[Federal Register Volume 60, Number 97 (Friday, May 19, 1995)]
[Notices]
[Pages 26887-26891]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-12325]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
National Institute for Occupational Safety and Health
[Announcement 554]


Enhancing Young Workers' Occupational Health and Safety Through 
Community Education Efforts

Introduction

    The Centers for Disease Control and Prevention (CDC) announces the 
availability of fiscal year (FY) 1995 funds for a cooperative agreement 
program for enhancing young workers' occupational health and safety 
through community education efforts. 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 Occupational Health and 
Safety. (For ordering a copy of Healthy People 2000, see the Section 
Where to Obtain Additional Information.)

Authority

    This program is authorized under Section 21(a) of the Occupational 
Safety and Health Act of 1970 (29 U.S.C. 670(a)).

Smoke-Free Workplace

    The PHS strongly encourages all grant recipients to provide a 
smoke-free workplace and promote the nonuse 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.

Eligible Applicants

    Applications may be submitted by public and private, non-profit and 
for-profit organizations and governments and their agencies. Thus, 
universities, colleges, research institutions, hospitals, other public 
and private organizations, agencies whose principal interest is the 
welfare of youth, State and local governments or their bona fide 
agents, federally recognized Indian tribal governments, Indian tribes 
or Indian tribal organizations and small, minority- and/or women-owned 
businesses are eligible to apply.

Availability of Funds

    Approximately $200,000 is available in FY 1995 to fund one to two 
awards. It is expected that the award(s) will begin on or about 
September 30, 1995, and that the award(s) will be made for a 12-month 
budget period within a project period up to 2 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 the availability of funds. 
[[Page 26888]] 

Purpose

    This award will assist in the development of an intervention to 
raise the awareness of occupational health and safety issues relevant 
to young workers throughout a community. The objectives are: a) to 
recruit both a community and a school district within that community to 
participate in a demonstration project on young worker health and 
safety issues; b) with community and school cooperation, develop 
education and information strategies for adults and for adolescents; c) 
implement those strategies as a demonstration project; and d) evaluate 
the implementation and develop guides for other communities to 
establish and sustain similar efforts. Experience from the project 
should also allow health program planners to develop a process model 
that can be used to extend the intervention to broader geographic 
areas.

Program Requirements

    In conducting activities to achieve the purposes of this program, 
the recipient will be responsible for conducting activities under A. 
(Recipient Activities), and CDC/NIOSH will be responsible for 
conducting activities under B. (CDC/NIOSH Activities).

A. Recipient Activities

    1. Plan and implement a demonstration education program within a 
cooperating community and one (or more) school systems in that 
community.
    2. Advisory Panel. Establish within the community a project-
advisory panel that includes representatives from the community and 
from the school system. The Panel would be responsible for overseeing 
and coordinating the organization and application of all community 
resources to the project. The cooperating entity must use the advisory 
panel to augment its own resources for program activities. An existing 
community committee may be used if that committee: a) already has 
substantial representation from the recruitment list developed as part 
of Item 1, above; b) has both school district and community 
representation; and c) agrees to serve in an advisory capacity to the 
project. The advisory panel will work with the recipient of this 
cooperative agreement but will not direct the activities of the 
organizations directly involved in the cooperative agreement.
Output for This Requirement

    Minutes of all meetings of the advisory panel.
    3. Needs Assessment. Collect relevant data concerning the 
population of young workers in the community and the school system 
using quantitative and qualitative data collection methods. Examples of 
quantitative data are local employment data for both the community and 
the student body, adolescent work permit information, and 
characterization of the local business community that uses young 
workers. Qualitative data includes in depth interviews and/or focus 
groups with students, employers, parents, teachers, public health 
officials and others. Such interviews should result in a community 
portrait of the typical young worker (and his or her employer) in terms 
of knowledge, attitudes, and behaviors related to occupational safety 
and health. Examples of knowledge areas for inquiry must include young 
worker morbidity and mortality, common hazards, employees' and 
employers' legal rights and responsibilities, and other methods of 
hazard control. Examples of attitudes to be measured are occupational 
safety and health concern, perceived susceptibility to injury, and 
perceived social norms for safety and health behaviors. Examples of 
behaviors are (for employers) training and supervision of young 
workers, (for the young workers) adherence to safety and health 
training and use of personal protective equipment. Information should 
also be collected from cooperating community groups as to what would 
help each group contribute to the reduction of occupationally-related 
injury and illness among working youth in the community. This 
information must be used in the education activities described next.

Output for This Requirement

    Using the data collected in this activity, the recipient must 
prepare a summary describing young worker employment in the community, 
knowledge of and attitudes toward young worker occupational safety and 
health among adults and youth, and education needs on this issue for 
both students and adults in the community. The report must include an 
analysis of the implications of the data for the educational 
interventions.
    4. Develop, Demonstrate, and Evaluate Adult Awareness Strategies. 
Using the needs assessment report from the last requirement, the 
recipient must develop, demonstrate, and evaluate customized activities 
whose objectives are to raise the awareness of young worker safety and 
health issues among parents, teachers, employers, public health 
workers, union leaders and other opinion leaders in the community. 
Examples of such activities are presentations to and public information 
campaigns for community groups, business groups, and education groups 
such as parent/teacher organizations and parent/teacher associations. 
Special attention must be devoted to assisting employers in developing 
administrative structures and actions that will prevent young worker 
illness and injury. For example, the recipient might assist in develop 
training materials for young workers at a particular company. This 
would qualify as assistance to adults if it builds the capacity of the 
company's personnel to develop such materials. Teachers in the 
cooperating school must be another important target audience because 
some of them must play a role in the curriculum development for 
students, described in the following requirement. Every activity 
undertaken under this step must be evaluated using either behavioral 
observation, pencil and paper self-report, and/or records methods. 
Changes in knowledge of young worker health and safety issues, 
attitudes toward these issues, and behaviors to protect young workers 
are the outcomes of interest.

Outputs for This Requirement

    (a) A record of strategies developed.
    (b) A record of where, when, and how strategies were used.
    (c) Copies of visual aids and other educational materials used.
    (d) Evaluation protocols, evaluation data collection instruments, 
and evaluation data analysis results.
    5. Develop, Demonstrate, and Evaluate Student Education Strategies. 
Using the ``needs assessment report'' from requirement three, the 
recipient must develop, demonstrate, and evaluate customized activities 
whose objectives are to raise the awareness of young worker safety and 
health issues among high school students in the cooperating school. 
Participation of school faculty (motivated by activities under 
requirement four, above) in this process is very important. Curriculum 
materials and classroom activities should be planned and implemented 
not necessarily comprehensively across the curriculum, but selectively, 
based on the interest and commitment of specific faculty who are 
willing to incorporate work-related safety and health education in 
their courses and to support evaluation efforts. Strategies may also 
(or alternatively) be used in students' extracurricular activities 
(e.g., journalism, performing arts, law clubs, debate societies) if 
there is faculty participation in the implementation of those 
strategies. Every activity undertaken under this step must be 
[[Page 26889]] evaluated using either behavioral observation, pencil 
and paper self-report, or records methods. Changes in knowledge of 
young worker health and safety issues, attitudes toward these issues, 
and behaviors to protect young workers (either self- protection or 
informing others) are the outcomes of interest.
Output for This Requirement

    (a) A record of strategies developed under this requirement.
    (b) A record of where, when, and how the strategies were used.
    (c) Copies of visual aids and other educational materials used.
    (d) Evaluation protocols, evaluation data collection instruments, 
and evaluation data analysis results.
    6. Summary Activities. Design and execute an evaluation plan for 
the entire project that will occur concurrently with the project. It 
must assess community-level, school-level, employer-level, and 
individual-level outcomes. It must feature the evaluations specified as 
outputs from requirements four and five, but it must also assess 
overall impacts of the program. Outcome measures such as pre- and post-
intervention knowledge of and attitudes toward occupational health and 
safety issues among target audiences listed above, workplace behaviors 
of both young workers and their employers, and emergency room visits 
for occupationally-related injuries to youth are examples of what might 
be used to help assess the project's effectiveness. The evaluation must 
draw conclusions from the evaluation data and make recommendations for: 
(a) efforts to sustain the awareness of young worker safety and health 
issues in the demonstration community and school, (b) pilot efforts in 
other communities, and (c) efforts to enlarge this community education 
effort to regional, State, and national levels. The overall evaluation 
must include copies of all outputs from the previous requirements (1-
5). It must also include a model for community-based efforts to 
stimulate an awareness of young workers' safety and health issues and a 
``how to'' guide for communities who might undertake similar efforts. 
Disseminate these results to participants and other interested parties.

Outputs of This Requirement

    (a) An overall evaluation of the program that details evaluation 
protocols, data collection activities, analysis and interpretation of 
data, and recommendations for sustaining and enlarging the program.
    (b) A guide for other communities and school systems to use to 
start and maintain a similar program.
    (c) Recommendations for dissemination of the evaluation document 
and the ``how-to'' guide.
    7. The recipient must collaborate with CDC in the planning of how 
best to extend the work of this project.

B. CDC/NIOSH Activities

    1. Provide technical assistance and consultation, through site 
visits and correspondence, in areas of identifying needs, and program 
development and implementation.
    2. Provide limited scientific and technical consultation in the 
modification of curriculum materials and their subsequent review.
    3. Provide limited graphic design, audio production, video 
production, multimedia production, and other creative services where 
possible to assist the activities of the project.
    4. Provide existing educational or informational materials where 
appropriate and needed, as supplies permit.
    5. Provide technical assistance in the evaluation of the results 
and efficacy of the process used in this project.
    6. Assist in the dissemination of the results of this project to 
other interested groups.
    7. Participate in the planning of the extension of the work of this 
project to broader geographic areas.

Evaluation Criteria

    Applications will be reviewed and evaluated according to the 
following criteria (maximum 100 total points):
1. Background and Need (10%)
    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 young worker health education 
interventions and their evaluation; and
    (b) Demonstrates capacity to conduct the program.
2. Goals and Specific Time-Framed Objectives (15%)
    The extent to which the applicant has included goals and objectives 
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 objectives are 
specific, time-framed, and measurable. The extent to which the 
applicant documents an intention to undertake additional activities to 
either sustain or enlarge this activity should additional funds become 
available.
3. 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 are apparent. The extent to which 
documentation of program organizational location is clear, and shows a 
coordinated relationship among components forming the applicant's 
intervention program. The extent to which position descriptions, 
curriculum vitae, and lines of command are appropriate to 
accomplishment of program goals and objectives. The extent to which 
concurrences with the applicant's plans are specific and documented.
4. Evaluation (30%)
    The extent to which the proposed evaluation system is detailed and 
will document program process, effectiveness (of strategies employed on 
intermediate outcomes), and impacts (of strategies and intermediate 
outcomes on broader outcome measures). 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 for programmatic decisions is included.
5. 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 complimentary or supplementary working interactions. The 
extent to which coalition membership and roles are documented and 
appropriate to the program. The extent to which the relationship with 
local community entities are activity-specific and show evidence of 
specific support. [[Page 26890]] 
6. Budget and Justification (Not Scored)
    The extent to which the applicant provides a detailed budget and 
narrative justification consistent with stated objectives and planned 
program activities. The budget information will be reviewed to 
determine if it 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. 
Indian tribes are strongly encouraged to request tribal government 
review of the proposed application. A current list of SPOCs is included 
in the application kit.
    If SPOCs or tribal governments have any State 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 deadline 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 or tribal process recommendations it receives after 
that date.

Public Health System Reporting Requirements

    This program is subject to the Public Health System Reporting 
Requirements. Under these requirements, all community-based non-
governmental applicants must prepare and submit the items identified 
below to the head of the appropriate State and/or local health 
agency(s) in the program area(s) that may be impacted by the proposed 
project no later than the receipt date of the Federal application. The 
appropriate State and/or local health agency is determined by the 
applicant. The following information must be provided:
    1. A copy of the face page of the application (SF 424).
    2. A summary of the project that should be titled ``Public Health 
System Impact Statement'' (PHSIS), not exceeding one page, and include 
the following:
    a. A description of the population to be served;
    b. A summary of the services to be provided; and
    c. A description of the coordination plans with the appropriate 
State and/or local health agencies.
    If the State and/or local health official should desire a copy of 
the entire application, it may be obtained from the State SPOC or 
directly from the applicant.

Catalog of Federal Domestic Assistance Number

    The Catalog of Federal Domestic Assistance number is 93.263.

Other Requirements

Paperwork Reduction Act

    Projects that involve the collection of information from 10 or more 
individuals and funded by the cooperative agreement will be subject to 
approval by the Office of Management and Budget (OMB) under the 
Paperwork Reduction Act.
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.
    In addition to other applicable committees, Indian Health Service 
(IHS) institutional review committees also must review the project if 
any component of IHS will be involved or will support the research. If 
any American Indian community is involved, its tribal government must 
also approve that portion of the project applicable to it.

Application Submission and Deadline

    The original and two copies of the PHS Form 5161-1 (Revised 7/92, 
OMB Number 0937-0189) must be submitted to Henry Cassell, III, Grants 
Management Officer, Grants Management Branch, Procurement and Grants 
Office, Centers for Disease Control and Prevention (CDC), Mailstop E-
13, 255 East Paces Ferry Road, NE., Room 300, Atlanta, GA 30305, on or 
before July 5, 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 to the independent 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 telephone number and 
will need to refer to Announcement 554. You will receive a complete 
program description, information on application procedures, and 
application forms.
    If you have questions after reviewing the contents of all the 
documents, business management technical assistance may be obtained 
from Oppie Byrd, Grants Management Specialist, Grants Management 
Branch, Procurement and Grants Office, Centers for Disease Control and 
Prevention (CDC), Mailstop E-13, 255 East Paces Ferry Road, NE., Room 
300, Atlanta, GA 30305, telephone (404) 842-6546.
    Programmatic technical assistance may be obtained from Ray 
Sinclair, Television Production Specialist, DTMD, National Institute 
for Occupational Safety and Health, MS C-3, Centers for Disease Control 
and Prevention (CDC), 4676 Columbia Parkway, Cincinnati, OH 45226, 
telephone (513) 533-8172.
    Please refer to Announcement 554 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, 
[[Page 26891]] Washington, DC 20402-9325, telephone (202) 512-1800.

    Dated: May 15, 1995.
Diane D. Porter,
Acting Director, National Institute for Occupational Safety and Health, 
Centers for Disease Control and Prevention (CDC).

References

1. U.S. General Accounting Office, (1991). Child Labor: 
Characteristics of Working Children. Publication No. GAO/HRD-91-
83BR. Washington, D.C.: Author.
2. Castillo KN, Landen DD, Layne LA, (1994). Occupational injury 
deaths of 16- and 17-year olds in the United States. American 
Journal of Public Health 19: 739-45.
3. Layne LA, Castillo DN, Stout N, Cutlip P, (1994). Adolescent 
occupational injuries requiring hospital emergency department data. 
American Journal of Public Health. 84-4: 657-660.
4. Centers for Disease Control, (1983) Surveillance of occupational 
injuries treated in hospital emergency rooms--United States, 1982. 
Morbidity and Mortality Weekly Report 32 (2SS): 713-716.
5. Knight EB, Castillo DN, Layne LA (in press). A detailed analysis 
of work-related injury among youth treated in emergency departments. 
American Journal of Industrial Medicine.
6. Bush D, Baker, R (1994). Young Workers at Risk: Health and Safety 
Education and the Schools. Berkeley, CA: Labor Occupational Health 
Program.
7. Borman KM, Izzo MV, Penn E, Reisman J, (1984). The Adolescent 
Worker. Columbus, OH: National Center for Research in Vocational 
Education.
8. Jackson C, Fortmann SP, Flora JA, Melton RJ, Snider JP, 
Littlefield D, (1994) The capacity-building approach to intervention 
maintenance implemented by the Stanford Five-City Project, Health 
Education Research, 9, 3:385-396.
9. Rogers EM, Shoemaker F (1973). Communication of Innovations. New 
York: Free Press.

[FR Doc. 95-12325 Filed 5-18-95; 8:45 am]
BILLING CODE 4163-19-P