[Federal Register Volume 61, Number 43 (Monday, March 4, 1996)]
[Notices]
[Pages 8292-8297]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-4860]



-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration


Emergency Medical Services for Children Demonstration Grants

AGENCY: Health Resources and Services Administration HHS.

ACTION: Notice of availability of funds.

-----------------------------------------------------------------------

SUMMARY: The HRSA in collaboration with the National Highway Traffic 
Safety Administration (NHTSA) announces that applications will be 
accepted for fiscal year (FY) 1996 funds for grants authorized under 
section 1910 of the PHS Act. These discretionary grants will be made to 
States or accredited schools of medicine to support projects for the 
expansion and improvement of emergency medical services for children 
(EMSC). Within the HRSA, EMSC grants are administered by the Maternal 
and Child Health Bureau (MCHB).
    This program announcement is subject to the appropriation of funds. 
Applicants are advised that this program announcement is a contingency 
action being taken to assure that should funds become available for 
this purpose, they can be awarded in a timely fashion consistent with 
the needs of the program as well as to provide for even distribution of 
funds throughout the fiscal year. At this time, given a continuing 
resolution and the absence of FY 1996 appropriations for the EMSC 
program, the amount of available funding for this specific grant 
program cannot be estimated.
    The NHTSA participated with the MCHB in developing program 
priorities for the EMSC program for FY 1996. The NHTSA will share the 
Federal monitoring responsibilities for EMSC awards made during FY 1996 
and will continue to provide ongoing technical assistance and 
consultation in regard to the required collaboration/linkages between 
applicants and their Highway Safety Offices and Emergency Medical 
Services Agencies for the State(s). Grantees funded under this program 
are expected to work collaboratively with the State agency or agencies 
administering the Maternal and Child Health (MCH) and the Children with 
Special Health Needs (CSHN) programs under the MCH Services Block 
Grant, Title V of the Social Security Act (42 U.S.C. 701). 

[[Page 8293]]

    The PHS is committed to achieving the health promotion and disease 
prevention objectives of Healthy People 2000, a PHS led national 
activity for setting priority areas. The EMSC grant program will 
directly address the Healthy People 2000 objectives related to 
emergency medical services and trauma systems linking prehospital, 
hospital, and rehabilitation services in order to prevent trauma deaths 
and long-term disability. 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, 
D.C. 20402-9325 (telephone, (202) 783-3238).
    The PHS strongly encourages all grant recipients to provide a 
smoke-free workplace and promote the non-use of all tobacco products. 
In addition, Public Law 103-227, the Pro-Children Act of 1994, 
prohibits smoking in certain facilities (or in some cases, any portion 
of a facility) in which regular or routine education, library, day 
care, health care or early childhood development services are provided 
to children.

ADDRESSES: Grant applications for Emergency Medical Services for 
Children Demonstration Grants (Revised PHS form #5161-1, approved under 
OMB #0937-0189) must be obtained from and submitted to: Grants 
Management Branch, Maternal and Child Health Bureau, HRSA, Room 18-12, 
Parklawn Building, 5600 Fishers Lane, Rockville, Maryland 20857, Attn: 
EMSC, telephone 301-443-1440. You must obtain application materials in 
the mail.
    Federal Register notices and application guidance for MCHB programs 
are available on the World Wide Web via the Internet at address: http:/
/www.os.dhhs.gov/hrsa/mchb. Click on the file name you want to download 
to your computer. It will be saved as a self-extracting (Macintosh or) 
Wordperfect 5.1 file. To decompress the file once it is downloaded, 
type in the file name followed by a . The file will expand to a 
Wordperfect 5.1 file. If you have difficulty accessing the MCHB Home 
Page via the Internet and need technical assistance, please contact 
Linda L. Schneider at 301-443-0767 or ``[email protected]''.
DATES: The application deadline date is April 26, 1996. Competing 
applications will be considered to be on time if they are either 
received on or before the deadline date or postmarked on or before the 
deadline date and received in time for orderly processing. Applicants 
should request a legibly dated receipt from a commercial carrier or the 
U.S. Postal Service, or obtain a legibly dated U.S. Postal Service 
postmark. Private metered postmarks will not be accepted as proof of 
timely mailing.
    Late competing applications or those sent to an address other than 
specified in the ADDRESSES section will be returned to the applicant.

FOR FURTHER INFORMATION CONTACT: Requests for technical or programmatic 
information from MCHB should be directed to Jean Athey, Ph.D., or Mark 
E. Nehring, D.M.D., M.P.H., Division of Maternal, Infant, Child and 
Adolescent Health, Maternal and Child Health Bureau, Health Resources 
and Services Administration, Room 18A-39, Parklawn Building, 5600 
Fishers Lane, Rockville, Maryland 20857, telephone (301) 443-4026. 
Requests for technical or programmatic information from NHTSA should be 
directed to Garry Criddle, R.N., CDR, USCG/USPHS, Department of 
Transportation, NHTSA EMS Division, NTS-42, 400 Seventh Street SW., 
Washington, DC 20590, telephone (202) 366-5440. Requests for 
information concerning business management issues should be directed 
to: Maria Carter, Grants Management Specialist, Grants Management 
Branch, Maternal and Child Health Bureau, at the address listed in the 
ADDRESS section above.
    The EMSC program funds three national EMSC resource centers that 
are available to provide technical assistance and support to 
applicants, particularly in the areas of: (1) understanding EMSC 
terminology; (2) developing a manageable approach to EMSC 
implementation; (3) obtaining local support for the grant application 
process; (4) facilitating development of community linkages for a 
collaborative effort; (5) identifying products of previously-funded 
EMSC projects of interest to potential applicants; (6) offering advice 
on grant writing; and (7) data collection and analysis. Applicants may 
contact: James Seidel, M.D., Ph.D., or Deborah Henderson, R.N., M.A., 
National EMSC Resource Alliance, Research and Education Institute, 
Harbor/UCLA Medical Center, 1001 West Carson Street, Suite S, Torrance, 
CA 90502, telephone 310 328-0720; or Jane Ball, R.N., Dr. P.H., EMSC 
National Resource Center, Children's National Medical Center, Emergency 
Trauma Services, 111 Michigan Ave., N.W., Washington, DC 20010, 
telephone 202 745-5188; or J. Michael Dean, M.D., National EMSC Data 
Analysis Resource Center, University of Utah School of Medicine, 309 
Park Building, Salt Lake City, UT 84112, telephone (801) 588-2360.

SUPPLEMENTARY INFORMATION:

Program Background and Objectives

    The Emergency Medical Services for Children statute (Section 1910 
of the PHS Act, as amended) establishes a program of two-year grants to 
States, through a State-designated agency, or to accredited medical 
schools within States, for projects for the expansion and improvement 
of emergency medical services for children who need treatment for 
trauma or critical illness. For purposes of this grant program, the 
term ``State'' includes the 50 States, the District of Columbia, the 
Commonwealth of Puerto Rico, the Virgin Islands, the Northern Mariana 
Islands, Guam, American Samoa, the Republic of Palau, the Republic of 
the Marshall Islands, and the Federated States of Micronesia. The term 
``school of medicine'' is defined as having the same meaning as set 
forth in Section 799(1)(A) of the PHS Act (42 U.S.C. 295p(1)(A)). 
``Accredited'' in this context has the same meaning as set forth in 
section 799(1)(E) of the PHS Act (42 U.S.C. 295p(1)(E)). It is the 
intent of this grant program to stimulate further development or 
expansion of ongoing efforts in the States to reduce the problems of 
life-threatening pediatric trauma and critical illness. The Department 
does not intend to award grants which would duplicate grants previously 
funded under the Emergency Medical Services Systems Act of 1972 or 
which would be used simply to increase the availability of emergency 
medical services funds allotted to the State under the Preventive 
Health Services Block Grant.

Funding Categories

    There will be three categories of competition for funding this 
year: State planning grants, State systems grants, and targeted issue 
grants. States may apply for only one of the first two categories, but 
are not restricted in applying for the last category.

Category (1): State Planning Grants

    Planning grants are intended for States that have never received an 
EMSC grant and that are not at a stage of readiness to initiate a full-
scale implementation project. States (or medical schools within those 
States) that have not received prior EMSC implementation grants are the 
only applicants eligible for this category. Planning grants are 
designed to enable a State to assess needs and develop a strategy to 
begin to address those needs. 

[[Page 8294]]
Funds may be used to hire staff to assist in the assessment of EMSC 
needs of the State; obtain technical assistance from national, State, 
regional or local resources; help formulate a State plan for the 
integration of EMSC services into the existing State EMS plan; and plan 
a more comprehensive grant proposal based upon a needs assessment 
performed during the planning grant project period. A comprehensive 
approach, addressing physical, psychological, and social aspects of 
EMSC along the continuum of care, should be reflected. An ongoing 
working relationship with Federal EMSC program staff and resource 
center staff, beginning with the initiation of a planning grant 
application, is desirable. The project period is for one year only.

Category (2): State Systems Grants

    This category of grants has two subcategories: implementation 
grants and system enhancement grants. For both subcategories, proposals 
are sought which include strategies and/or models to ensure that 
pediatric emergency care is family centered. ``Family centered'' 
includes the following key elements: maximum possible involvement of 
families in all phases of the EMSC continuum of care; clear and 
continuous communication between family members and the emergency care 
team; attention to the psychological needs of all family members; 
cultural competence of providers; consumer (parental) involvement in 
planning and needs assessment; organizational support for the formation 
of parent involvement groups; and ongoing partnerships with such 
groups.
    Applications will not be accepted for both planning grants and 
state systems grants simultaneously from the same State.
Subcategory (A): Implementation Grants
    Implementation grants will improve the capacity of a State's 
Emergency Medical Services program to address the particular needs of 
children. Implementation grants are used to assist States in 
integrating research-based knowledge and state-of-the-art systems 
development approaches into the existing State EMS, MCH and CSHN 
systems, using the experience and products of previous EMSC grantees. 
The program components of these grants should reflect the goals of the 
MCHB/NHTSA Five Year Plan for EMSC. This plan outlines the direction of 
the EMSC program and identifies specific objectives for the program. It 
builds on the 1993 report for EMSC conducted by a blue ribbon Institute 
of Medicine panel. The plan will be included with the application kit. 
Depending upon the appropriation of funds, project periods are up to 
two years. For this competition, we intend to fund applications from 
States (and medical schools within those States) that have not as yet 
received support, or that have received only partial support under this 
program as part of a regional alliance. This means that approved 
applications from States (and medical schools within those States) with 
no or very limited prior EMSC program support will be funded before 
approved applications from outside this group.
Subcategory (B): System Enhancement Grants
    System enhancement grants will fund activities that represent the 
next logical step or steps to take in institutionalizing EMSC 
activities within the State EMS, MCH and CSHN systems and achieving 
program goals outlined in this announcement. The program components of 
these grants should reflect the goals and objectives of the MCHB/NHTSA 
Five Year Plan for EMSC. For example, funding might be used to improve 
linkages between local and regional or State agencies, to develop 
pediatric standards for a region, or to assure effective field triage 
of the child in physical or emotional crisis to appropriate facilities 
and/or other resources. Activities implemented under prior EMSC program 
funding but not completed or made self-sustaining during the original 
implementation project period will not be considered suitable. States 
that have previously received EMSC funds may apply for a system 
enhancement grant, as long as they will not also be receiving 
continuation funding for a State implementation grant during the 
project period of the systems enhancement grant.

Category (3): Targeted Issues Grants

    The third funding category is that of targeted issues grants on 
topics of importance to EMSC. Targeted issues grants are intended to 
address specific, focused issues related to the development of EMSC 
capacity. Proposals under this category must have a well-conceived 
methodology for evaluation of the impact of the activity. The EMSC Five 
Year Plan identifies several activities judged to be appropriate for 
support through targeted issues grants for FY 1996. They include the 
following:
1. Cost-Benefit Analyses Related to EMSC
    Very limited information is available on the costs related to 
different aspects of EMSC, and yet such information is critical to 
decision making. Projects in this category may include topics such as 
the following:
     Analyses of the impact of insurance, managed care, and 
Federal and/or State health care financing policies and protocols on 
pediatric emergency medical services.
     Analyses of the impact of differing reimbursement policies 
in contiguous jurisdictions on pediatric patients.
     Assessment of the marginal incremental cost of different 
approaches to improving EMSC.
     Evaluation of the cost-effectiveness of different EMSC 
program configurations (such as different approaches to medical 
control, categorization, and regionalization).
2. Risk-Taking Behaviors of Children and Adolescents
    Emergency department health professionals are uniquely positioned 
to provide interventions to reduce the incidence of repeated episodes 
when treating a child or adolescent for an injury or medical condition 
(e.g., noncompliant child or adolescent with a chronic condition, such 
as diabetes) resulting from risk-taking behavior. Projects in this 
category can be directed to development and evaluation of materials and 
strategies for emergency departments in one or more of the following 
areas:
     Unintentional injury prevention.
     Violence or suicide prevention.
     Integration of mental health services with preventive 
interventions (injury or medical).
3. Care of Children With Special Health Needs (CSHN)
    An organized system of emergency care is needed for children who 
have special health care needs (children who are respirator dependent, 
children with tracheostomies, indwelling (broviac) catheters, gastric 
tubes, etc.) on discharge from acute care settings. Projects in this 
category can be directed to one or more of the following:
     Development, implementation and evaluation of educational 
or training programs for families.
     Development, implementation, and evaluation of educational 
or training programs for health care providers (e.g., prehospital, 
emergency department, school nurses. etc.).
     Evaluation of models for comprehensive discharge planning.
     Development and evaluation of model injury prevention 
programs for CSHN.
    Projects in this category must demonstrate collaboration and 
linkages 

[[Page 8295]]
among EMS and CSHN agencies, as well as families and other agencies and 
organizations, as appropriate (e.g., schools).
4. EMSC-Related Models for Improving the Care of Culturally Diverse 
Populations
    In emergencies, health care providers are often required to meet 
the needs of linguistically, culturally and ethnically diverse children 
and families, but little training is provided in this area. Projects in 
this category can be directed to one or more of the following:
     Development, implementation and evaluation of education 
and training programs in cultural sensitivity for prehospital 
providers, nurses, and physicians.
     Development (or translation), implementation, and 
evaluation of discharge, injury prevention and health care materials 
for low literacy populations and for culturally and/or ethnically 
diverse populations.
    Projects in this category must demonstrate collaboration and 
linkages among EMS or MCH agencies, acute care facilities, and 
ethnically-oriented community organizations and agencies to assure 
sensitivity to ethnic and cultural issues.
5. Children's Emergencies in Disasters
    Local, regional, and State disaster plans typically do not address 
the training and equipment necessary to meet the special needs of 
children in disasters. Projects in this category should address one or 
more of the seven recommendations identified in the September 21-22, 
1995, Workshop on Children's Emergencies in Disasters, co-sponsored by 
the Maternal and Child Health Bureau, the Federal Emergency Management 
Agency, and the Substance Abuse and Mental Health Services 
Administration (a copy of these recommendations is included in the 
application kit). Examples of projects appropriate for this category 
include the following:
     Development of a strategy to integrate pediatrics into 
existing disaster plans, in particular focusing on the following 
components: Training, equipment, psychosocial support, system access 
and cost reimbursement, shelter services, and mitigation.
     Identification of key data to be collected, collection, 
and analysis of data on children's health and mental health needs in 
disasters.
    Proposals may be submitted on emerging issues that are not included 
in the above list. However, any such proposal must demonstrate 
relevance to the EMSC Five Year Plan and must make a persuasive 
argument that the issue is particularly critical. The justification 
provided should clearly link the activities in the application with the 
Plan's objectives. Current targeted issues grantees may apply for one 
additional year of funding.
    Prospective applicants are urged to contact EMSC program staff well 
in advance of submitting their formal applications, so that the work of 
proposal development can be avoided if the proposed project is 
inappropriate for submission in this category.

Special Concerns

    HRSA's Maternal and Child Health Bureau places special emphasis on 
improving service delivery to women, children and youth from 
communities with limited access to comprehensive care. In order to 
assure access and cultural competence, it is expected that projects 
will involve individuals from the populations to be served in the 
planning and implementation of the project. The Bureau's intent is to 
ensure that project interventions are responsive to the cultural and 
linguistic needs of special populations, that services are accessible 
to consumers, and that the broadest possible representation of 
culturally distinct and historically underrepresented groups is 
supported through programs and projects sponsored by the MCHB. This 
same special emphasis applies to improving service delivery to children 
with special health care needs.
    In keeping with the goals of advancing the development of human 
potential, strengthening the Nation's capacity to provide high quality 
education by broadening participation in MCHB programs of institutions 
that may have perspectives uniquely reflecting the Nation's cultural 
and linguistic diversity, and increasing opportunities for all 
Americans to participate in and benefit from Federal public health 
programs, HRSA will place a funding priority on projects from 
Historically Black Colleges and Universities (HBCU) or Hispanic Serving 
Institutions (HSI) in all categories and subcategories in this notice 
for which applications from academic institutions are encouraged. This 
is in conformity with the Federal Government's policies in support of 
White House Initiatives on Historically Black Colleges and Universities 
(Executive Order 12876) and Educational Excellence for Hispanic 
Americans (Executive Order 12900). An approved proposal from a HBCU or 
HSI will receive a 0.5 point favorable adjustment of the priority score 
in a 4 point range before funding decisions are made.

Evaluation Protocol

    A maternal and child health discretionary grant project, including 
any project awarded as part of the Emergency Medical Services for 
Children Demonstration Grants program, is expected to incorporate a 
carefully designed and well planned evaluation protocol capable of 
demonstrating and documenting measurable progress toward achieving the 
project's stated goals. The protocol should be based on a clear 
rationale relating the grant activities, the project goals, and the 
evaluation measures. Wherever possible, the measurements of progress 
toward goals should focus on health outcome indicators, rather than on 
intermediate measures such as process or outputs. A project lacking a 
complete and well-conceived evaluation protocol as part of the planned 
activities will not be funded.

Public Comment

    If time permits, comments from the public will be accepted on the 
categories, priorities, and preferences described in this notice. 
Public comments received too late for consideration this year will be 
considered in the development of program categories, priorities, or 
preferences for FY 1997. Members of the public should submit any 
comments to: Chief, Grants Management Branch, MCHB, at the address 
listed in the ADDRESS section.

Project Review and Funding

    The Department will review applications in the preceding funding 
categories as competing applications and will fund those which, in the 
Department's view, are consistent with the statutory purpose of the 
program, with particular attention to children from culturally distinct 
populations and children with special health care needs; and that best 
meet the purposes of the EMSC program and address achievement of 
applicable Healthy People 2000 objectives related to emergency medical 
services and trauma systems.

Review Criteria

    The review of applications will take into consideration the 
following criteria:
     For Category (1) State Planning Grants:

--Evidence of the State's commitment to improve pediatric emergency 
care services and to continue with EMSC program implementation. 

[[Page 8296]]

--The adequacy of the applicant's proposed method to identify problems 
and conduct a needs assessment.
--Evidence of the applicant's understanding of obstacles to EMSC 
activity in the past, and the completeness of proposed strategies to 
overcome these obstacles.
--The adequacy of the applicant's proposed planning process for 
improving EMSC.
--The soundness of the methods the applicant will use to: (1) recruit, 
select and assemble appropriate participants, including members of 
culturally distinct populations, with demonstrated expertise and 
experience in EMS; trauma systems; child health issues; and emergency 
care for children; and (2) obtain input from potential consumers (i.e., 
families) of a State EMSC plan.
--Reasonableness of the proposed budget, soundness of the arrangements 
for fiscal management, effectiveness of use of personnel, and 
likelihood of project completion within the proposed grant period.

     For Categories (2) and (3) State Systems and Targeted 
Issues Grants:

--The appropriateness of project objectives and outcomes in relation to 
the specific nature of the problems identified by the applicant.
--The adequacy of the proposed methodology for achieving project goals 
and objectives.
--The soundness of the plan for evaluating progress in achieving 
project objectives and outcomes.
--The adequacy of the plan for organizing and carrying out the project.
--The qualifications and experience of the Project Director and 
proposed staff.
--The reasonableness of the proposed budget and soundness of the 
arrangements for fiscal management.
--The extent to which the project gives special emphasis to the issues 
identified in the Special Concerns section of this notice.

     For Category (2) State Systems Grants only, the following 
additional criteria:

--The adequacy of the applicant's understanding of the problem of 
pediatric trauma and critical illness in the grant locale, including 
the special problems of (a) children with special health needs (CSHN) 
and their families; and (b) minority children and families (including 
Native Americans, Native Hawaiians, and Alaska Natives).
--The extent to which the applicant will employ products and expertise 
of EMSC programs from other States, especially of current and former 
grantees of the Federal EMSC program.
--The adequacy with which the applicant addresses institutionalization 
of the proposed project.
--The extent to which the applicant demonstrates the involvement and 
participation of consumers (e.g., families) and parent advocacy groups 
in planning, needs assessment, and project implementation.
--The extent to which the applicant demonstrates a multi-disciplinary 
approach to EMSC system development, including providers at all levels 
(e.g., physicians, nurses, emergency medical technicians, social 
workers and others appropriate to project activities).
--Evidence that the applicant will collaborate and coordinate with 
other participants in the EMSC continuum, e.g., the State EMS agency; 
the State MCH/CSHN agency; the State Highway Safety Office; other 
relevant State agencies; tribal nations; state and local professional 
organizations; private sector voluntary organizations; business 
organizations; hospital organizations; and any other ongoing Federally-
funded projects in EMS, injury prevention, and rural health.
--The adequacy of the applicant's plan to integrate pediatric emergency 
care into the primary care delivery system.

    For Category (3) Targeted Issues Grants only, the following 
additional criteria:

--The relevance of the proposed project to the MCHB/NHTSA Five Year 
Plan for EMSC.

Eligible Applicants

    No more than one grant under this program will be made in any State 
(to a State or a school of medicine in the State) in any fiscal year. 
Applications for funding will be accepted from States and accredited 
schools of medicine. Applications which involve more than a single 
State will also be accepted. In developing the proposed project, 
applicants must seek the participation and support of local or regional 
trauma centers and other interested entities within the State, such as 
local government and health and medical organizations in the private 
sector. If the applicant is a school of medicine, the application must 
be endorsed by the State. The State's endorsement must acknowledge that 
the applicant has consulted with the State and that the State has been 
assured that the applicant will work with the State on the proposed 
project.
    Any State (or medical school within that State) may apply for any 
category or subcategory of grant, subject to the following 
considerations based on equitable geographic distribution of EMSC 
funds, differences in purpose among EMSC grant categories, and 
variation among States in EMSC program progress:
     For Category (1) Planning Grants, States (or medical 
schools within those States) that have received prior EMSC state 
systems grants may not apply for a planning grant.
     For Category (2)(A) Implementation Grants, applications 
from States (and medical schools within those States) that have not 
previously received EMSC program funds, or that have received only 
partial support under this program as part of a regional alliance, will 
receive preference for funding in this subcategory. This means that 
approved applications from States (and medical schools within those 
States) with no or very limited prior EMSC program support will be 
funded ahead of approved applications from outside this group.
     For Category (2)(B) System Enhancement Grants, States (and 
medical schools within those States) that have previously received EMSC 
funds may apply for a system enhancement grant, as long as they will 
not also be receiving implementation funds during the project period of 
the system enhancement grant. States that have not previously received 
EMSC funds are advised to apply first for implementation category 
funds.
     For Category (3) Targeted Issues Grants, eligibility is 
not affected by previous receipt of other EMSC funding. Applications 
will not be considered for both Category (1) State Planning Grants and 
Category (2) State Systems Grants simultaneously from the same State. 
Funding of an application for a planning grant or for a Category (2)(A) 
implementation grant bars a State from future competitions for that 
category or subcategory.

Allowable Costs

    The HRSA may support reasonable and necessary costs of EMSC 
Demonstration Grant projects within the scope of approved projects. 
Allowable costs may include salaries, equipment and supplies, travel, 
contracts, consultants, and others, as well as indirect costs as 
negotiated and certified. The HRSA adheres to administrative standards 
reflected in the Code of Federal Regulations, 45 CFR Part 92 and 45 CFR 
Part 74. 

[[Page 8297]]


Public Health System Reporting Requirements

    This program is subject to the Public Health System Reporting 
Requirements (approved under OMB No. 0937-0195). Under these 
requirements, community-based nongovernmental applicants must prepare 
and submit a Public Health System Impact Statement (PHSIS). The PHSIS 
is intended to provide information to State and local health officials 
to keep them apprised of proposed health services grant applications 
submitted by community-based nongovernmental organizations within their 
jurisdictions. Community-based non-governmental applicants are required 
to submit the following information to the head of the appropriate 
State and local health agencies in the area(s) to be impacted no later 
than the Federal application receipt due date:
    (a) A copy of the face page of the application (SF 424).
    (b) A summary of the project (PHSIS), not to exceed one page, which 
provides:
    (1) A description of the population to be served.
    (2) A summary of the services to be provided.
    (3) A description of the coordination planned with the appropriate 
State or local health agencies.
    The project abstract may be used in lieu of the one-page PHSIS, if 
the applicant is required to submit a PHSIS.

Executive Order 12372

    This program has been determined to be a program which is subject 
to the provisions of Executive Order 12372 concerning intergovernmental 
review of Federal programs by appropriate health planning agencies, as 
implemented by 45 CFR Part 100. Executive Order 12372 allows States the 
option of setting up a system for reviewing applications from within 
their States for assistance under certain Federal programs. The 
application packages to be made available under this notice will 
contain a listing of States which have chosen to set up such a review 
system and will provide a single point of contact (SPOC) in the States 
for review. Applicants (other than federally-recognized Indian tribal 
governments) should contact their State SPOCs 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. The due date for State process recommendations is 60 
days after the application deadline for new and competing awards. The 
granting agency does not guarantee to ``accommodate or explain'' for 
State process recommendations it receives after that date. (See Part 
148, Intergovernmental Review of PHS Programs under Executive Order 
12372 and 45 CFR Part 100 for a description of the review process and 
requirements).

    The OMB Catalog of Federal Domestic Assistance number is 93.127.

    Dated: February 27, 1996.
Ciro V. Sumaya,
Administrator.
[FR Doc. 96-4860 Filed 3-1-96; 8:45 am]
BILLING CODE 4160-15-P