[Federal Register Volume 59, Number 189 (Friday, September 30, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-24192]
[[Page Unknown]]
[Federal Register: September 30, 1994]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Announcement 502]
Cooperative Agreement for National Organizations' HIV/AIDS
Prevention and Health Communications Programs; Health Communications/
Behavioral and Social Science Evaluation; and Technical Assistance
Efforts in Support of Social Marketing and Health Communications
Introduction
The Centers for Disease Control and Prevention (CDC) announces the
anticipated availability of fiscal year (FY) 1995 funds for a
cooperative agreement program with national organizations to support
HIV/AIDS prevention and health communications programs; health
communications/behavioral and social science evaluation; and technical
assistance efforts--all in support of social marketing and health
communications. These activities should be designed to increase the
reach, effectiveness, and impact of HIV prevention efforts.
This announcement continues the HIV/AIDS prevention collaboration
between CDC and national organizations that was initiated in 1989 under
Announcement 904, Cooperative Agreements for National Organizations and
Consortiums to Develop and Implement Effective AIDS Information,
Education, and Programs among Constituents.
A cooperative agreement is a legal agreement between CDC and the
recipient in which CDC provides financial and other assistance to, and
has significant Federal programmatic involvement with, the recipient
throughout the project.
For the Nation's HIV/AIDS prevention efforts to succeed, they must
be focused on preventing and reducing behaviors that place individuals
at risk for HIV infection. Among the significant behavioral objectives
necessary for preventing HIV transmission, CDC has adopted the
following three related to sexual behavior:
Young people who are not engaging in any form of sexual
activity will maintain this behavior.
Sexually active people who use condoms consistently and
correctly or are in a relationship with a mutually faithful
relationship with an uninfected partner will maintain these behaviors.
Sexually active people who are not in a mutually faithful
relationship with an uninfected partner will refrain from sexual
activity, choose nonpenetrative sex, or use condoms consistently and
correctly.
These objectives cannot be met without the understanding,
participation, and support of key sectors of the American public.
Coordination, collaboration, and communication between and among all
sectors are crucial for successful HIV prevention. These sectors
include:
1. Public (e.g., health, social services, and education agencies);
2. Voluntary (e.g., civic, social, health and health services, and
youth-serving organizations that deliver education and community
services to the public);
3. Professional and academic, the health communications/behavioral and
social science and social marketing disciplines that must provide a
scientific basis for developing, implementing, refining, and evaluating
HIV prevention efforts to ensure effective, behavior-focused HIV
interventions.
4. Religious;
5. Business and labor; and
6. Media, including print, radio, television, and entertainment media.
CDC has initiated a number of programs that are intended to focus
on, and assist in, the development and implementation of successful HIV
prevention strategies for promoting healthy behavior reducing or
eliminating individual risky behaviors, and strengthening social norms
that contribute to the prevention of HIV. These include the Prevention
Marketing Initiative (PMI) and the Business and Labor Workplace HIV/
AIDS Programs. Specific information regarding these two initiatives is
included within the application package. To support these and other
initiatives there is a need to build the capacity of the sectors
addressed in this program announcement to strengthen HIV prevention
efforts.
CDC has a number of other HIV-related grant programs. This
cooperative agreement targeting national organizations is intended to
complement these other programs and to include organizations essential
for the development of a comprehensive national HIV prevention program.
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 HIV infection. (To order a copy of Healthy People
2000, see the section entitled WHERE TO OBTAIN ADDITIONAL INFORMATION.)
Authority
This program is authorized under sections 301(a) and 317(a) of the
Public Health Service Act, 42 U.S.C. 241(a) and 247b(a), 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
Eligible applicants are national organizations (NOs), including
national minority organizations (NMOs). All applicants must provide
documentation proving that they meet the following criteria:
A. Be an established national (defined by charter or bylaws to
operate nationally), nonprofit organization (a nongovernmental,
nonprofit corporation or association whose net earnings in no part
accrue to the benefit of private shareholders or individuals). Bylaws
and/or charter must be furnished with the application. The following is
acceptable evidence of nonprofit status:
*A copy of a currently valid Internal Revenue Service (IRS) tax
exemption certificate.
B. A national minority organization must furnish a written
statement that more than 50 percent of the board of directors of said
organization are racial or ethnic minority members. Groups recognized
as racial and ethnic populations are: African Americans, Alaskan
Natives, American Indians, Asian Americans, Caribbean Americans,
Latinos/Hispanics, and Pacific Islanders.
Proof of nonprofit and organizational status and other eligibility
criteria must be submitted with the application for determination of
eligibility. No application will be accepted without proof of nonprofit
status.
Assistance will be provided only to national organizations and
national minority organizations as described above. To help prevent the
spread of HIV infection, CDC proposes to support such organizations
which have existing networks and constituents and the capacity to serve
communities across the nation. This ensures that all communities--
urban, suburban, and rural--have both public and private sector
resources to assist them in their prevention efforts.
Availability of Funds
Approximately $5 million is expected to be available in FY 1995 to
fund approximately 20 awards. It is expected that the average award
will be $125,000 per year, ranging from $100,000 to $200,000 per year.
Awards to fund programs planned for national minority organizations may
range between $250,000 and $300,000 per year. In addition, one award of
up to $1,000,000 can be made to support a local condom availability
social marketing demonstration project in three communities. It is
expected that the awards will begin on or about March 1, 1995. 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. Grantees
will be asked to submit yearly continuation applications, including
verification of eligibility requirements.
Programmatic and budget justification are required for all
applications. Applicants requesting funding as national minority
organizations will be considered separately from non-minority
applicants.
Subject to the availability of funds and the receipt of technically
acceptable, fundable applications, at least twelve awards are expected
to be made to national organizations that target business, and labor,
religious, voluntary, media and other appropriate sectors (ranging from
2-5 awards per sector); at least two awards are expected to be made to
national professional or academic organizations, specific to health
communications and/or behavior and social sciences evaluation; at least
one award is expected to be made to a national organization
representing public health; at least one award to a national
organization that is qualified to effectively reach and impact gay,
bisexual, and lesbian audiences; at least two awards to national
minority organizations for health communications; and at least one
award to a national organization to develop and implement a condom
accessibility demonstration project in at least three communities.
Awards will be made for a 12-month budget period within a 3-year
project period. (Budget period is the interval of time into which the
project period is divided for funding and reporting purposes. Project
period is the total time for which a project has been programmatically
approved.) Continuation awards for years 2 and 3 within an approved
project period are made on the basis of satisfactory performance and
the availability of funds.
These funds may not supplant or duplicate existing funding from any
other public or private source. Although contracts with other
organizations are allowable under these cooperative agreement awards,
applicants themselves must perform a substantial portion of the
activities for which funds are requested.
No funds will be provided for patient medical care or purchase of
drugs or vaccines.
Purpose
The purpose of this cooperative agreement is to develop
partnerships with and among national organizations to effectively
extend the reach of CDC's HIV Prevention strategies (Prevention
Marketing Initiative and the Business and Labor Workplace HIV/AIDS
Program) into communities to strengthen social norms that contribute to
the prevention of HIV.
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
under B. (CDC Activities).
A. Recipient Activities
Applicant must develop a program plan based on realistic, specific,
time-phased, and measurable objectives for proposed activities and
services, including technical assistance, for their affiliates,
constituents or members.
The most successful comprehensive social marketing/health
communications programs make individual-level behaviors the central
communications focus while addressing both the individual and the
social systems and networks that influence (predispose, enable, and
reinforce) the behaviors of individuals. Applicant may choose to
conduct one, several, or all of the three Priority Activities listed
below.
Programs developed under any Priority Activity area must be
implemented at the national level, and must be designed to have an
impact, ultimately, at the local level. All programs must be
coordinated with CDC, national, regional, State, and existing social
marketing/health communications programs to prevent duplication of
efforts, i.e., the Prevention Marketing Initiative and the Business and
Labor Workplace HIV/AIDS Program. In addition CDC is currently working
with its national, State, and local HIV prevention partners to
implement the HIV Prevention Community Planning Initiative. An outcome
of this initiative is that each health department recipient of an HIV
prevention cooperative agreement is to develop a comprehensive HIV
prevention plan for its jurisdiction. Programs funded under
Announcement 502 should be consistent with these State and local
comprehensive HIV prevention plans.
This announcement includes provisions to fund national minority
organizations to develop, produce, disseminate, and market health
communications messages on HIV prevention. All such efforts must be
culturally competent and linguistically appropriate for the intended
audience segments.
Priority Activity 1
Participate in a comprehensive prevention marketing program
targeted initially to persons 18 to 25 years of age designed to
decrease HIV risk behaviors, and/or to the social systems and networks,
including communities, that influence, support, and reinforce their
sexual behaviors. Such efforts, including training and technical
assistance, must be undertaken in direct support of, and coordinated
with, CDC's existing Prevention Marketing Initiative.
Program activities may include the creation or utilization of
systems, activities, and interventions that directly influence
individual behavior (these behaviors are those that place individuals
at risk for HIV transmission). They may also include activities
designed to change or sustain individual behaviors by influencing
social systems and networks in relevant sectors of society that will
affect individual behavior. These programs should strengthen the
abilities of public and private national, regional, State, and local
organizations and consortia to provide information, training, and/or
technical assistance to their members, affiliates, or constituencies,
and to apply available resources creatively and effectively to reduce
risk behaviors which contribute to the further spread of HIV.
A national program to demonstrate and evaluate the effectiveness of
an established social marketing program relevant to CDC's Prevention
Marketing Initiative may be undertaken. This program, must be
undertaken in not less than three communities across the country and
must be based upon an already established, on-going, or recently
completed social marketing program.
An example of such a program would be one that uses proven methods
for community engagement and collaboration to involve critical social/
civic community leaders in promoting awareness of condom effectiveness
in preventing disease.
Priority Activity 2
Build the capacity within relevant social systems and/or networks
within a sector of society, and ultimately coordinate with these
systems, to participate in HIV prevention efforts. This can be done by
providing technical assistance, training, and/or information to
organizations representing key sectors of society addressed in this
program announcement (e.g., business and labor, religious, voluntary,
and media).
Execution of this activity would involve the development and
operation of HIV/AIDS technical assistance and training programs to
assist national, regional, State, and/or local organizations within
defined social systems to implement comprehensive, effective HIV
prevention efforts.
Examples of Priority 2 activities would be participation in one or
more of the following programs: (1) the Business and Labor Workplace
HIV/AIDS Program, designed to assist the business and labor sector in
developing and implementing comprehensive workplace HIV/AIDS programs
and to assist business and labor leaders in supporting and
participating in community HIV prevention efforts; (2) a broad effort
to engage and develop the capacity of religious institutions to
participate in HIV prevention and services at the community level; or
(3) a broad effort by a national voluntary or media organization to
educate its constituents, affiliates, and volunteers to participate in
local HIV community planning, education, and service activities.
Priority Activity 3
Support national professional and academic organizations in
transferring technology and information specific to health
communications, social, and behavioral science research and evaluation
to assist governmental and nongovernmental organizations in effective
HIV prevention planning, intervention design, or evaluation.
Priority consideration will be given to applications which propose
to collect, ``translate,'' and disseminate research and evaluation
findings for organizations and constituencies involved in HIV
prevention efforts, including HIV Prevention Community Planning, social
marketing, changing or influencing behaviors or social norms, and other
types of HIV prevention interventions.
Examples of this type of program would include those which (a)
systematically retrieve, analyze, and ``translate'' relevant (published
and/or unpublished) research and evaluation findings for persons
involved in planning programs and designing interventions; or (b)
develop and implement systems for providing technical assistance and
training on behavioral and communications science, and on programmatic
interventions conducted by national, State, and community organizations
(public and private); or (c) is an effort by a national professional
organization of behavioral and social scientists to train and mobilize
its membership to assist local organizations or communities in planning
for HIV prevention and evaluating their local HIV community
interventions.
B. CDC Activities
The Centers for Disease Control and Prevention (CDC) shall
undertake the following activities in support of this announcement:
1. Provide information to, and collaborate with, funded
organizations in developing and implementing short- and long-term plans
for social marketing and health communications for HIV prevention.
2. Provide consultation, assistance, and guidance in planning and
implementing program activities under this announcement including
promotion and publicity related to the project.
3. Assist in identifying, acquiring, or developing appropriate
educational materials to be used in programs.
4. To the extent that CDC has this information, provide up-to-date
scientific information on the following:
Risk factors for HIV/STD transmission
Current HIV infection trends and behavioral practices,
including trends among populations of a specific age, sex, or race/
ethnicity
Prevention and program strategies that have been shown to
be successful in preventing HIV infection
Current knowledge, attitudes, beliefs, and behaviors
related to HIV transmission
Documented determinants of behavior and underlying factors
influencing determinants
5. Provide technical assistance in developing and implementing
evaluation strategies for the program.
6. Facilitate collaboration with other public and private sector
agencies involved in HIV prevention efforts at the national, regional,
State, and community levels.
7. Facilitate the exchange of program information and technical
assistance among other public and private agencies at all levels.
8. Monitor the successful applicants' program activities and
compliance with all programmatic, administrative, and budgetary
requirements.
Evaluation Criteria
Applications will be reviewed and evaluated according to the
following criteria:
I. Review and Evaluation of Application
A. Organizational Capability (30%)
The extent to which the applicant documents: (1) recent experience
of at least 12 months in operating and centrally administering a
coordinated health, health-related, or community-related program which
is national in scope; (2) expertise about social marketing and health
communications, and/or social and behavioral science and/or the extent
to which the applicant documents other relevant expertise in conducting
these types of programs; and (3) ability to access and influence a
particular sector (public, voluntary, religious, business, labor,
media) through a network of affiliates, chapters or constituents/
members to provide HIV-related technical assistance and training on
public health, or related social issues other than HIV, on a national
level (throughout the U.S.) to appropriate target audiences (e.g.,
racial and ethnic minority populations, gay men, sexual partners of
intravenous drug users, and youth).
B. Understanding of the Problem (15%)
The extent to which the applicant demonstrates and documents its
understanding of the types, magnitude, and priority of the unmet
prevention needs of the target audiences, organizations, and agencies
that the proposed program will address.
C. Program Objectives (10%)
The extent to which the proposed objectives are specific,
measurable, time-phased, and consistent with the program purpose, the
proposed activities, and the applicant organization's overall mission.
D. Quality of Plan (25%)
The quality of the applicant's plan for conducting program
activities and the likelihood that the proposed methods will be
successful in achieving proposed objectives.
E. Organizational Experience (10%)
The extent to which the applicant demonstrates support of, and
intended collaboration on, the program plan and activities from
Community Based Organizations (CBOs), health or education agencies, and
other organizations and agencies serving target populations.
F. Evaluation Plan (10%)
The extent to which the evaluation plan measures the achievement of
program objectives and monitors the implementation of proposed
activities or the commitment to implement a collaboratively developed
evaluation plan.
G. Budget Justification and Adequacy of Facilities (not scored)
The budget will be evaluated for the extent to which it is
reasonable, clearly justified, and consistent with the intended use of
cooperative agreement funds.
II. Pre-decisional Site Visits
A. Site visits may be conducted before CDC makes final funding
decisions. Only the organizations with high-ranking applications may be
visited. During the visit, CDC staff will meet with project staff, a
representative of the board of directors, and other applicant
principals to assess the applicant's ability to implement the proposed
program, review the application and program plans for current or
planned activities, and determine the special programmatic conditions
and technical assistance requirements of the applicant.
B. Site visits may also include a recipient capability assessment
by CDC staff, the HHS Inspector General, or an outside CPA audit firm
to ascertain whether existing financial and management systems and
controls are adequate to receive and administer Federal funds.
Funding Priorities
Priority consideration will be given to applications supporting
CDC's HIV/AIDS initiatives in social marketing (i.e., prevention
marketing); health communications; health education/risk reduction;
business and labor, religious, voluntary, and media sector capacity
building and technical assistance programs. These programs are intended
to increase the effectiveness of HIV prevention efforts delivered by
national, State, and local organizations to change the behavior of
specific segments of target audiences.
Public comments are not being solicited regarding the funding
priority because time does not permit solicitation and review prior to
the funding date.
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
The Catalog of Federal Domestic Assistance Number is 93.939, HIV
Prevention Activities--Non-governmental Organization Based.
Other Requirements
A. Recipients must comply with the document entitled Content of
AIDS-Related Written Materials, Pictorials, Audiovisuals,
Questionnaires, Survey Instruments, and Educational Sessions in Centers
for Disease Control (CDC) Assistance Programs (June 1992). To meet the
requirements for a program review panel, recipients are encouraged to
use an existing program review panel, such as the one created by the
State 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 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.
B. Requirement for a Certified Public Accountant (CPA): The
services of a CPA licensed by the State Board of Accountancy or
equivalent must be retained throughout the budget period as a part of
the recipient's staff or as a consultant to the recipient's accounting
personnel. These services may include the design, implementation, and
maintenance of an accounting system to record receipts and expenditures
of Federal funds, in accordance with accounting principles, Federal
regulations, and cooperative agreement terms.
Funds claimed by the recipient for reimbursement under this
cooperative agreement must be audited by an independent CPA. This CPA
for audit must be separate and independent of the consulting CPA in the
above paragraph. This audit must be performed within 90 days after the
budget period, or at the close of an organization's fiscal year. The
audit must be performed in accordance with generally accepted auditing
standards (established by the American Institute of Certified Public
Accountants), governmental auditing standards (established by the
General Accounting Office), applicable Office of Management and Budget
(OMB) Circulars, and any other applicable Federal requirements.
C. Confidentiality of Records: All identifying information obtained
in connection with the provision of services to any person in any
program that is being carried out through a cooperative agreement made
under this announcement shall not be disclosed unless required by a law
of a State or political subdivision or unless written, voluntary
informed consent is provided by persons who receive services.
D. OMB Review: 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 under
the Paperwork Reduction Act.
Application and Submission Deadline
The original and two copies of the application PHS Form 5161-1 must
be submitted to Clara M. Jenkins, Grants Management Officer, Grants
Management Branch, Procurement and Grants Office, Centers for Disease
Control and Prevention (CDC), 255 East Paces Ferry Road, NE., Room 320,
Mailstop E-15, Atlanta, GA 30305, on or before December 22, 1994.
1. Deadline: Applications meet 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 the 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
To receive additional written information call (404) 332-4561. You
will be asked to leave your name, address, and phone number and will
need to refer to Announcement Number 502. You will receive a complete
program description, information on application procedures, and
application forms.
If you have questions after reviewing the contents of the
documents, business management technical assistance may be obtained
from Ron Van Duyne, Grants Management Specialist, Grants Management
Branch, Procurement and Grants Office, Centers for Disease Control and
Prevention (CDC), 255 East Paces Ferry Road, NE., Room 320, Mailstop E-
15, Atlanta, GA 30305, telephone (404) 842-6575. Programmatic technical
assistance may be obtained from Pom Sinnock or Bob Kohmescher, Office
of the Associate Director for HIV/AIDS, Centers for Disease Control and
Prevention (CDC), CDC Headquarters, 1600 Clifton Road, NE., Mailstop E-
25, Atlanta, GA 30333, telephone (404) 639-0975.
Please refer to Announcement Number 502 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: September 26, 1994.
Deborah L. Jones,
Acting Associate Director for Management and Operations, Centers for
Disease Control and Prevention (CDC).
[FR Doc. 94-24192 Filed 9-29-94; 8:45 am]
BILLING CODE 4163-18-P