[Federal Register Volume 59, Number 131 (Monday, July 11, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-16653]


[[Page Unknown]]

[Federal Register: July 11, 1994]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Announcement Number 483]

 

State Injury Intervention Programs; Notice of Availability of 
Funds for Fiscal Year 1994

Introduction

    The Centers for Disease Control and Prevention (CDC), announces the 
availability of fiscal year (FY) 1994 funds for cooperative agreements 
for State Injury Intervention Programs. These programs will develop, 
implement, and evaluate multi-faceted, injury prevention and/or 
surveillance programs to reduce the incidence of injuries and deaths in 
the following areas: bicycle-related head injuries, fire-related burn 
injuries, motor vehicle injuries, firearm-related injuries, violence 
against women, and alcohol-related injuries.
    The Public Health Service (PHS) is committed to achieving the 
health promotion and disease prevention objectives described in 
``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 areas of Violent and Abusive 
Behavior and Unintentional Injuries. (For ordering a copy of ``Healthy 
People 2000,'' see the Section Where to Obtain Additional Information.)

Authority

    This program announcement is authorized under Sections 301, 317, 
and 391-394 (42 U.S.C. 241, 247b, and 280b-280b-3) of the Public Health 
Service Act as amended.

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 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, and the 
Republic of Palau. In addition, official public health agencies of 
county or city governments with jurisdictional populations greater than 
3,500,000 (based on 1990 census data) are eligible.

Availability of Funds

    Approximately $3,500,000 is available in FY 1994 to fund up to 
twenty projects to implement and evaluate injury intervention and 
surveillance programs in five priority areas: bicycle-related head 
injuries (4-5 to be awarded), fire-related burn injuries (4-5 to be 
awarded), motor vehicle injuries (4-5 to be awarded), firearm-related 
injuries (6 to be awarded), and alcohol-related injuries (1 to be 
awarded). Awards are expected to range from $150,000 to $200,000 with 
an average award of $175,000 for each 12-month budget period.
    In addition, approximately $750,000 will be available to fund up to 
three projects to perform activities for the prevention of violence 
against women. Awards are expected to range from $225,000 to $275,000, 
with an average award of $250,000.
    Funds are expected to be awarded on or about September 1, 1994, and 
will be made for a 12-month budget period. Programs addressing bicycle-
related head injuries, fire-related burn injuries, motor vehicle 
injuries, firearm-related injuries, and alcohol-related injuries will 
have a 3-year project period and those addressing violence against 
women will have a 5-year project period. Funding estimates may vary and 
are subject to change. Continuation awards within the project periods 
will be made on the basis of satisfactory progress as evidenced by 
required reports and the availability of funds.

    Note: At the request of the applicant, Federal personnel may be 
assigned in lieu of a portion of the financial assistance.

Purpose

    The purpose of this cooperative agreement is to enable State public 
health agencies to implement and evaluate priority injury prevention 
and control activities. Specifically, State public health agencies may 
submit applications to develop programs in EACH OR ANY of six areas:
    1. Prevention of bicycle-related head injuries through increased 
usage of bicycle helmets;
    2. Prevention of fire-related burns through increased installation 
and utilization of smoke detectors;
    3. Prevention of motor vehicle injuries through increased usage of 
occupant protection, including seat belts, child safety seats, and air 
bags;
    4. Identification of firearm-related injuries;
    5. Identification and prevention of violence against women; and
    6. Identification and prevention of alcohol-related injuries.
    Programs in any of these six areas will develop, implement, and 
evaluate targeted activities designed to accurately measure and reduce 
morbidity, mortality, severity, disability, and costs associated with 
injuries. This funding will allow the applicant to establish or 
strengthen a lead capacity for prevention and control of the targeted 
injury (e.g., bicycle-related head injuries). It is expected that any 
program developed will function as a component of the public health 
agency's injury control program, will coordinate related activities 
both within the agency and within the jurisdiction, and will mobilize, 
seek input from, and utilize broad coalitions.

Bicycle-Related Head Injuries

    Awards for prevention of bicycle-related head injuries are to be 
used to develop, implement, and evaluate the effectiveness of multi-
faceted bicycle injury prevention programs in increasing helmet use and 
reducing morbidity, mortality, severity, disability, and costs 
associated with bicycle injuries for which helmets are effective. This 
program will facilitate the development, expansion, and improvement of 
bicycle injury control programs, and in particular, bicycle helmet 
usage programs within State public health agencies. Programs within 
State public health agencies are expected to define and monitor the 
extent of the bicycle-related injury problem, develop intervention 
strategies, including public education programs, and evaluate the 
program's effectiveness in terms of reduced morbidity, mortality, 
severity, disability, and cost. Specifically, bicycle helmet usage 
programs are intended to:
    A. Develop or improve injury surveillance activities to identify 
bicycle-related head injuries, including data describing the magnitude 
of the problem, who is affected, utilization of bicycle helmets, costs 
associated with bicycle-related head injuries, and to identify and 
monitor health outcomes to measure the impact of the program;
    B. Implement and evaluate multifaceted prevention activities to 
address and define the bicycle injury problem using evaluation 
guidelines for State injury control programs developed by CDC/National 
Center of Injury Prevention and Control (NCIPC);
    C. Enact legislation and implement community-based prevention 
programs (including educational, promotional and legislative 
strategies) to encourage the use of bicycle helmets.
    D. Determine the effectiveness of strategies for increasing bicycle 
helmet use.

Fire-Related Burns

    Awards for prevention of fire-related burns are to be used to 
develop, implement, and evaluate the effectiveness of smoke detector 
promotion programs in increasing installation and utilization of smoke 
detectors and in reducing morbidity, mortality, severity, disability, 
and costs associated with fire-related burns which are preventable by 
utilization of smoke detectors. This program will facilitate the 
development, expansion, and improvement of smoke detectors programs 
within State public health agencies. Programs within State public 
health agencies are expected to define and monitor the fire-related 
burn problem, develop and implement intervention strategies, including 
public education programs, and evaluate the program's effectiveness in 
terms of increased smoke detector installation and use, and reduced 
morbidity, mortality, severity, disability, and cost of fire-related 
burns.
    Specifically, smoke detector usage programs are intended to:
    A. Develop or improve injury surveillance activities for fire-
related burn injuries, including data describing the magnitude of the 
problem, who is affected, and utilization of smoke detectors;
    B. Implement and evaluate multi-faceted prevention activities to 
address and define the fire-related burn problem using evaluation 
guidelines for State injury control programs developed by CDC/NCIPC.
    C. Enact legislation and implement community prevention programs 
(including educational, promotional, legislative and maintenance 
strategies) to encourage the use of smoke detectors.
    D. Determine the effectiveness of strategies for increasing smoke 
detector installation and use.

Motor Vehicle Injuries

    Awards for prevention of motor vehicle injuries are designed to 
develop, implement, and evaluate the effectiveness of occupant 
protection programs in increasing occupant protection and reducing 
morbidity, mortality, severity, disability, and costs associated with 
motor vehicle injuries. This program will facilitate the development, 
expansion, and improvement of programs to increase the use of occupant 
protection within State public health agencies. Programs within State 
public health agencies are expected to define and monitor the motor 
vehicle injury problem, develop intervention strategies, including 
programs in highway safety, and evaluate the program's effectiveness in 
terms of increased usage patterns and reduced morbidity, mortality, 
severity, disability, and cost associated with motor vehicle injuries.
    Specifically, occupant protection usage programs are intended to:
    A. Develop or improve injury surveillance activities to identify 
motor vehicle-related injuries, including linkage with other data 
systems to describe the magnitude and cost of the problem, who is 
affected, and use of occupant protection (seat belts, child safety 
seats, air bags, or some combination of these). These data should be 
collected in a manner that allows for the evaluation of progress toward 
the Year 2000 Objectives for the nation;
    B. Implement and evaluate multi-faceted prevention activities to 
address and define the motor vehicle injury problem using evaluation 
guidelines for State injury control programs developed by CDC/NCIPC;
    C. Enact and strengthen legislation to cover all ages and seating 
positions and implement community-based interventions (including 
education, behavioral change, and policy development) to encourage the 
use of occupant protection;
    D. Determine the effectiveness of specific interventions in 
increasing occupant protection.

Firearm-Related Injury Surveillance

    Awards for development of firearm-related injury surveillance 
systems are designed to develop, implement, and evaluate such 
surveillance systems. This program will enable State public health 
agencies to define and monitor the firearm-related injury problem in 
their jurisdictions, and to evaluate the program's effectiveness in 
terms of surveillance sensitivity, timeliness, representation, 
predictive value positive, and ability to measure the impact of 
specific interventions on morbidity, mortality, severity, disability, 
and cost of firearm-related injury.
    Specifically, firearm-related injury surveillance programs are 
intended to:
    A. Develop or improve injury surveillance activities to identify 
firearm-related injuries, including data describing the magnitude of 
the problem, who is affected, areas and persons at greatest risk, and 
the type and source of the firearm and ammunition used;
    B. Link data from various sources to form a more complete picture 
of firearm-related injuries (e.g., linkage of emergency department or 
hospital discharge data with police data).
    C. Measure the effectiveness of specific interventions in reducing 
firearm-related injuries.

Violence Against Women

    Awards for identification and prevention of violence against women 
are designed to develop, implement, and evaluate a surveillance system 
for injuries due to violence against women, define the role of the 
State public health agency in preventing violence against women, and 
develop, implement and evaluate the effectiveness of strategies to 
prevent violence against women. Programs will define and monitor this 
injury problem and evaluate the surveillance system's effectiveness in 
terms of sensitivity, timeliness, representativeness, and predictive 
value positive. Programs will evaluate the effectiveness of the 
interventions in reducing morbidity, mortality, severity, disability, 
and cost of injury.
    Specifically, programs to prevent violence against women are 
intended to:
    A. Identify data sources and develop or improve existing 
surveillance systems for violence against women. Field test violence 
against women surveillance guidelines developed by a drafting group 
convened by CDC/NCIPC.
    B. Assess the State public health agency's ability to address 
violence against women issues, including conducting inventories of 
existing violence against women prevention programs.
    C. Develop collaborative relationships with voluntary, community-
based, and public and private organizations already involved in 
preventing violence against women.
    D. Determine the effectiveness of specific interventions in 
preventing violence against women, including evaluation of existing 
interventions and development and evaluation of new interventions, and 
determine how to combine specific interventions into effective 
programs. (Emphasis should be placed on violence against women that is 
committed by family members and intimates rather than by strangers.)

Alcohol-Related Injuries

    An award for identification and prevention of alcohol-related 
injuries is designed to develop, implement, and evaluate a surveillance 
system based at acute care hospitals and to increase the effectiveness 
of hospital-based screening, intervention, and treatment referral for 
injured individuals with alcohol problems. This program will establish 
or strengthen the ability of the State public health agency to work 
with acute care hospitals and other organizations in efforts to 
facilitate access and improve treatment outcomes for injured 
individuals in need of alcohol treatment services. State public health 
agencies will define the nature and extent of alcohol-related injuries, 
provide leadership in developing and implementing essential clinical 
prevention services, and evaluate the effectiveness of these services 
in terms of their impact on the incidence of alcohol-related injuries.
    Specifically, programs to prevent alcohol-related injuries are 
intended to:
    A. Develop or improve surveillance activities to identify alcohol-
related injuries treated in inpatient or outpatient departments of 
acute care hospitals, including data describing the magnitude of the 
problem, who is affected, and the costs of associated acute care.
    B. Promote collaborative working relationships among community and 
voluntary organizations. State alcohol and drug abuse treatment 
agencies, treatment providers and other mental health professionals, 
professional organizations, insurance companies, and other parties 
involved in delivering or improving clinical prevention services for 
individuals with alcohol-related injuries.
    C. Establish or enhance statewide programs based in acute care 
hospitals designed to improve identification, reduce alcohol 
consumption, achieve necessary referrals to specialized alcohol 
treatment, and assure continuity of care of drinkers with alcohol-
related injuries.
    D. Determine the effectiveness of specific components of new or 
enhanced clinical prevention services provided to patients with 
alcohol-related injuries, including methods of screening and 
intervening at acute care hospitals. Emphasis should be placed on using 
the surveillance system to measure the impact of these services on the 
incidence of recurrent alcohol-related injuries.

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).

A. Recipient Activities

    In conducting activities to achieve the purpose of this program, 
the recipient shall:
1. For Bicycle-Related Head Injury Prevention Programs
    a. Provide a full-time director/coordinator and staff who have 
authority, responsibility, and expertise to carry out the program.
    b. Define the magnitude of the bicycle-related head injury problem; 
define the population at risk, and collect adequate injury data. These 
data include deaths and injuries attributable to bicycle-related head 
injury, helmet use rates among various age groups in the community, and 
barriers to helmet use. Potential data sources include: E-coded 
hospital discharge data, emergency department data, head and spinal 
cord injury registries, and random digit dial phone surveys of 
community residents to obtain information on behaviors.
    c. Develop and implement community-based prevention programs to 
encourage the use of bicycle helmets. These include educational, 
promotional, and legislative strategies utilized in a multifaceted 
approach.
    d. Promote and develop local and statewide legislation requiring 
bicycle helmet usage for all riders and passengers under 16 years of 
age.
    e. Form partnerships with highway safety officials (e.g., 
Governor's Highway Safety Representative, police) to promote bicycle 
helmet usage.
    f. Seek community input and generate community support for bicycle 
helmet usage promotion activities. Coalitions of appropriate 
individuals, agencies, and organizations with experience and interest 
in bicycle helmet usage campaigns may be established in support of 
intervention activities.
    g. Evaluate the effectiveness of each intervention activity and the 
program as a whole using evaluation guidelines for State injury control 
programs developed by CDC/NCIPC.
    h. Perform related injury demonstration projects. These may be 
related by population at risk, nature of the injury, causal chain, or 
intervention methodology.
2. For Fire-Related Burn Prevention Programs
    a. Provide a full-time director/coordinator and staff who have 
authority, responsibility, and expertise to carry out the program.
    b. Define the magnitude of the fire-related burn problem; define 
the population at risk and areas affected, and collect adequate injury 
data. These data include deaths and injuries attributable to fire-
related burns, smoke detector use rates for various geographic areas of 
the community, and barriers to smoke detector use. Potential data 
sources include: E-coded hospital discharge data, emergency department 
data, public safety data (e.g., fire department data), and random digit 
dial phone surveys of community residents to obtain information on 
behaviors.
    c. Develop and implement community-based prevention programs to 
encourage the installation, use, and maintenance of smoke detectors. 
These include promotional, educational, and legislative (State and 
local) strategies utilized in a multifaceted approach.
    d. Form partnerships with public safety officials (e.g., fire 
departments) to promote smoke detector installation and maintenance.
    e. Seek community input and generate community support for smoke 
detector installation and maintenance. Coalitions of appropriate 
individuals, agencies, and organizations with experience and interest 
in smoke detector campaigns may be established in support of fire-
related burn prevention activities.
    f. Evaluate the effectiveness of each intervention activity and the 
program as a whole using evaluation guidelines for State injury control 
programs developed by CDC/NCIPC.
    g. Perform related injury demonstration projects. These may be 
related by population at risk, nature of the injury, causal chain, or 
intervention methodology.
3. For Motor Vehicle Injury Prevention Programs
    a. Provide a full-time director/coordinator and staff who have 
authority, responsibility, and expertise to carry out the program.
    b. Define the magnitude of the motor vehicle injury problem; define 
the population at risk and associated costs and collect adequate injury 
data. These data include deaths and injuries attributable to motor 
vehicle crashes, use of occupant protection (seat belts, child safety 
seats, air bags, or a combination of these), and barriers to occupant 
protection use. These data might best be derived through linkage of 
various data systems (e.g., hospital discharge and police data).
    c. Develop and implement or enhance existing State and community-
based programs to encourage the use of occupant protection devices. 
These include legislative (State and local), promotional, and 
educational strategies utilized in a multifaceted approach.
    d. Form partnerships with highway safety officials (e.g., 
Governor's Highway Safety Representative, law enforcement) to promote 
motor vehicle occupant protection use.
    e. Seek community input and generate community support for motor 
vehicle occupant protection. Coalitions of appropriate individuals, 
agencies, and organizations with experience and interest in prevention 
of motor vehicle injuries may be established in support of occupant 
protection campaigns.
    f. Evaluate the effectiveness of each intervention activity and the 
program as a whole using evaluation guidelines for State injury control 
programs developed by CDC/NCIPC.
    g. Perform related injury demonstration projects. These may be 
related by population at risk, nature of the injury, causal chain, or 
intervention methodology.
4. For Firearm-Related Injury Surveillance Programs
    a. Provide a full-time director/coordinator and staff who have 
authority, responsibility, and expertise to carry out the program.
    b. Collect adequate injury data on firearm-related injuries. These 
data include who is affected, areas and persons at greatest risk, the 
type and source of firearm used, and characteristics of perpetrators.
    c. Implement or enhance a surveillance system to define the 
magnitude of the firearm-related injury problem in at least one of the 
following areas:
    (1) Link vital statistics data with other data (e.g., medical 
examiner data, police data) to provide a more complete description of 
firearm-related mortality, or
    (2) Conduct surveillance of nonfatal firearm-related injuries 
(e.g., through hospital emergency department data, E-coded hospital 
discharge data), or
    (3) Define risk behaviors, utilizing risk behavior surveys (e.g., 
gun carrying, availability, storage practices).
    d. Form partnerships with public safety officials (e.g., police) to 
ensure the completeness of surveillance data.
    e. Demonstrate the utility of the surveillance system in measuring 
the effectiveness of specific interventions designed to reduce firearm-
related injuries.
    f. Evaluate the surveillance system in terms of sensitivity, 
timeliness, representation and predictive value positive.
    g. Perform related injury demonstration projects. These may be 
related by nature of the injury or surveillance methodology.
5. For Programs To Prevent Violence Against Women
    a. Provide a full-time director/coordinator and staff who have 
authority, responsibility, and expertise to carry out the program.
    b. Establish an advisory structure to address issues related to 
violence against women, to ensure community input, and to generate 
community support. This advisory structure should consist of 
individuals (internal and external to the State public health agency), 
agencies, and organizations with experience, expertise and interest in 
preventing violence against women. If a State Injury Advisory Committee 
exists, this advisory structure should be constituted as a subcommittee 
for violence against women issues.
    c. Develop collaborative relationships with voluntary, community-
based public and private organizations and agencies already involved in 
preventing violence against women.
    d. Conduct an inventory of existing data sources and prevention 
programs within the State which address violence against women.
    e. Assess the State public health agency's organizational capacity 
and available resources, as well as other public and private resources, 
to address violence against women.
    f. Design, pilot test, and implement a surveillance system to track 
the incidence of violence against women in selected geographic areas 
within the State, and expand this surveillance system statewide.
    g. Evaluate the usefulness of the surveillance system for assessing 
violence against women.
    h. Identify, implement and evaluate specific interventions to 
prevent violence against women. Evaluate existing interventions or 
implement and test new interventions. Examples of existing 
interventions include, but are not limited to:
    (1) Public awareness campaigns to change knowledge, attitudes, and 
beliefs conducive to violence against women.
    (2) School-based curricula that teach strategies for developing and 
maintaining nonviolent dating relationships.
    (3) Home health visitation to reduce partner abuse in targeted 
families and thereby reduce the likelihood of children witnessing such 
violence.
    (4) Shelters for battered women to reduce prevalence of physical 
abuse.
    (5) Victim identification and referral protocols in hospital 
emergency rooms, STD clinics, prenatal care clinics, and family 
planning clinics.
    (6) Behavior motivation programs for men.
    (7) Rape crisis centers to help in prevention recurrence of sexual 
assault by someone the victim knows.
    (8) Hotlines as tools to provide crisis intervention counseling.
    i. Develop, implement, and evaluate multi-faceted programs to 
prevent violence against women (Year-03 and beyond).
    j. Develop and produce replication guidelines describing all 
aspects of the violence against women program. This includes processes, 
lessons, results, and products (Year-03 and beyond).
    k. Perform related injury demonstration projects. These may be 
related by population at risk, nature of the injury, causal chain, or 
surveillance or intervention methodology.
6. For Alcohol-Related Injury Prevention Program
    a. Provide a full-time director/coordinator and staff who have 
authority, responsibility, and expertise to carry out the program.
    b. Develop or improve an alcohol-related injury surveillance system 
to identify alcohol-related injuries treated in inpatient or outpatient 
departments of acute care hospitals. This includes a definition of the 
nature and extent of the alcohol-related injury problem. These data 
include alcohol-related injury rates of various age groups, description 
of the population at risk, types of injury, and acute care costs.
    c. Develop and implement community-based programs located in acute 
care hospitals which will improve identification of persons at risk for 
alcohol-related injuries, reduce alcohol consumption in a target group, 
achieve referrals to specialized alcohol treatment, and assure 
continuity of care of drinkers with alcohol related injuries.
    d. Evaluate the effectiveness of new or enhanced acute care 
hospital prevention services provided to patients with alcohol-related 
injuries.
    e. Collaborate with community and voluntary organizations, State 
alcohol and drug abuse treatment agencies, treatment providers and 
other mental health providers, professional organizations, insurance 
companies, and others interested in clinical prevention services to 
coordinate and support alcohol-related injury prevention activities.
    f. Perform related injury demonstration projects. These may be 
related by population at risk, nature of the injury, causal chain, or 
surveillance or intervention methodology.

B. CDC Activities

    1. Collaborate in the design of all phases of the program. Provide 
consultation on data collection instruments and procedures, and provide 
coordination and a standardized approach to research, evaluation, and 
intervention activities between and among the sites for each program 
topic area.
    2. Provide consultation and assistance in problem assessment and 
target population identification, the evaluation of coverage, cost, and 
impact of current and potential interventions, and design of scientific 
protocols.
    3. Provide evaluation guidelines for State injury control programs 
in bicycle-related head injuries, fire-related burn injuries, and motor 
vehicle occupant protection, and provide violence against women 
surveillance definition and guidelines.
    4. Provide consultation on selection of interventions and future 
demonstration projects and surveillance systems for State 
implementation, and an implementing intervention activities and 
disseminating results.
    5. Collaborate in the analysis and dissemination of surveillance 
data.
    6. Provide up-to-date scientific information about injury 
prevention and coordinate with related activities in CDC's national 
injury prevention program.
    7. Assist in the transfer of information and methods developed in 
these programs to other prevention programs.

Review and Evaluation Criteria

    Applications will be reviewed and evaluated according to the 
following criteria (maximum 100 total points):
A. Background and Need (15%)
    The extent to which the applicant presents data justifying need for 
the program in terms of magnitude of the related injury problem, and 
identifies suitable target populations. The extent to which a 
description of current and previous related experiences:
    (a) is inclusive in terms of surveillance activities, prevention 
activities (if applicable) and success, evaluation capability and 
coordination activities, and (b) demonstrates capacity to conduct the 
program.
B. Goals and Objectives (10%)
    The extent to which the applicant has included goals which are 
relevant to the purpose of the proposal and feasible to be accomplished 
during the project period, and the extent to which these are specific 
and measurable. The extent to which the applicant has included 
objectives which are feasible to be accomplished during the budget 
period, and which address all activities necessary to accomplish the 
purpose of the proposal. The extent to which the objectives are 
specific, timeframed, and measurable. The extent to which the 
applicant's intention to undertake related injury demonstration 
projects, should additional funds become available is documented.
C. Methods (30%)
    The extent to which the applicant provides a detailed description 
of proposed activities which are likely to achieve each objective and 
overall program goals and which includes designation of responsibility 
for each action undertaken. The extent to which the applicant provides 
a reasonable and complete schedule for implementing all activities. The 
extent to which roles of each unit, organization, or agency are 
described, and coordination and supervision of staff, organizations and 
agencies involved in activities is apparent. The extent to which 
documentation of program organizational location is clear, and shows a 
coordinated relationship among injury-related components forming the 
applicant's injury prevention program. The extent to which position 
descriptions, CVs, and lines of command are appropriate to 
accomplishment of program goals and objectives. The extent to which 
concurrence with the applicant's plans by all other involved parties, 
including consultants, is specific and documented.
D. Evaluation (30%)
    The extent to which the proposed evaluation system is detailed and 
will document program process, effectiveness, impact, and outcome and, 
if applicable, measure surveillance system sensitivity, timeliness, 
representativeness, predictive value positive, and ability to detect 
the impact of specific intervention on morbidity, mortality, severity, 
disability, and cost of related injuries. The extent to which the 
applicant demonstrates potential data sources for evaluation purposes, 
and documents staff availability, expertise, and capacity to perform 
the evaluation. The extent to which a feasible plan for reporting 
evaluation results and using evaluation information for programmatic 
decisions is included. The extent to which a description of how CDC/
NCIPC-developed evaluation guidelines (if applicable) will be utilized 
is included.
E. Collaboration (15%)
    The extent to which relationships between the program and other 
organizations, agencies, and health department units that will relate 
to the program or conduct related activities are clear, complete and 
provide for complementary or supplementary working interactions. The 
extent to which coalition (if any) membership and roles are clear and 
appropriate. The extent to which relationships with the Governors 
Office of Highway Safety, public safety officials, or Maternal and 
Child Health (MCH) (if applicable), and Injury Control Research 
Center's (ICRC's) or local academic institutions are completely 
described, are activity-specific, and show evidence of specific 
support. The extent to which relationships with local communities, if 
intervention activities are to be carried out there, are completely 
described, are activity-specific and show evidence of specific support.
F. Budget and Justification (not weighted)
    The extent to which the applicant provides a detailed budget and 
narrative justification consistent with stated objectives and planned 
program activities.

    Note: At the request of the applicant, Federal personnel may be 
assigned to a program area in lieu of a portion of the financial 
assistance.

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 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 forward them to Henry S. Cassell, III, 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-13, Atlanta, Georgia 30305, no later 
than 30 days after the application deadline date. (A waiver for the 60-
day requirement has been requested.) The granting agency does not 
guarantee to ``accommodate or explain'' for State 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 93.136.

Other Requirements

    Projects that involve the collection of information from 10 or more 
individuals and funded by cooperative agreement will be subject to 
review by the Office of Management and Budget (OMB) under the Paperwork 
Reduction Act.
    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.

Application Submission and Deadline

    The original and two copies of the application PHS Form 5161-1 must 
be submitted to Henry S. Cassell, III, 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-13, Atlanta, Georgia 30305, on or before August 1, 
1994.
    1. Deadlines:
    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 independent review committee. For proof of timely 
mailing, applicants must request a legibly dated U.S. Postal Service 
postmark or obtain a legibly dated receipt from a commercial carrier or 
the U.S. Postal Service. Private metered postmarks will not be 
acceptable 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. 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 Georgia Jang, Grants Management 
Specialist, Grants Management Branch, Procurement and Grants Office, 
Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry 
Road, NE., Mailstop E-13, Atlanta, Georgia 30305, telephone (404) 842-
6634. Programmatic assistance may be obtained from James S. Belloni, 
M.A., National Center for Injury Prevention and Control, Centers for 
Disease Control and Prevention (CDC), 4770 Buford Highway, NE., 
Mailstop F-36, Atlanta, Georgia 30341-3724, telephone (404) 488-4400.
    Please refer to Announcement Number 483 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) through the Superintendent 
of Documents, Government Printing Office, Washington, DC 20402-9325, 
telephone (202) 783-3238.

    Dated: June 29, 1994.
Arthur C. Jackson,
Associate Director for Management and Operations, Centers for Disease 
Control and Prevention (CDC).
[FR Doc. 94-16653 Filed 7-8-94; 8:45 am]
BILLING CODE 4163-18-P