[Federal Register Volume 59, Number 104 (Wednesday, June 1, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-13231]


[[Page Unknown]]

[Federal Register: June 1, 1994]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[Announcement 468]

 

Skin Cancer Primary Prevention Education Projects

Introduction

    The Centers for Disease Control and Prevention (CDC) announces the 
availability of fiscal year (FY) 1994 funds for cooperative agreements 
to develop skin cancer primary prevention education demonstration 
projects. Projects are to develop and evaluate educational messages 
that target parents and caregivers of children under the age of 13 in 
clinical settings, schools, and the community. Messages should heighten 
the awareness of parents and caregivers of the need to protect children 
from the sun's harmful rays.
    The Public Health Service (PHS) is committed to achieving the 
health promotion and disease prevention objectives of ``Healthy People 
2000,'' a PHS-led national activity to reduce morbidity and mortality 
and improve the quality of life. This announcement is related to the 
priority area of Cancer. (To order a copy of ``Healthy People 2000,'' 
see the section ``Where To Obtain Additional Information.'')

Authority

    This program is authorized under Section 317(k)(3) of the Public 
Health Service Act, as amended [42 U.S.C. 247b(k)(3)].

Smoke-Free Workplace

    The Public Health Service strongly encourages all grant recipients 
to provide a smoke-free workplace and promote the non-use of all 
tobacco products. This is consistent with the PHS mission to protect 
and advance the physical and mental health of the American people.

Eligible Applicants

    Assistance will be provided only to the health departments 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.
    State and Territorial Health Departments (SHD) have a unique 
opportunity to impart primary prevention information regarding skin 
cancer. They have health education expertise and existing channels that 
can be used to identify and impart knowledge to those in the target 
populations. SHDs provide organizational structure that can facilitate 
collaboration with other organizations regarding the development of 
skin cancer primary prevention educational strategies.

Availability of Funds

    Approximately $500,000 is available in FY 1994 to fund 
approximately five awards. It is expected that the average award will 
be $100,000, ranging from $75,000 to $125,000. It is expected that the 
awards will begin on or about September 30, 1994, and will be made for 
a 12-month budget period within a project period of up to 3 years. 
Funding estimates may vary and are subject to change. Continuation 
awards within the project period will be made on the basis of 
satisfactory progress and the availability of funds.

Purpose

    The purpose of this demonstration project is to design, conduct, 
and evaluate creative and innovative skin cancer primary prevention 
educational strategies by using the scientific process. Educational 
strategies can be defined as instruments that have been designed to 
impart information, such as information campaigns, health fairs, multi-
media messages, etc. The intent is to successfully heighten the 
awareness and knowledge of parents and caregivers of the risks to 
children associated with exposure to the harmful rays of the sun and to 
ultimately affect sun protection behavior.

Program Requirements

    The target population for the demonstration project is parents and 
caregivers of children under the age of 13. Caregivers are defined as 
those individuals who spend a significant number of consecutive hours 
with a child or children on a daily basis, i.e., grandparents, day-care 
workers, teachers, foster parents, etc.
    Collaboration with agencies and organizations such as local and 
county health departments, education departments, parent groups, day-
care centers, and voluntary organizations is considered essential to 
the success of this project. This collaboration should ensure that 
sound principles of behavioral science and the unique characteristics 
of the target population are reflected in the design of educational 
strategies. Single or multiple educational messages may be delivered to 
parents and caregivers in a variety of community settings including 
clinical settings, schools, day-care centers, and other locations where 
parents and caregivers gather. Educational design, implementation, and 
evaluation should be grounded in behavioral and educational theory.
    Funds may not be used to pay for skin cancer screening.
    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).

A. Recipient Activities

    1. Select, convene, and maintain an advisory panel of not less than 
five persons to ensure target population input into designing, 
conducting, and evaluating creative and innovative skin cancer primary 
prevention educational strategies. In addition to parents and 
caregivers, the advisory panel membership may include representatives 
from the local and county health department, the education department, 
the American Cancer Society, the medical community (pediatricians, 
dermatologists, and family practice physicians), academic institutions 
(adult educators, early childhood educators), local representatives of 
community organizations, and others. (year one through year three)
    2. Develop an Action Plan, in collaboration with CDC, that targets 
parents and caregivers of children under the age of 13. (year one)
    3. Develop and field-test educational strategies and modify the 
strategies based on field-test results. (year one or year two)
    4. Carry out educational strategies among the proposed target 
populations and evaluate the outcome according to a predetermined 
evaluation plan. (year two or year three)
    5. Share information about program effectiveness and materials with 
CDC and with other interested recipients through electronic databases, 
bulletin boards, program conferences, and participation in CDC-
sponsored training and demonstration workshops. (year two and year 
three)
    6. Participate in at least two planning meetings with CDC per year. 
(year one through year three)

B. CDC Activities

    1. Provide consultation on the design, evaluation, and management 
of the educational strategies in the project.
    2. Collaborate in the design of data collection, analysis, and 
evaluation systems.
    3. Collaborate in the transfer and dissemination of information, 
methods, and findings developed in the project.
    4. Convene recipients at least twice a year to evaluate progress 
and provide technical assistance.

Evaluation Criteria (Total of 100 Points)

    Applications will be reviewed and evaluated according to the 
following criteria:

A. Experience and Background

    The extent to which the applicant's past experience with the 
prevention of skin cancer or other cancers demonstrates the ability to 
design, develop, conduct, and evaluate educational messages and 
strategies; use behavioral science research for primary prevention; 
apply principles of adult learning and parental influence; and develop 
and maintain relationships with appropriate educational agencies and 
departments. (15 Points)

B. Collaboration

    The extent to which the applicant proposes to involve, and 
describes collaboration with, relevant organizations, to include 
letters of support. (15 Points)

C. Target Populations

    The adequacy and extent of disease burden analysis; the 
sociodemographic and behavioral description of the geographic areas, 
communities, and target populations; and the degree to which the 
applicant demonstrates relevant experience and ability to work with 
interested target populations and the community. (15 Points)

D. Action Plan Development

    The feasibility and appropriateness of the Action Plan and proposed 
timeline to establish: A procedure likely to develop, design, and carry 
out appropriate process and outcome objectives; methods for selection 
and development of educational strategies; selection of channels that 
reach parents and caregivers; field-testing educational strategies; 
procedures for conducting and disseminating strategies; and evaluation 
plan with process and outcome indicators and a method to track 
recipients of information. (25 Points)

E. Project Objectives

    The appropriateness of proposed objectives that are specific, 
measurable, time-phased, and realistic for the first year activities 
and a brief description of proposed objectives for years two and three 
(excluding those proposed in the Action Plan), and the extent to which 
end-of-project expected outcomes are described. (15 Points)

F. Project Management and Staffing Plan

    The extent to which the role(s) proposed for the advisory panel and 
the staff, organizational structure, staff experience and background, 
and job descriptions and resume for proposed and current staff indicate 
ability to carry out the purpose of the project. (15 Points)

G. Budget

    The extent to which the applicant provides a detailed budget and 
justification consistent with the stated objectives and proposed 
project activities. (Not Weighted)

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 for each affected State. A 
current list of SPOCs is included in the application kit. Indian tribes 
are strongly encouraged to request tribal government review of the 
proposed application. If SPOCs or tribal governments have any process 
recommendations on applications submitted to CDC, they should forward 
them to Edwin L. Dixon, Grants Management Officer, Grants Management 
Branch, Procurement and Grants Office, Centers for Disease Control and 
Prevention (CDC), 255 East Paces Ferry Road, NE., Atlanta, GA 30305, no 
later than 60 days after the application deadline date. The Program 
Announcement Number and Program Title should be referenced on the 
document. The granting agency does not guarantee to ``accommodate or 
explain'' for State or tribal process recommendations it receives after 
that date.

Public Health Systems 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 93.945.

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.

Application Submission and Deadline

    The original and two copies of the application PHS Form 5161-1 
(Revised 7/92, OMB Control Number 0937-0189) must be submitted to Edwin 
L. Dixon, 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, Mail Stop 
E-18, Atlanta, GA 30305, on or before July 1, 1994.
    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 acceptable as proof of timely mailing.)
    2. Late Applications: Applications which 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, information on application 
procedures, an application package, and business management technical 
assistance may be obtained from Locke Thompson, 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, Mail Stop E-18, Atlanta, GA 30305, telephone (404) 
842-6595.
    Programmatic technical assistance may be obtained from Barbara A. 
Bewerse, M.N., M.P.H., Division of Cancer Prevention and Control, 
National Center for Chronic Disease Prevention and Health Promotion, 
Centers for Disease Control and Prevention (CDC), 4770 Buford Highway, 
NE., Mail Stop K-57, Atlanta, GA 30341-3724, telephone (404) 488-4347.
    Please refer to Announcement Number 468 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) 783-3238.

    Dated: May 25, 1994.
Ladene H. Newton,
Acting Associate Director for Management and Operations, Centers for 
Disease Control and Prevention (CDC).
[FR Doc. 94-13231 Filed 5-31-94; 8:45 am]
BILLING CODE 4163-18-P