[Federal Register Volume 60, Number 101 (Thursday, May 25, 1995)]
[Notices]
[Pages 27731-27733]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-12834]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention
[Announcement 568]


Community-Based Asthma Intervention Demonstration Programs

Introduction

    The Centers for Disease Control and Prevention (CDC) announces the 
availability of fiscal year (FY) 1995 funds for cooperative agreements 
for the development, implementation, and evaluation of community-based 
asthma intervention demonstration programs.
    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. (For ordering a copy of 
``Healthy People 2000,'' see the section ``Where to Obtain Additional 
Information.'')

Authority

    This cooperative agreement is authorized under the Public Health 
Service Act, section 301 (42 U.S.C. 241).

Smoke-Free Workplace

    PHS strongly encourages all grant recipients to provide a smoke-
free workplace and to 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

    Eligible applicants are the official public health agencies of 
States or their bona fide agents or instrumentalities. This includes 
the District of Columbia, American Samoa, the Commonwealth of Puerto 
Rico, the Virgin Islands, the Federated States of Micronesia, Guam, the 
Northern Mariana Islands, the Republic of Palau, and federally 
recognized Indian tribal governments.
    Only one application from an official agency (State or local) may 
enter the review process and be considered for award under this 
program. Eligible applicants may enter into contracts and consortia 
agreements and understandings as necessary to meet the requirements of 
the program and strengthen the overall application. The intent to use 
the above mechanisms must be stated in the application and the nature 
and scope of work of these mechanisms requires the approval of CDC.

Availability of Funds

    Approximately $200,000 will be available in FY 1995 to fund two 
awards. It is expected that the average award will be $100,000. It is 
expected that the awards will begin on or about September 30, 1995, and 
will be made for a 12-month budget period within a project period of up 
to 2 years.
    Continuation awards within the project period will be made on the 
basis of satisfactory progress and the availability of funds.

Purpose

    The purpose of this project is to develop and test cost-effective, 
community-based asthma interventions which address one or more of the 
environmental risk factors among poor children. The specific objectives 
are:
    A. Develop a community-based intervention program which is 
demonstrated to be cost-effective, can be sustained over time, and can 
serve as a model for other communities;
    B. Evaluate the effectiveness of interventions which are targeted 
at specific risk factors;
    C. Establish a network of public and private organizations and 
individuals within the community who share a common goal of preventing 
morbidity due to asthma among poor and other high-risk children to work 
on improved public education about asthma and its prevention and;
    D. Improve the understanding concerning the prevalence of specific 
environmental risk factors among poor and other high-risk children with 
asthma.

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:
    1. Establish a mechanism for the surveillance of urgent care visits 
for asthma among a target population;
    2. Develop a network of community organizations and individuals who 
share an interest in the health of poor children for the purpose of 
enhanced coordination of efforts aimed at patient and public education 
about asthma;
    3. Measure the prevalence of one or more environmental risk factors 
within a target population and;
    4. Develop, pilot test, and evaluate a community-based asthma 
intervention program focused primarily on one environmental risk 
factor.
    B. CDC Activities:
    1. Sponsor a planning workshop for all recipients and selected 
outside experts;
    2. Collaborate with the recipient in all stages of the project, 
including the design of the protocol and data collection instruments, 
data analysis, interpretation of results, and preparation of written 
reports;
    3. Provide on-site programmatic technical assistance in planning, 
implementing, and evaluating ongoing and innovative program activities;
    4. Participate in improving program performance through 
consultation based on information and activities of other projects and;
    5. Coordinate the activities of all recipients and facilitate the 
exchange of information and experiences among recipients.

Evaluation Criteria

    Applications will be reviewed and evaluated according to the 
following criteria:

1. Understanding the Problem (10 points)

    Evidence of the applicant's understanding of the problem and the 
purpose of the cooperative agreement.

2. Measurable Objectives (25 points)

    The consistency of the measurable objectives with the stated 
purpose of the cooperative agreement and the ability to meet the 
objectives and timetable within the specified period.

3. Proposed Plan (25 points)

    The adequacy of the applicant's plan to carry out the activities 
proposed. Of particular interest is the potential long-term 
sustainability of the intervention and the involvement of community 
organizations. [[Page 27732]] 

4. Management and Staffing Plan (25 points)

    The extent to which the proposal has described (a) the 
qualifications and commitment of the applicant, (b) detailed 
allocations of time and effort of staff devoted to the project, (c) 
information on how the applicant will implement and administer the 
project and (d) the qualifications of the key project staff.

5. Proposed Evaluation Plan (15 points)

    The adequacy of the applicant's plan to monitor progress toward 
meeting the objectives of the project.

6. Budget (not scored)

    The extent to which the budget is reasonable, adequately justified, 
and consistent with the intended use of the cooperative agreement 
funds.

7. Human Subjects (not scored)

    The applicant must clearly state whether or not human subjects will 
be used in research.

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 of each affected State. A 
current list of SPOCs is included in the application kit. If SPOCs have 
any State process recommendations on applications submitted to CDC, 
they should send them to 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, Mailstop E13, Atlanta, Georgia 30305, no later 
than 60 days after the application deadline. The Announcement Number 
and Program Title should be referenced on the documents. The granting 
agency does not guarantee to ``accommodate or explain'' for State 
process recommendations it receives after that date.
    Indian tribes are strongly encouraged to request tribal government 
review of the proposed application. If tribal governments have any 
tribal process recommendations on applications submitted to CDC, they 
should 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., 
Room 300, Mailstop E13, Atlanta, Georgia 30305, no later than 60 days 
after the application deadline. The Announcement Number and Program 
Title should be referenced on the documents. The granting agency does 
not guarantee to ``accommodate or explain'' for tribal process 
recommendations it receives after that date.

Public Health System Reporting Requirements

    This program is not subject to the Public Health System Reporting 
Requirements.

Catalog of Federal Domestic Assistance Number

    The Catalog of Federal Domestic Assistance Number is 93.283.

Other Requirements

Paperwork Reduction Act

    Projects that involve the collection of information from 10 or more 
individuals and funded by 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 appropriate 
institutional review committees. 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. The applicant will be responsible for 
providing assurance in accordance with the appropriate guidelines and 
form provided in the application kit.

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, Mailstop E13, Atlanta, Georgia 30305, 
on or before July 19, 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 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 that 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

    A complete program description, information on application 
procedures, an application package, and business management technical 
assistance may be obtained from Adrienne Brown, 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 E13, Atlanta, Georgia 30305, telephone 
(404) 842-6634. Programmatic technical assistance may be obtained from 
James Rifenburg, Air Pollution and Respiratory Health Branch, Division 
of Environmental Hazards and Health Effects, National Center for 
Environmental Health, Centers for Disease Control and Prevention (CDC), 
Mailstop F39, 4770 Buford Highway, NE., Atlanta, Georgia 30341-3724, 
telephone (404) 488-7320.
    Please refer to Announcement 568 when requesting information or 
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) 512-1800.

    [[Page 27733]] Dated: May 19, 1995.
Joseph R. Carter,
Acting Associate Director for Management, and Operations, Centers for 
Disease Control and Prevention (CDC).
[FR Doc. 95-12834 Filed 5-24-95; 8:45 am]
BILLING CODE 4163-18-P