[Federal Register Volume 59, Number 139 (Thursday, July 21, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-17768]


[[Page Unknown]]

[Federal Register: July 21, 1994]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention
[Announcement 494]

 

State Grants to Support Development of Nutrition Intervention 
Programs

Introduction

    The Centers for Disease Control and Prevention (CDC) announces the 
availability of fiscal year (FY) 1994 funds for grants to support the 
development of State and community nutrition intervention programs. 
This announcement addresses two distinct components:

I. ``Nutrition Intervention Assistance'' for supporting the 
implementation of nutrition interventions.
II. ``5 A Day Evaluation'' for supporting the evaluation of 5 A Day for 
Better Health nutrition intervention programs.

    Applicants may apply for either the Nutrition Intervention 
Assistance component or the 5 A Day Evaluation component or both 
components.
    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 
specifically to the priority area of nutrition and, generally, to 
several other priority areas of health promotion and preventive 
services--including physical activity and fitness, heart disease, 
cancer, and diabetes. (For ordering a copy of ``Healthy People 2000,'' 
see the section, ``Where to Obtain Additional Information.'')

Authority

    This program is authorized under sections 301(a), [42 U.S.C. 241 
(a)] and 317(k)(2), [42 U.S.C. 247b(k)(2)] 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

A. Nutrition Intervention Assistance

    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.
    Eligible applicants for nutrition intervention program grants have 
been restricted to official health departments of States or their bona 
fide agents or instrumentalities because:
    1. The methodology to conduct this program has been structured to 
support the national goals and objectives of ``Healthy People 2000.'' 
In many instances, State health departments have already embraced or 
established their own goals and objectives which match or are 
synonymous with those outlined in ``Healthy People 2000.''
    2. The conduct of Statewide health promotion, health education, and 
risk reduction programs directed towards reducing the prevalence of 
behavioral risks in the population lie solely with State Health 
Departments.
    3. Program evaluation is expected to be useful to State Health 
Departments in program and intervention development. Because comparable 
methods are used from State to State and from year to year, States can 
compare data and intervention methods with other States and monitor the 
effects of interventions over time.

B. 5 A Day Evaluation

    Eligible applicants are restricted to official health departments 
of States or their bona fide agents or instrumentalities for the 
reasons listed in (A) above. Eligibility for this component is further 
restricted to States who have established, clearly defined, evaluable, 
long range 5 A Day for Better Health projects in a specific community 
channel.

Availability of Funds

    Approximately $740,000 is available in FY 1994 to fund 
approximately 29 awards. Awards may be made for the Nutrition 
Intervention Assistance, or 5 A Day Evaluation or both.

A. Nutrition Intervention Assistance

    Approximately $450,000 is available to fund approximately 25 
awards. It is expected that the average award will be $18,000, ranging 
from $10,000 to $30,000. States are encouraged to use these funds to 
expand the community involvement toward the goals of this program.

B. 5 A Day Evaluation

    Approximately $290,000 is available to fund approximately 4 awards. 
It is expected that the average award will be $75,000, ranging from 
$60,000 to $90,000. Awards will be considered only for applicants who 
have an established, clearly defined, and evaluable long range 5 A Day 
for Better Health project in a specific community channel (e.g., 
supermarkets, schools, churches, food assistance programs, worksites, 
health clinics, media, etc.).
    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 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

    The awards will support State efforts to develop and evaluate 
nutrition intervention programs. Emphasis will be placed on supporting 
activities of partnerships to carry out interventions and/or 
evaluations designed to increase the consumption of fruits and 
vegetables, to decrease fat intake, and/or to increase physical 
activity while improving diet.

Program Requirements

A. Nutrition Intervention Assistance

    Promote programmatic activities to achieve Healthy People 2000 
dietary objectives that relate to increased consumption of fruits and 
vegetables, reduced intake of fat, and/or improving diet while 
increasing physical activity. Applicants should propose specific and 
discrete activities, but applicants are given latitude in deciding 
which specific activities to propose. Activities proposed by applicants 
might include but are not limited to the following:
    1. Assist a Statewide or community-wide coalition to implement a 5 
A Day for Better Health project by using effective public and private 
partnerships.
    2. Implement an intervention to promote physical activity and 
improved diet among a defined low-income population.
    3. Evaluate a health communication campaign. (Such campaigns could 
be broad-based, could target specific populations, or could support 
specific programs, such as Project LEAN or 5 A Day for Better Health.)
    4. Integrate a nutrition education component into an existing State 
chronic disease program (e.g., diabetes, cancer, and heart disease 
prevention programs) or into appropriate services of a managed care 
provider.

B. 5 A Day Evaluation

    An evaluation of a 5 A Day intervention in a specific community 
channel. Applicants should propose a plan for an evaluation of a 
clearly defined, long range effort in a specific community channel.

Evaluation Criteria

    Applications for the Nutrition Intervention Assistance and the 5 A 
Day Evaluation components will be allocated 100 points each and will be 
reviewed and evaluated according to the following criteria:

A. Nutrition Intervention Assistance

1. Background
    The degree to which the applicant succinctly describes the problems 
to be addressed and current activities for resolving them. (10 points)
2. Objectives
    The degree to which objectives are realistic, time-phased, 
measurable, and specific. (20 points)
3. Program Plan
    The adequacy of the applicant's plan to carry out the proposed 
activities and accomplish the stated objectives. (40 points)
4. Program Integration
    The adequacy of the applicant's commitment to provide adequate 
staff and resources necessary to achieve the program objectives. (20 
points)
5. Evaluation
    The extent to which the applicant presents a reasonable plan to 
measure progress in meeting objectives and evaluate performance. (10 
points)
6. Budget
    The extent to which the applicants provides a detailed budget and 
line item justification that is consistent with the stated objectives, 
program purpose, and planned activities of the project. (not weighted)

B. 5 A Day Evaluation

1. Background
    The degree to which the applicant clearly describes a long range, 
clearly defined, evaluable 5 A Day for better Health project, including 
a description of the intervention method and channel. (25 points)
2. Program Plan
    The adequacy of the applicant's plan to carry out the evaluation, 
including the specific objectives and measures in the evaluation. (45 
points)
3. Capacity
    The capabilities of the personnel (including consultants where 
appropriate) to carry out the evaluation. (30 points)
4. Budget
    The extent to which the applicant provides a detailed budget and 
line item justification that is consistent with the evaluation plan. 
(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. If SPOCs have 
any State process recommendations on applications submitted to CDC, 
they should send 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., 
Room 300, Mailstop E-18, Atlanta, GA 30305, no later than September 21, 
1994. (A waiver for the 60-day requirement has been requested.) The 
Program Announcement Number and Program Title should be referenced on 
the document. CDC 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 Edwin L. Dixon, Grants Management Officer, 
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 September 21, 
1994. 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 grant will be subject to review by the 
Office of Management and Budget (OMB) under the Paperwork Reduction 
Act.

Application Submission and Deadline

    The program announcement and application kits were sent to all 
eligible applicants in July 1994.

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, Mail Stop E-18, Atlanta, GA 
30305, telephone (404) 842-6508. Programmatic technical assistance may 
be obtained from Judy Pruden, M.Ed., R.D., Division of Nutrition, 
National Center for Chronic Disease Prevention and Health Promotion, 
Mail Stop K-26, CDC, 4770 Buford Highway, NE., Atlanta, GA, 30341-3724, 
telephone (404) 488-4260.
    Please refer to Announcement Number 494 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: July 14, 1994.
Martha Katz,
Acting Associate Director for Management and Operations, Centers for 
Disease Control and Prevention (CDC).
[FR Doc. 94-17768 Filed 7-20-94; 8:45 am]
BILLING CODE 4163-18-P