[Federal Register Volume 60, Number 20 (Tuesday, January 31, 1995)]
[Notices]
[Pages 5935-5940]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-2273]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention
[Announcement 522]


State and Community-Based Childhood Lead Poisoning Prevention 
Program and Surveillance of Elevated Blood Lead Levels in Children, 
Notice of Availability of Funds for Fiscal Year 1995

Introduction

    The Centers for Disease Control and Prevention (CDC) announces the 
availability of funds in fiscal year (FY) 1995 for new and competing 
continuation State and community-based childhood lead poisoning 
prevention programs, and to build statewide capacity to conduct 
surveillance of elevated blood lead levels in children.
    State and community-based programs must (1) assure that children in 
communities with demonstrated high-risk for lead poisoning are 
screened, (2) identify those children with elevated blood lead levels, 
(3) identify possible sources of lead exposure, (4) monitor medical and 
environmental management of lead poisoned children, (5) provide 
information on childhood lead poisoning and its prevention and 
management to the public, health professionals, and policy- and 
decision-makers, (6) encourage and support community-based programs 
directed to the goal of eliminating childhood lead poisoning, and (7) 
build capacity for conducting surveillance of elevated blood lead (PbB) 
levels in children.
    Surveillance grants are to develop and implement complete 
surveillance systems for blood lead levels in children to ensure 
appropriate targeting of interventions and track progress in the 
elimination of childhood lead poisoning.
    Applicants may apply for either a prevention program grant or a 
surveillance grant. Applicants applying for prevention grant funds must 
address surveillance issues in their application.
    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 Environmental Health. (To order a copy of Healthy 
People 2000, see the section WHERE TO OBTAIN ADDITIONAL INFORMATION.) 
[[Page 5936]] 

Authority

    This program is authorized under sections 301(a) (42 U.S.C. 241(a)) 
and 317A (42 U.S.C. 247b-1) of the Public Health Service Act, as 
amended. Program regulations are set forth in Title 42, Code of Federal 
Regulations, Part 51b.

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, and Public Law 103-227, the Pro-Children Act of 1994, 
prohibits smoking in certain facilities that receive Federal Funds in 
which education, library, day care, health care, and early childhood 
development services are provided to children.

Environmental Justice Initiative

    Activities conducted under this announcement should be consistent 
with the Federal Executive Order No. 12898 entitled, ``Federal Actions 
to Address Environmental Justice in Minority Populations and Low-Income 
Populations.'' Grantees, to the greatest extent practicable and 
permitted by law, shall make achieving environmental justice part of 
its program's mission by identifying and addressing, as appropriate, 
disproportionately high and adverse human health and environmental 
effects of lead on minority populations and low-income populations.

Eligible Applicants

    Eligible applicants for State childhood lead poisoning prevention 
programs and surveillance programs are State health departments or 
other State health agencies or departments deemed most appropriate by 
the State to direct and coordinate the State's childhood lead poisoning 
prevention program, and agencies or units of local government that 
serve jurisdictional populations greater than 500,000. This eligibility 
includes health departments or other official organizational authority 
(agency or instrumentality) of the District of Columbia, the 
Commonwealth of Puerto Rico, and any territory or possession of the 
United States. Also eligible are federally recognized Indian tribal 
governments.
    Applicants from eligible units of local jurisdiction must elect to 
either apply directly to CDC as a grantee, or to apply as part of a 
statewide grant application. You cannot submit applications 
simultaneously through both mechanisms.
    For Surveillance Funds only: Eligible applicants must have 
regulations for reporting of PbB levels by both public and private 
laboratories or provide assurances that such regulations will be in 
place within six months of awarding the grant. This program is intended 
to initiate and build capacity for surveillance of childhood PbB 
levels. Therefore, any applicant that already has in place a PbB level 
surveillance activity must demonstrate how these grant funds will be 
used to enhance, expand or improve the current activity, in order to 
remain eligible for funding. CDC funds should be added to blood-lead 
surveillance funding from other sources, if such funding exists. Funds 
for these programs may not be used in place of any existing funding for 
surveillance of PbB levels. Applicants other than State health 
departments must apply in conjunction with their State or territorial 
health department.
    If a State agency applying for grant funds is other than the 
official State health department, written concurrence by the State 
health department must be provided.
    Applicants that currently have Childhood Lead Prevention Grants may 
submit supplements for the surveillance component. These supplements 
must meet all the above eligibility and will be evaluated as a part of 
the surveillance objective review.

Special Consideration

    In order to help empower distressed communities--those that are 
designated as ``Empowerment Zones'' or ``Enterprise Communities'' (EZ/
EC) under the Community Empowerment Initiative [Public Law 103-66-
August 10, 1993], or those that meet the characteristics of those 
areas--special consideration will be given to qualified applicants for 
comprehensive program activities in communities that:
    1. Are characterized by a high incidence of children with elevated 
blood lead levels;
    2. Have high rates of poverty and other indicators of socio-
economic distress, such as high levels of unemployment, and significant 
incidence of violence, gang activity, and crime; and
    3. Provide evidence that their target community has prepared and 
submitted an EZ/EC application to HHS for a ``comprehensive community-
based strategic plan for achieving both human and economic development 
in an integrated manner.''
    Applicants that meet both the program criteria and the EZ/EC 
criteria outlined above, will be awarded points in the objective review 
of their application.

Availability of Funds

State and Community-Based Prevention Funds: Approximately $8,000,000 
will be available in FY 1995 to fund a selected number of new and 
competing continuation childhood lead poisoning prevention programs. 
The CDC anticipates that program awards for the first budget year will 
range from $200,000 to $1,500,000.

    Surveillance Funds: Approximately $200,000 will be available in FY 
1995 to fund a selected number of new and competing continuation grants 
to support the development of PbB surveillance activities. Surveillance 
awards are expected to range from $60,000 to $75,000, with the average 
award being approximately $70,000.
    The new awards are expected to begin on or about July 1, 1995. New 
awards are made for 12-month budget periods within project periods not 
to exceed 3 years. Estimates outlined above are subject to change based 
on the actual availability of funds and the scope and quality of 
applications received. Continuation awards within the project period 
will be made on the basis of satisfactory progress and availability of 
funds.
    These grants are intended to develop, expand, or improve prevention 
programs in communities with demonstrated high-risk populations, and/or 
develop statewide capacity for conducting surveillance of elevated 
blood-lead levels. Grant awards cannot supplant existing funding for 
childhood lead poisoning prevention programs or surveillance 
activities. Grant funds should be used to increase the level of 
expenditures from State, local, and other funding sources.
    Awards will be made with the expectation that program activities 
will continue when grant funds are terminated.

    Note: Grant funds may not be expended for medical care and 
treatment or for environmental remediation of lead sources. However, 
the applicant must provide an acceptable plan to ensure that these 
program activities are appropriately carried out.
     Not more than 10 percent (exclusive of Direct 
Assistance) of any grant may be obligated for administrative costs. 
This 10 percent limitation is in lieu of, and replaces, the indirect 
cost rate.

Purpose

Prevention Grant Program

    State and community health agencies are the principal delivery 
points for childhood lead screening and related medical and 
environmental management activities; however, limited resources have 
made it difficult for agencies to develop and maintain programs for the 
elimination of this [[Page 5937]] totally preventable disease. The 
purpose of this grant program is to provide impetus for the development 
and operation of State and community-based childhood lead poisoning 
prevention programs in high-risk areas, and build capacity for 
conducting surveillance of elevated blood-lead levels in children. 
Grant-supported programs are expected to serve as catalysts and models 
for the development of non-grant-supported programs and activities in 
other States and communities. Further, grant-supported programs should 
create community awareness of the problem (e.g., among community and 
business leaders, medical community, parents, educators, and property 
owners). It is expected that State health agencies will play a lead 
role in the development of community-based childhood lead poisoning 
prevention programs, including ensuring coordination and integration 
with maternal and child health programs; State Medicaid EPSDT programs; 
community and migrant health centers; and community-based organizations 
providing health and social services in or near public housing units, 
as authorized under Section 340A of the PHS Act.
    The prevention grant program will provide financial assistance and 
support to State and community-based government agencies to:
    1. Establish, expand, or improve services to assure that children 
in communities with demonstrated high risk for lead poisoning are 
screened. Screening should focus on (1) making certain children, not 
currently served by existing health care services, are screened, and 
(2) integrating screening efforts with maternal and child health 
programs; State Medicaid programs, such as the Early Periodic 
Screening, Diagnosis, and Treatment (EPSDT) programs; community and 
migrant health centers; and community-based organizations providing 
health and social services in or near public housing units, as 
authorized under Section 340A of the PHS Act, and (3) guaranteeing that 
high-risk children seen by private providers are screened.
    2. Intensify case management efforts to ensure that children with 
lead poisoning receive appropriate and timely follow-up services.
    3. Establish, expand, or improve environmental investigations to 
rapidly identify and reduce sources of lead exposure throughout a 
community.
    4. Develop infrastructure to implement the provisions of the CDC 
Lead Statement, Preventing Lead Poisoning in Young Children (October 
1991).
    5. Develop and implement efficient information management/data 
systems compatible with CDC guidelines for monitoring and evaluation.
    6. Improve the actions of other appropriate agencies and 
organizations to facilitate the rapid remediation of identified lead 
hazards in high-risk communities.
    7. Enhance knowledge and skills of program staff through training 
and other methods.
    8. Based upon program findings, provide information on childhood 
lead poisoning to the public, policy-makers, the academic community, 
and other interested parties.

Surveillance Grant Funds

    The surveillance component of this announcement is intended to 
assist State health departments or other appropriate agencies to 
implement a complete surveillance activity for PbB levels in children. 
Development of surveillance systems at the local, State and national 
levels is essential for targeting interventions to high-risk 
populations and for tracking progress in eliminating childhood lead 
poisoning.
    The childhood blood lead surveillance program has the following 
five goals:
    1. Increase the number of State health departments with 
surveillance systems for elevated PbB levels;
    2. Build the capacity of State- or territorial-based PbB level 
surveillance systems;
    3. Use data from these systems to conduct national surveillance of 
elevated PbB levels;
    4. Disseminate data on the occurrence of elevated PbB levels to 
government agencies, researchers, employers, and medical care 
providers; and
    5. Direct intervention efforts to reduce environmental lead 
exposure.

Program Requirements

Prevention Grant Program

    The following are requirements for Childhood Lead Poisoning 
Prevention Projects:
    1. A full-time director/coordinator with authority and 
responsibility to carry out the requirements of the program.
    2. Ability to provide qualified staff, other resources, and 
knowledge to implement the provisions of the program. Applicants 
requesting grant supported positions must provide assurances that such 
positions will be approved by the applicants' personnel system.
    3. A data management component that supports the development, 
implementation, and maintenance of an automated case management system 
that provides timely and useful analysis and reporting of program data.
    4. A plan to monitor and evaluate all major program activities and 
services.
    5. Demonstrated experience or access to professionals knowledgeable 
in conducting and evaluating public health programs.
    6. Ability to translate program findings to State and local public 
health officials, policy and decision-makers, and to others seeking to 
strengthen program efforts.
    7. Provides information that describes why certain communities were 
selected for program activities, including information on housing 
conditions, income, other socioeconomic factors, and previous surveys 
or activities for childhood lead poisoning prevention.
    8. A comprehensive public and professional information and 
education outreach plan directed specifically to high-risk populations, 
health professionals and paraprofessionals and the public. The plan may 
also address education and outreach activities directed to policy and 
decision-makers, parents, educators, property owners, community and 
business leaders, housing authorities and housing and rehabilitation 
workers, and special interest groups. The plan should be based on a 
needs assessment which: (a) determines the feasibility of a health 
education program; (b) utilizes assessment data interpretations to 
determine priorities for health education programming; and (c) 
identifies the appropriate target population for the program.
    9. Establishment and maintenance of a system to monitor the 
notification and follow-up of children who are confirmed with elevated 
blood lead levels and who are referred to local Public Housing 
Authorities (PHAs).
    10. Effective, well-defined working relationships within public 
health agencies and with other agencies and organizations at national, 
State, and community levels (e.g., housing authorities, environmental 
agencies, maternal and child health programs, State Medicaid EPSDT 
programs; or, community and migrant health centers; community-based 
organizations providing health and social services in or near public 
housing units, as authorized under Section 340A of the PHS Act, State 
epidemiology programs, State and local housing rehabilitation offices, 
schools of public health and medical schools, and environmental 
interest groups) to appropriately address the needs and requirements of 
programs (e.g., data management systems to [[Page 5938]] facilitate the 
follow-up and tabulation of children reported with elevated blood lead 
levels, training to ensure the safety of abatement workers) in the 
implementation of proposed activities. This includes the establishment 
of networks with other State and local agencies with expertise in 
childhood lead poisoning prevention programming.
    11. Activities, services, and educational materials provided by the 
program must be culturally sensitive (i.e., programs and services 
provided in a style and format respectful of cultural norms, values, 
and traditions which are endorsed by community leaders and accepted by 
the target population), developmentally appropriate (i.e., information 
and services provided at a level of comprehension which is consistent 
with learning skills of individuals to be served), linguistically-
specific (i.e., information is presented in dialect and terminology 
consistent with the target population's native language and style of 
communication), and educationally appropriate.
    12. Assurances that income earned by the childhood lead poisoning 
prevention program is returned to the lead program for use by the 
program.
    13. For awards to State agencies, there must be a demonstrated 
commitment to provide technical, analytical, and program evaluation 
assistance to local agencies interested in developing or strengthening 
childhood lead poisoning prevention programs.
    14. SPECIAL REQUIREMENT regarding Medicaid provider-status of 
applicants: Pursuant to section 317A of the Public Health Service Act 
(42 U.S.C. 247b-1) as amended by Sec. 303 of the ``Preventive Health 
Amendments of 1992'' (Pub. L. 102-531), applicants AND current grantees 
must meet the following requirements: For Childhood Lead Poisoning 
Prevention Program services which are Medicaid-reimbursable in the 
applicant's State:
     Applicants who directly provide these services must be 
enrolled with their State Medicaid agency as Medicaid providers.
     Providers who enter into agreements with the applicant to 
provide such services must be enrolled with their State Medicaid agency 
as providers.
    An exception to this requirement will be made for providers whose 
services are provided free of charge and who accept no reimbursement 
from any third-party payer. Such providers who accept voluntary 
donations may still be exempted from this requirement.
    15. For State Prevention Programs, a Surveillance component defined 
as a process which: (1) systematically collects information over time 
about children with elevated PbB levels using laboratory reports as the 
data source; (2) provides for the follow-up of cases, including field 
investigations when necessary; and (3) provides timely and useful 
analysis and reporting of the accumulated data including an estimate of 
the rate of elevated PbB levels among all children receiving blood 
tests.

For Surveillance Grants

    The following are requirements for surveillance only grant 
projects:
    1. A full-time director/coordinator with authority and 
responsibility to carry out the requirements of surveillance program 
activities.
    2. Ability to provide qualified staff, other resources, and 
knowledge to implement the provisions of this program. Applicants 
requesting grant supported positions must provide assurances that such 
positions will be approved by the applicants' personnel system.
    3. Effective, well-defined working relationships with childhood 
lead poisoning prevention programs within the applicants' State.
    4. Revise, refine, and implement, in collaboration with CDC, the 
methodology for surveillance as proposed in the respective program 
application.
    5. Collaborate with CDC in any interim and/or final evaluation of 
the surveillance activity.
    6. Monitor and evaluate all major program activities and services.
    7. Demonstrated experience or access to professionals knowledgeable 
in conducting and evaluating public health programs.
    8. Ability to translate program findings to State and local public 
health officials, policy and decision-makers, and to others seeking to 
strengthen program efforts.

Evaluation Criteria

    The review of applications will be conducted by an objective review 
committee who will review the quality of the application based on the 
strength and completeness of the plan submitted. The budget 
justification will be used to assess how well the technical plan is 
likely to be carried out using available resources. The maximum ratings 
score of an application is 100 points.
    A. The factors to be considered in the evaluation of prevention 
program grant funds are:
    1. Evidence of the Childhood Lead Poisoning Problem (35%) The 
applicant's ability to identify populations and communities at high 
risk, as defined by data from previous screening efforts, environmental 
data, and/or demographic data. (Population-based data or estimates 
should be compared to NHANES III data discussed in the Background and 
Definition Section included in the application kit). Current screening 
prevalence should also be discussed.
    2. Technical Approach (30%) The quality of the technical approach 
in carrying out the proposed activities including:
    (a) Goals and Objectives: The extent to which the applicant has 
included goals which are specific, measurable, and relevant to the 
purpose of this proposal (10 points).
    (b) Approach: The extent to which the applicant provides a detailed 
description of the proposed activities which are likely to achieve each 
objective for the budget period (10 points).
    (c) Timeline: The extent to which the applicant provides a 
reasonable schedule for implementation of the activities (5 points).
    (d) Evaluation: The extent to which evaluation plans address the 
achievement of each objective (5 points).
    3. Applicant Capability (10%) Capability of the applicant to 
initiate and carry out proposed program activities successfully within 
the time frames set forth in the application. Proposed staff skills 
must match the proposed program of work described. Elements to consider 
include:
    (a) Demonstrated knowledge and experience of the proposed project 
director or manager and staff in planning and managing large and 
complex interdisciplinary programs involving public health, 
environmental management, and housing rehabilitation. The percentage of 
time the project manager will devote to this project is a significant 
factor, and must be indicated (5 points).
    (b) Written assurances that proposed positions can and will be 
filled as described in the application (3 points).
    (c) Evidence of institutional capacity, demonstrated by the 
experience and continuing capability of the jurisdiction, to initiate 
and implement similar environmental and housing projects. The applicant 
should describe these related efforts and the current capacity of its 
agency (2 points).
    4. Collaboration (20%)
    (a) Extent to which the applicant demonstrates that proposed 
activities are being conducted in conjunction with, or through, 
organizations with known and established ties in the target 
communities. Evidence of support and [[Page 5939]] participation from 
appropriate community-based or neighborhood-based organizations in the 
form of memoranda of understanding or other agreements of collaboration 
(10 points).
    (b) Extent to which the applicant documents established 
collaboration with appropriate governmental agencies responding to 
childhood lead poisoning prevention issues such as environmental 
health, housing, medical management, etc., through specific commitments 
for consultation, employment, or other activities, as evidenced by the 
names and proposed roles of these participants and letters of 
commitment. Absence of letters describing specific participation will 
result in a reduced rating under this factor (10 points).
    5. Special Consideration for EZ/EC (5%) Special consideration will 
be given to applicants that target program activities in communities 
that:
    (a) Are characterized by a high incidence of children with elevated 
blood lead levels;
    (b) Have high rates of poverty and other indicators of socio-
economic distress, such as those with high levels of unemployment, and 
significant incidence of violence, gang activity, and crime; and
    (c) Are preparing or implementing a comprehensive community-based 
strategic plan for achieving both human and economic development in an 
integrated manner.
    6. 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 grant funds. 
The adequacy of existing and proposed facilities to support program 
activities also will be evaluated.
    B. The factors to be considered in the evaluation of applications 
for Surveillance Program Grant Funds only are:
    1. Surveillance Activity (35%) The clarity, feasibility, and 
scientific soundness of the surveillance approach. Also, the extent to 
which a proposed schedule for accomplishing each activity and methods 
for evaluating each activity are clearly defined and appropriate. The 
following points will be specifically evaluated:
    a. How laboratories report PbB levels.
    b. How data will be collected and managed.
    c. How data quality and completeness of reporting will be assured.
    d. How and when data will be analyzed.
    e. How summary data will be reported and disseminated.
    f. Protocols for follow-up of individuals with elevated PbB levels.
    g. Provisions to obtain denominator data.
    2. Progress Toward Complete Blood-Lead Surveillance (30%) The 
extent to which the proposed activities are likely to result in 
substantial progress towards establishing a complete State-based PbB 
surveillance activity (as defined in the ``PURPOSE'' section).
    3. Project Sustainability (20%) The extent to which the proposed 
activities are likely to result in the long-term maintenance of a 
complete State-based PbB surveillance system. In particular, specific 
activities that will be undertaken by the State during the project 
period to ensure that the surveillance program continues after 
completion of the project period.
    4. Personnel (10%) The extent to which the qualifications and time 
commitments of project personnel are clearly documented and appropriate 
for implementing the proposal.
    5. Use of Existing Resources (5%) The extent to which the proposal 
would make effective use of existing resources and expertise within the 
applicant agency or through collaboration with other agencies.
    6. Budget (Not Scored) The extent to which the budget is 
reasonable, clearly justified, and consistent with the intended use of 
funds.

Executive Order 12372 Review

    Applications are subject to Intergovernmental Review of Federal 
Programs as governed by Executive Order (E.O.) 12372. E.O. 12372 sets 
up a system for State and local government review of proposed Federal 
assistance applications. Applicants (other than federally recognized 
Indian tribal governments) should contact their State Single Point of 
Contact (SPOC) as early as possible to alert them to the prospective 
applications and receive any necessary instructions on the State 
process. For proposed projects serving more than one State, the 
applicant is advised to contact the SPOC for each affected State. A 
current list of SPOCs is included in the application kit. Indian tribes 
are strongly encouraged to request tribal government review of the 
proposed application. If SPOCs or tribal governments have any process 
recommendations on applications submitted to CDC, they should send 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., Atlanta, GA 30305, no 
later than 60 days after the application due date. The Program 
Announcement Number and Program Title should be referenced on the 
document. The granting agency does not guarantee to ``accommodate or 
explain'' State process recommendations it receives after that date.

Public Health System Reporting Requirement

    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 93.197.

Other Requirements

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

Application Submission and Deadline

    The original and two copies of the application (PHS Form 5161-1, 
OMB Number 0937-0189) 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, Atlanta, GA 30305, on or before 
April 14, 1995.
    1. Deadline:
    Applications shall be considered as meeting the deadline if they 
are either:
    A. Received on or before the deadline date, or
    B. Sent on or before the deadline date and received in time for 
submission for the review process. Applicants must request a legibly 
dated U.S. Postal Service Postmark or obtain a legibly dated receipt 
from a commercial carrier or U.S. Postal Service. Private metered 
postmarks shall not be acceptable as proof of timely mailing.
    2. Late Applications:
    Applications which do not meet the criteria in 1.A. or 1.B., above 
are considered late applications. Late applications will not be 
considered in the current competition and will be returned to the 
applicant.
    A one-page, single-spaced, typed abstract must be submitted with 
the application. The heading should include the title of the grant 
program, project title, organization, name and address, project 
director and telephone number. This abstract should be included in the 
``Application Content'' section of the application. [[Page 5940]] 

Where to Obtain Additional Information

    A complete program description, information on application 
procedures and an application package may be obtained from Lisa 
Tamaroff, Grants Management Specialist, 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, GA 30305, telephone (404) 842-6796.
    Please refer to Announcement Number 522 when requesting information 
and submitting any application.
    Technical assistance on prevention activities may be obtained from 
David L. Forney, Chief, Program Services Section, Lead Poisoning 
Prevention Branch, Division of Environmental Hazards and Health 
Effects, National Center for Environmental Health, Centers for Disease 
Control and Prevention (CDC), 4770 Buford Highway NE., Mailstop F-42, 
Atlanta, GA 30341-3724, telephone (404) 488-7330.
    Technical assistance on surveillance activities may be obtained 
from Carol Pertowski, M.D., Medical Epidemiologist, Lead Poisoning 
Prevention Branch, Division of Environmental Hazards and Health 
Effects, National Center for Environmental Health, Centers for Disease 
Control and Prevention (CDC), 4770 Buford Highway NE., Mailstop F-42, 
Atlanta, GA 30341-3724, telephone (404) 488-7330.
    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: January 24, 1995.
Joseph R. Carter,
Acting Associate Director for Management and Operations, Centers for 
Disease Control and Prevention (CDC).
[FR Doc. 95-2273 Filed 1-30-95; 8:45 am]
BILLING CODE 4163-18-P