[Federal Register Volume 59, Number 171 (Tuesday, September 6, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-21832]


[[Page Unknown]]

[Federal Register: September 6, 1994]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention
[CDC-499]

 

Announcement of a Grant to the Institute of Medicine, National 
Academy of Sciences

Summary

    The Centers for Disease Control and Prevention (CDC) announces the 
availability of funds for fiscal year (FY) 1994 for a sole source grant 
with the Institute of Medicine (IOM), National Academy of Sciences 
(NAS). The purpose of this program is to consolidate assistance 
mechanisms used to support the current research activities conducted by 
IOM, integrate newly initiated assistance activities that are of 
special interest to CDC, and establish a systematic procedure for 
managing the unique scientific relationship between CDC and IOM. During 
FY 1993, CDC initiated three distinct funding mechanisms to support IOM 
research in the areas of unintended pregnancy, tobacco prevention 
strategies for youth, and comprehensive school health programs. This 
grant program would provide for a more uniform management of the 
various research activities to be funded in the future.
    Approximately $365,000 is available in FY 1994 to fund three 
projects of special interest to CDC:
    Project 1. Comprehensive School Health--Approximately $125,000 is 
available for the continuation of activities to assess the status of 
existing comprehensive school health programs including K-12 school 
health education, school health promotion and disease prevention, and 
school based health care delivery, examine factors predictive of 
success or failure, and identify and disseminate strategies for wider 
implementation of comprehensive school health programs.
    Project 2. Epidemiological Dimensions of Sexually Transmitted 
Diseases (STDs) in the United States--Approximately $225,000 is 
available to support a new study designed to examine the 
epidemiological dimensions of STDs in the United States and the factors 
contributing to the rising incidence of infections, assess the 
effectiveness (including cost-effectiveness) and efficiency of current 
public health strategies and programs to prevent and control STDs, and 
develop recommendations for future public health programs, policy 
development, and research in this area, particularly in the context of 
health care reform and the trend towards managed care approaches to 
health services delivery and financing.
    Project 3. Study on Preventing Nicotine Addiction in Children and 
Youths--Approximately $15,000 is available to continue and enhance 
activities related to Native American youth in an existing study of 
prevention strategies for children and adolescents relative to tobacco 
consumption. This study will summarize studies on the biology of 
addiction, social and behavioral factors involved in initiation, and 
interventions to prevent dependence and enhance cessation.
    It is expected that the award will begin on or about September 30, 
1994, for a 12-month budget period within a project period of up to 5 
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 availability of funds. CDC anticipates the 
availability of additional funds during FY 1995 and subsequent years to 
support projects of special scientific, programmatic, and/or 
administrative importance to the mission of CDC. The availability of 
funds and the focus of such projects are expected to emphasize 
activities in smoking, nutrition, diabetes, chronic disease control, 
reproductive health, surveillance and analysis, cancer, and STDs but 
may include other disease prevention and control areas of special 
interest to CDC. The availability of funds in subsequent years will be 
announced in a Program Guidance document accompanying the application 
kit for each year of the project period. Projects proposed in response 
to annual Program Guidance documents will be subjected to an Objective 
Review based on the Evaluation Criteria contained in this Program 
Announcement.
    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 to improve the quality of life. This announcement focuses on all 
priority areas of Health Promotion and Disease Prevention. (For 
ordering a copy of ``Healthy People 2000,'' see the section ``Where To 
Obtain Additional Information.'')

Authority

    This project is authorized under sections 301(a), [42 U.S.C. 241 
(a)] and 318(a), [42 U.S.C. 247c (a)] of the Public Health Service 
Act, as amended, and Executive Order 12832 dated January 19, 1993.

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 Applicant

    Assistance will be provided only to the Institute of Medicine 
(IOM), National Academy of Sciences (NAS) for this project. No other 
applications are solicited. The program announcement and application 
kit have been sent to NAS.
    The mission of CDC is to promote health and quality of life by 
preventing and controlling disease and disability. To accomplish this 
mission, CDC works in partnership with public, private, and voluntary 
organizations that may be for profit or not for profit groups operating 
at the State, local, national, and international level to:
    1. Monitor the status of diseases.
    2. Detect and investigate health problems.
    3. Conduct research to enhance prevention.
    4. Develop and advocate sound public health policies.
    5. Carry out strategies for the prevention of disease.
    6. Promote healthy behaviors.
    7. Foster safe and healthy environments.
    8. Control risk factors leading to the development of disease.
    In defining the scientific basis and operational direction for 
achieving its mission, CDC must frequently obtain independent advice 
that is inherently acceptable to the American public, of unparalleled 
objectivity, and unquestionable quality. Occasionally, these conditions 
can only be met by using a unique relationship and mechanisms 
established for these purposes by the Legislative and Executive 
Branches of Government.
    NAS was chartered by the U.S. Congress under an Act of 
Incorporation and approved by the President in 1863. The Act required 
the Academy to ``. . . investigate, examine, experiment, and report 
upon any subject of science or art, the actual expense of such . . . to 
be paid from appropriations which may be made for the purpose. . . .'' 
Pursuant to the charter, IOM was established in 1970. NAS and IOM 
operate in the national interest by assembling the Nation's eminent 
scholars in a variety of commissions, boards, offices, and committees 
to furnish advice and guidance of unparalleled objectivity. The 
findings and recommendations of IOM, NAS, are accorded a degree of 
acceptance unequaled by any other body of American scholars.
    During FY 1993, CDC conducted individual reviews of the technical 
and scientific merits of two requests for assistance submitted by IOM. 
Independent funding mechanisms were implemented to support IOM research 
in the areas of Comprehensive School Health, and Preventing Nicotine 
Addiction in Children and Youths. These studies, listed as Projects 1. 
and 3., are now well into their second year and cannot be duplicated by 
any other organization without significant unnecessary cost to CDC.
    In March 1994, the IOM convened a one-day meeting to consider plans 
for an IOM study of efforts to control STDs in the United States, as 
well as directions for future public health policy and research in this 
area. The planning group agreed that such a study could make an 
important contribution to the STD and public health field and could 
offer useful guidance in shaping future programs and policies to 
contain the epidemic of STDs in the United States. The planning group 
encouraged IOM staff to proceed in further developing plans for this 
study. As a result, the IOM submitted a proposal for the study, Project 
2., to the CDC. The proposed study is consistent with the mission of 
the CDC. Completion of the study and efficient implementation of its 
findings and recommendations requires that the work be performed with 
an unquestionable level of objectivity, that it have immediate 
credibility, and carry a high degree of public acceptance. IOM is the 
only body of American scholars fulfilling the requirement for this 
study.
    In accordance with Executive Order 12832, when CDC determines that 
IOM, because of its unique qualifications, is the only source that can 
provide the expertise, independence, objectivity, and audience 
acceptance necessary to meet program requirements, services of the 
Academy may be obtained on a noncompetitive basis if otherwise in 
accordance with applicable laws and regulations.

Executive Order 12372 Review

    This program is not subject to the Executive Order 12372 review.

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

Human Subjects

    If the proposed project involves research on human subjects, the 
applicant must comply with the Department of Health and Human Services 
Regulations (45 CFR Part 46) regarding the protection of human 
subjects. Assurance must be provided to demonstrate that the project 
will be subject to initial and continuing review by an appropriate 
institutional review committee. The applicant will be responsible for 
providing assurance in accordance with the appropriate guidelines and 
form provided in the application kit.

HIV/AIDS Requirements

    The recipient must comply with the document entitled Content of 
AIDS-Related Written Materials, Pictorials, Audiovisuals, 
Questionnaires, Survey Instruments, and Educational Sessions (June 
1992) (a copy is in the application kit). To meet the requirements for 
a program review panel, the recipient is encouraged to use an existing 
program review panel, such as the one created by the District of 
Columbia health department's HIV/AIDS prevention program. If the 
recipient forms its own program review panel, at least one member must 
be an employee (or a designated representative) of a State or local 
health department. The names of the review panel members must be listed 
on the Assurance of Compliance form CDC 0.1113, which is also included 
in the application kit. The recipient must submit the program review 
panel's report that indicates all materials have been reviewed and 
approved.
    Before funds can be used to develop HIV/AIDS-related materials, 
determine whether suitable materials are already available at the CDC 
National AIDS Clearinghouse.

Where To Obtain Additional Information

    If you are interested in obtaining additional information regarding 
this project, please refer to Announcement Number 499 and contact Locke 
Thompson, Grants Management Specialist, Grants Management Branch, 
Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry 
Road, NE., Room 300, Mailstop E-18, Atlanta, Georgia 30305, telephone 
(404) 842-6508.
    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 ``Summary'' may be obtained through the 
Superintendent of Documents, Government Printing Office, Washington, DC 
20402-9325, telephone (202) 783-3238.

    Dated: August 30, 1994.
Joseph R. Carter,
Acting Associate Director for Management and Operations, Centers for 
Disease Control and Prevention (CDC).
[FR Doc. 94-21832 Filed 9-2-94; 8:45 am]
BILLING CODE 4163-18-P