Resource Capacity Cooperative Agreements,
eligibility is not affected by receipt of other EMSC funding.
Applications will not be considered for both Category (1) State
Planning Grants and Category (2)(A) Implementation Grants
simultaneously from the same State. Funding of an application for a
planning grant or for either subcategory of State Systems Grant bars a
State from future competitions for that category or subcategory.
Although funding of a Category (3) Targeted Issue Grant does not
preclude a State (or medical school) from applying for other categories
of EMSC funding, applicants should taken care to avoid overlap in
proposed project activities and associated Federal support for the
separate categories.
Allowable Costs
The MCHB may support reasonable and necessary costs of EMSC
Demonstration Grant projects within the scope of approved projects.
Allowable costs may include salaries, equipment and supplies, travel,
contracts, consultants, and others, as well as indirect costs as
negotiated and certified. The MCHB adheres to administrative standards
reflected in the Code of Federal Regulations, 45 CFR part 92 and 45 CFR
part 74.
Public Health System Reporting Requirements
This program is subject to the Public Health System Reporting
Requirements (approved under OMB No. 0937-0195). Under these
requirements, community-based nongovernmental applicants must prepare
and submit a Public Health System Impact Statement (PHSIS). The PHSIS
is intended to provide information to State and local health officials
to keep them apprised of proposed health services grant applications
submitted by community-based nongovernmental organizations within their
jurisdictions. Community-based non-governmental applicants are required
to submit the following information to the head of the appropriate
State and local health agencies in the area(s) to be impacted no later
than the Federal application receipt due date:
(a) A copy of the face page of the application (SF 424).
(b) A summary of the project (PHSIS), not to exceed one page, which
provides:
(1) A description of the population to be served.
(2) A summary of the services to be provided.
(3) A description of the coordination planned with the appropriate
State or local health agencies.
Executive Order 12372
This program has been determined to be a program which is subject
to the provisions of Executive Order 12372 concerning intergovernmental
review of Federal programs by appropriate health planning agencies, as
implemented by 45 CFR part 100. Executive Order 12372 allows States the
option of setting up a system for reviewing applications from within
their States for assistance under certain Federal programs. The
application packages to be made available under this notice will
contain a listing of States which have chosen to set up such a review
system and will provide a single point of contact (SPOC) in the States
for review. Applicants (other than federally-recognized Indian tribal
governments) should contact their State SPOCs as early as possible to
alert them to the prospective applications and receive any necessary
instructions on the State process. For proposed projects serving more
than one State, the applicant is advised to contact the SPOC of each
affected State. The due date for State process recommendations is 60
days after the application deadline for new and competing awards. The
granting agency does not guarantee to ``accommodate or explain'' for
State process recommendations it receives after that date. (See part
148, Intergovernmental Review of PHS Programs under Executive Order
12372 and 45 CFR part 100 for a description of the review process and
requirements).
The OMB Catalog of Federal Domestic Assistance number is 93.127.
Dated: December 14, 1993.
John H. Kelso,
Acting Administrator.
[FR Doc. 94-3601 Filed 2-16-94; 8:45 am]
BILLING CODE 4160-15-P