[Federal Register Volume 61, Number 110 (Thursday, June 6, 1996)]
[Notices]
[Pages 28867-28872]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-14172]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Announcement 646]
National Institute for Occupational Safety and Health; Community
Partners for Healthy Farming
Introduction
The Centers for Disease Control and Prevention (CDC) announces the
availability of fiscal year (FY) 1996 funds for cooperative agreements
for the Community Partners for Healthy Farming (CPHF), a program with a
dual purpose: to conduct community-based and action-oriented health and
safety surveillance and to pilot and evaluate interventions that can
reduce or prevent work related injuries and illnesses in farm workers
and their families.
The CDC is committed to achieving the health promotion and disease
prevention objectives of Healthy People 2000, a national activity to
reduce morbidity and mortality and improve the quality of life. This
announcement is related to the priority area of Occupational Safety and
Health. (For ordering a copy of Healthy People 2000, see the Section
Where To Obtain Additional Information.)
Authority
This program is authorized under Section 20(a) of the Occupational
Safety and Health Act of 1970 (29 U.S.C. 669(a)).
Smoke-Free Workplace
The CDC 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, governments and their agencies. Eligible
applicants include domestic nonprofit organizations, official public
health agencies of States, universities, colleges, research
institutions, and other public and private organizations or their bona
fide agents, federally recognized Indian tribal governments, Indian
tribes or Indian tribal organizations, and small, minority- and/or
women-owned businesses. CDC/NIOSH encourages the formation of
partnerships between public health, research organizations and
community based groups serving agricultural populations.
Note: Organizations described in Section 501(c)(4) of the
Internal Revenue Code of 1986 which engage in lobbying activities
are not eligible for the receipt of Federal grants or cooperative
agreements.
Availability of Funds
Approximately $1,600,000 is available in FY 1996 to fund
approximately 9-16 awards. It is expected that for the seven to twelve
sentinel event surveillance projects the average award will be
approximately $95,000, ranging from $55,000 to $105,000. It is
anticipated that for the three to six intervention research projects
the average award will be approximately $130,000, ranging from
approximately $45,000 to $175,000. It is further expected that the
awards will be effective on or about September 30, 1996 and will be
made for a 12-month budget period within a project period of up to
three years. Funding estimates may vary and are subject to change.
CDC/NIOSH does not intend to fund more than one surveillance
application per State, and intervention funding decisions may be made
to assure an appropriate geographic distribution of awardees.
Continuation awards within the project period will be made based on
satisfactory progress and the availability of funds.
Recipient Financial Participation
CDC strongly encourages in-kind and other financial support by non-
Federal agencies such as community and State organizations as well as
private businesses (e.g., machinery and farm implement dealers). Such
support will promote the continuation of efforts to prevent illness and
injury in agriculture after the cessation of funding under this
announcement.
Purpose
Surveillance
The purpose of the surveillance component of this announcement is
to conduct on-going, action-oriented surveillance of agriculture-
related disease, injury, and hazards in agricultural communities. This
component continues surveillance efforts begun in 1990 under the
Occupational Health Nurses in Agricultural Communities (OHNAC) program.
The OHNAC program conducted community-based surveillance and
intervention efforts and during a five-year period placed approximately
32 nurses in communities in ten States. These nurses conducted
surveillance for illness and injury sentinel health events in their
communities, developed strong partnerships with agricultural and
health-care communities, and have focused public health attention on
problems affecting farmers, farm workers, and farm families. Each State
conducted case-based surveillance with varying methodologies as to case
definition, geographic regions targeted, intensity of active vs.
passive surveillance, and reporting sources (Connon et al., 1993).
While generally successful, some surveillance efforts were limited by
factors including the lack of reporting laws in some States, reliance
on self-reporting of incidents by workers themselves, and lack of
consistent case definitions between States. There was more efficient
use of staff time for both surveillance and interventions when nurses
focused work in a geographic region that kept travel time to a minimum
but permitted expansion of both surveillance and interventions to
larger geographic regions for investigation of specific occurrences or
dissemination of findings.
Surveillance-driven prevention efforts in OHNAC have included the
dissemination of surveillance findings
[[Page 28868]]
and recommendations for intervention including publications in trade
periodicals; peer reviewed journals, an issue of a nursing journal
dedicated to agricultural health (AAOHN, 1993); CDC's Morbidity and
Mortality Weekly Report; and targeted mailings of NIOSH Updates and
Alerts. Some of these sentinel events have included scalpings of women
from inadequately protected rotating shafts; fatalities and injuries
related to grain bins, manure pits, forage wagons, and augers; nicotine
poisoning from dermal absorption during tobacco harvesting; cumulative
trauma related to hand harvesting; eye injuries; tetanus; stress;
carbon monoxide (CO) poisoning related to the use of small engines; and
children on farms. Because of OHNAC and other NIOSH surveillance, The
U.S. Environmental Protection Agency (EPA), Consumer Product Safety
Commission (CPSC), Occupational Safety and Health Administration (OSHA)
and NIOSH are collaborating on prevention of CO poisoning related to
the use of small engines. Some of these findings (i.e., scalpings, CO
poisoning, and nicotine poisoning), by virtue of their not being among
commonly reported or researched occurrences in agriculture, may not
have been detected by other than such community-based surveillance.
Intervention
The prevention intervention component contributes to the prevention
of occupationally related disease and injury in the agriculture
industry through community-based demonstration or intervention projects
aimed at piloting and evaluating regulatory, behavioral, education,
control or other preventive interventions. It is intended that this be
accomplished by linking those with research expertise to agricultural
community groups or populations in order that prevention interventions
are piloted and evaluated within the agricultural working population.
The focus for agricultural workplace safety and health intervention
efforts can include specific engineering control technologies,
information dissemination and health communication practices, worker/
management participatory safety and health programs, and family and
community safety and health training. Although many intervention
strategies have been applied to various work settings, knowledge about
what works best is limited. Employers, owner-operators, agricultural
workers, public decision makers, cooperative extension services agents,
and others need this information to make informed decisions about which
prevention strategies work well and support the use of limited
resources. Research is needed to pilot and evaluate prevention
intervention efforts which, if successful, will be adoptable on a wider
scale in a region or throughout the nation. This work should be done in
cooperation with agricultural workers and employers to assure
consideration of the economic and organizational factors that determine
if interventions will be adopted. Cultural, educational, gender,
geographical and other related attributes of targeted populations will
influence how safety and health messages are designed, distributed and
received. Farm workers (including migrant, seasonal, minority, and
permanent employees as well as women and children of the agricultural
community) and agricultural organizations should join efforts to
identify appropriate techniques for information dissemination and
develop outcome measurements which can be utilized to determine the
effectiveness of various dissemination efforts.
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/NIOSH will be responsible for the
activities listed under B. (CDC/NIOSH Activities):
A. Recipient Activities
Surveillance
1. Select community-based staff with appropriate expertise who have
the skills to communicate effectively with both individuals and groups
in those communities, and preferably, with occupational and public
health expertise. While in the OHNAC project, nurses, supplemented by
partners in State health departments, Cooperative Extension,
Agricultural Centers, the community, etc. effectively assumed this
responsibility, NIOSH realizes that individuals with various
backgrounds and training may also be appropriate.
2. Identify a suitable location, as appropriate, for the physical
assignment of community-based staff, most likely in a local or county
health department or community health center, an agricultural extension
service office, hospital or other location that serves the needs of
that agricultural community, and where access to agricultural, migrant
and seasonal workers, their families, and extension agents would be
facilitated.
3. Collaborate with other on-going occupational and agricultural
health and safety activities in the State or region. These could
include the following CDC/NIOSH-supported programs: the Farm Family
Health and Hazard Surveillance (FFHHS) project; Agricultural Health
Promotion Systems (AHPS); regional Centers for Agricultural Disease and
Injury Research, Education and Prevention, the Sentinel Event
Notification System for Occupational Risks (SENSOR) and the Fatality
Assessment, Control and Epidemiology (FACE) program. In the OHNAC
program, members of the Cooperative Extension Service, at both the
State and local level, were invaluable partners in successful efforts.
4. Develop and adhere to a timetable for planning and implementing
this project.
5. Provide training and orientation of staff to occupational safety
and health principles and concepts in surveillance and reporting; in
securing expertise and assistance to community-based staff and local
health officials; in securing appropriate technical support
(engineering/industrial hygiene expertise and data analysis) ranging
from site investigations to supplying handout literature; and in the
final evaluation of proposed activities.
6. Ensure that community-based staff have personal computers and
modems with the capability to link with CDC/NIOSH, the State or
Territorial Health Department for reporting cases, requesting technical
assistance, and other needs. This will permit timely responses from
health personnel and timely requests for site investigations when
appropriate. Each award recipient will participate in an electronic
forum (currently via CDC/WONDER) for communication among and between
CDC/NIOSH, other award recipients, and community-based staff.
7. Develop, implement and maintain a community-based system of
reporting agricultural job-related diseases and injuries in locales
that are representative of agriculture in the State or are otherwise
appropriate for selected condition(s) and would most benefit from such
surveillance.
a. Incident reports should be sought systematically in accordance
with the planned surveillance system and other appropriate sources.
These may include, but are not limited to: emergency rooms, hospital
admission and discharge summaries, physicians' offices and directly
from agricultural workers (who may not seek professional health
services for occupational health concerns).
b. Incident reports should range from brief summaries of relatively
unimportant events to detailed descriptions of more notable events or
[[Page 28869]]
conditions. Current exposure information on machinery and equipment
used by agricultural workers, including typical operating times and
circumstances, may also be included.
c. Ensure, regardless of selected topics, that the proposed
surveillance system maintains a strong capacity to recognize and
respond to unforseen occurrences in the target communities.
8. Develop a plan for selecting events that, because of their
public health importance (severity, number of workers potentially
affected, potential preventability, likelihood of providing new
information, need to increase awareness in health or agricultural
communities, etc.) merit further investigation. These events could
include fatalities, multiple occurrences or single occurrences
affecting multiple individuals, occurrences of new or emerging
problems, conditions that are of particular importance to agriculture.
a. Report such important events to CDC/NIOSH within one week of
ascertainment by project staff. Such reporting is not expected for all
events but is especially important for events that may require timely
responses, involve CDC/NIOSH in its investigation, or potential need to
expand investigation or public health response to other States. These
reports are expected to be brief descriptions and may be transmitted
electronically. (Examples from the OHNAC project include carbon
monoxide poisoning related to small engines, green tobacco sickness,
and suffocation in wells related to flooding.)
9. Develop a process of follow-back investigations of selected
cases with agricultural workers and families. The purpose of such
investigations is to ascertain preventable causes of illnesses and
injuries leading to the development and dissemination of disease and
injury prevention strategies. Depending on the importance of the
problem, follow-back could range from a brief review of records and/or
telephone contact to a detailed site investigation involving multiple
disciplines. As indicated, applicants will collaborate with appropriate
public health professionals, technical advisors (e.g., agricultural
engineers), county extension agents, agricultural workers, agricultural
worksite owners, CDC/NIOSH staff, other health department personnel in
plan development and implementation.
a. Data could include descriptive information on prevention efforts
that: (a) could have prevented injury or illness, (b) could have
diminished injuries or illness, (c) were used that prevented further
illness or injury in this (e.g., machine guard may have prevented
amputation) or (d) have been initiated since the incident and are
likely to diminish the risk for further incidents.
10. Provide sensitive, confidential attention to reported cases,
including case confirmation and determination of appropriate follow-up.
11. Evaluate the scientific and operational aspects of the
surveillance project, including aspects of completeness, public health
impact and the generalizability of methods and findings to other
settings.
12. Transmit data (case reports, etc.) in an electronic format to
CDC/NIOSH in established timeframes (e.g., quarterly).
13. Disseminate, via appropriate media and partners, findings and
recommendations to affected populations, public health authorities and
the scientific community.
Intervention
1. Develop a scientific protocol for the specific intervention
which encompasses the following elements:
a. Design and implementation of intervention(s) based on a
collaborative effort between those with scientific expertise and those
who form the community base; and
b. Identification of the target population and specific description
of the procedures to recruit the target population into the study.
2. Develop and conduct an appropriate independent peer review of
the scientific protocol.
3. Conduct the project and evaluation according to the protocol and
assess results.
4. Disseminate the final results of the project to a wide audience
including, but not limited to, peer-reviewed journal articles,
presentations at professional conferences, and presentations to
agricultural or other client groups.
B. CDC/NIOSH Activities
1. Secure the materials and services of other personnel necessary
to assist and support the activities of the staff.
2. Provide technical assistance, through site visits and other
communication, in all phases of the development, implementation and
maintenance of these cooperative agreements including, but not limited
to: (a) providing guidance on occupational conditions appropriate for
reporting; (b) recommending reporting guidelines; developing case
reporting formats; (c) participating in peer review panels; and (d)
providing CDC/NIOSH publications, educational materials, and other
documents, when appropriate and needed.
3. Foster and facilitate linkages between recipients and other
groups, organizations and agencies involved in agricultural research
and outreach.
4. Provide expertise and assistance to site staff and local
partners, as needed and as resources permit, to assist in problem
identification and resolution, and provide technical support.
5. Participate in the decisions to conduct field investigations and
prevention efforts and respond to incident reports requiring field
follow-up.
6. Provide technical assistance in the evaluation of the results of
the surveillance and intervention activities.
7. Promote and facilitate scientific collaboration, as appropriate.
8. Assist in disseminating surveillance and intervention research
results and relevant health and safety education and training
information to appropriate Federal, State and local agencies, health
care providers, the scientific community, agricultural workers and
their families, management and union representatives and other CDC/
NIOSH collaborators.
9. Collaborate in training and orienting staff to occupational
safety and health principles and concepts in surveillance and
reporting; in securing expertise and assistance to community-based
staff and local health officials; in securing appropriate technical
support (engineering/ industrial hygiene expertise and data analysis)
ranging from site investigations to supplying handout literature; and
in the final evaluation of proposed activities.
10. Cooperate in the development of case definitions that would
allow aggregation of data among States.
Review Process
Upon receipt, applications will be reviewed by CDC staff for:
1. Completeness and Responsiveness
Incomplete applications and applications that are not responsive to
the announcement will be returned to the applicant without further
consideration.
2. Triage
Applications that are determined to be complete and responsive to
the announcement may be subjected to a preliminary evaluation by
reviewers to determine if the application is of sufficient technical
and scientific merit to be competitive. The CDC will withdraw from
further consideration applications judged to be noncompetitive and
promptly notify the
[[Page 28870]]
principal investigator/program director and the official signing for
the applicant organization.
3. Objective Review Process
Those applications judged to be competitive will be further
evaluated by the objective review process. The review will be an
evaluation of the scientific and technical merit of the application
based on the following criteria:
Surveillance
(To fund 7-12 awards at $55,000--$105,000 for up to 3 years)
1. Understanding of the Objectives of the Proposed Agreement (Total
percentage for this section: 12%)
A. Provides a comprehensive statement of the target problem(s),
scope, and purpose of the proposed project to demonstrate complete
understanding of the intent and requirements. This understanding
indicates a clear awareness of the cooperative agreement objectives.
(4%)
B. Ability and willingness to incorporate surveillance for
agricultural occupational health and safety concerns as an integral
part of public health programs for identification, investigation,
control and prevention of agriculture related health injury, illness,
and hazard exposure. (4%)
C. In-kind support by community and State organizations as well as
private businesses (e.g., machinery and farm implement dealers) will
promote the building of the infrastructure for both surveillance and
interventions that are likely to continue after the completion of
Federal funding of this. (4%)
2. Soundness of Approach (Total percentage for this section: 66 %)
A. Documentation of a State reporting requirement that incorporates
agriculturally related injuries and illnesses. Ease of data collection,
follow-back case investigation, and the absence of barriers to
contacting victims are important. (5%)
B. Documented experience conducting surveillance in agriculture.
(4%)
C. Capability to access surveillance data on agricultural injuries,
illnesses, and hazards. Regardless of the presence of reporting
requirements, a clearly defined and preferably tested means of
collecting data is described and documented. This will include easy
access to data sources and health records of victims. Applicants must
document the ability to conduct timely follow-back investigations of
cases and gain access to work sites and agricultural workers to assess
health and safety hazards or to investigate exposures that have
resulted in injury or illness. (6%)
D. Selection of an efficient, cost-effective means of surveillance.
Extent to which surveillance system makes efficient use of staff time.
Ideally, routine activities would encompass a geographic area that does
not require excessive travel time though with provisions for
flexibility. Geographic area(s) is suitable for the selected
surveillance activity. (6%)
E. Documented capacity for creative collaboration and coordination
with local community and/or cooperating organizations and expertise for
the purposes of implementing the proposed surveillance and follow-back
investigations where indicated. (5%)
F. There is a collaborative effort involving the State or
territorial public health agency of the State or its bona fide agent
and other agricultural safety and health projects, e.g., those funded
by CDC/NIOSH. (6%)
G. Valid basis for selection of condition(s); industry subgroups;
and/or populations (children, seasonal workers) to focus upon in this
project, i.e., documented or perceived risk to agricultural workers and
their families in the area. Applicants are encouraged to select at
least one illness-related topic (e.g., respiratory hazards, pesticides,
prevention of noise-induced hearing loss). Efforts targeting specific
industries (e.g., poultry, dairy, pork production) and special
populations are also encouraged. Although the majority of effort is to
be on the selected conditions, participants will be willing and able to
conduct follow-back investigations on other agriculturally related
sentinel events. (7%)
The degree to which the applicant has met the CDC policy
requirements regarding the inclusion of women, ethnic, and racial
groups in the proposed research. This includes:
1. The proposed plan for the inclusion of both sexes and racial and
ethnic minority populations for appropriate representation.
2. The proposed justification when representation is limited or
absent.
3. A statement as to whether the design of the study is adequate to
measure differences when warranted.
4. A statement as to whether the plans for recruitment and outreach
for study participants include the process of establishing partnerships
with community(ies) and recognition of mutual benefits will be
documented.
H. Flexibility regarding target condition, geographic region, and
population with documented ability to respond to important though
relatively rare sentinel events. (5%)
I. Documented technical support or capability (e.g., industrial
hygiene, safety engineering, agricultural engineering) for
investigations of sentinel events and health and safety hazards. Such
support shall be readily available for telephone consultation and on-
site investigations. (6%)
J. A feasible schedule for initiating and accomplishing the
activities of the cooperative agreement. (9%)
K. A feasible approach to evaluation of the surveillance system.
(7%)
3. Personnel (Total percentage points for this section: 22%)
A. Appropriate designation and selection of staff for conducting
community and/or State-wide surveillance activities. Staff will need
(supported by documentation):
1. The expertise, education, and psychosocial skills in order to
effectively interact with the agricultural community and health
professionals alike. (4%)
2. Experience/education in epidemiology, public health,
occupational health and safety, and agriculture. (5%)
3. To have support of the agricultural communities, health
professionals, and others with whom they would interact. (4%)
4. The ability to access and understand medical records. (4%)
5. Documented capacity to conduct epidemiological studies and to
coordinate activities involving State or Territorial Offices, members
of the agricultural community, and health care providers. Staff must
provide assurance of substantial time and resource commitment to the
program. (5%)
B. Human Subjects (Not Scored).
Whether or not exempt from the Department of Health and Human
Services (DHHS) regulations, are procedures adequate for protection of
human subjects? Recommendations on the adequacy of protections include:
(1) protections appear adequate, and there are no comments to make or
concerns to raise, or (2) protections appear adequate, but there are
comments regarding the protocol, or (3) protections appear inadequate
and the Objective Review Group has concerns related to human subjects;
or (4) disapproval of the application is recommended because the
research risks are sufficiently serious and protection against the
risks are inadequate as to make the entire application unacceptable.
C. Budget (Not Scored).
The budget will be evaluated to the extent that it is reasonable,
clearly
[[Page 28871]]
justified, and consistent with the intended use of funds.
Intervention (To Fund 3-6 awards at $45,000--$175,000 for up to 3
years)
Applications will be reviewed and evaluated according to the
following criteria:
1. The extent to which the applicant understands the purpose of the
cooperative agreement and the relevance of the proposal to that
purpose. (10%)
2. The extent to which the proposed goals and objectives are
clearly stated, time-phased, and measurable. The extent to which they
encompass both process and outcome features of the intervention. The
extent to which specific research questions and/or hypotheses are
described. (10%)
3. The extent to which the potential effectiveness of the
intervention is theoretically justified and supported with
epidemiologic, methodological, or behavior research. The extent to
which the intervention is feasible and can be expected to produce the
expected results in the target group. The extent to which the
intervention, its implementation, the development of all necessary
materials, and all necessary training are clearly described. The extent
to which the desired outcomes are specified and definitions of
measurable endpoints are provided. The extent to which the setting in
which the intervention is to be implemented is clearly described and
shown to be adequate for reaching the target group and achieving the
desired objectives. (25%)
4. The extent to which the target group is described and access to
the target group is demonstrated. The extent to which it is
demonstrated that the participation of the target group will be
sufficient to evaluate the intervention in an unbiased fashion.
The degree to which the applicant has met the CDC policy
requirements regarding the inclusion of women, ethnic, and racial
groups in the proposed research. This includes:
a. The proposed plan for the inclusion of both sexes and racial and
ethnic minority populations for appropriate representation.
b. The proposed justification when representation is limited or
absent.
c. A statement as to whether the design of the study is adequate to
measure differences when warranted.
d. A statement as to whether the plans for recruitment and outreach
for study participants include the process of establishing partnerships
with community(ies) and recognition of mutual benefits will be
documented. (15%)
5. The extent to which an evaluation plan has been developed to
determine the success of the pilot intervention or demonstration
project(s) and determine its utility as a public health prevention
strategy with broader application in other communities. (15%)
6. The extent to which the management staff and their working
partners are clearly described, appropriately assigned and have
pertinent skills and experiences. The extent to which the applicant
proposes to involve appropriate researchers and other personnel who
reflect the racial/ethnic composition of the target population. The
extent to which the applicant or a full working partner has the
capacity and facilities to design, implement and evaluate the proposed
intervention. (10%)
7. The extent to which the participants are clearly described and
their qualifications for their component of the proposed work are
explicitly stated. The extent to which the applicant provides proof of
support (e.g. letters of support and/or memoranda of understanding) for
proposed activities as well as commitment to participate from proposed
partners. (15%)
8. Human Subjects (Not Scored).
Whether or not exempt from the DHHS regulations, are procedures
adequate for protection of human subjects? Recommendations on the
adequacy of protections include: (a) protections appear adequate, and
there are no comments to make or concerns to raise, or (b) protections
appear adequate, but there are comments regarding the protocol, or (c)
protections appear inadequate and the Objective Review Group has
concerns related to human subjects; or (d) disapproval of the
application is recommended because the research risks are sufficiently
serious and protection against the risks are inadequate as to make the
entire application unacceptable.
9. Budget (Not Scored).
The extent to which the program budget is reasonable, clearly
justified, and consistent with the intended use of funds.
Executive Order 12372 Review
Applications are subject to the Intergovernmental Review of Federal
Programs as governed by Executive Order 12372. Executive Order 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 Contacts (SPOCs) as early as possible to alert them to the
prospective applications and receive any necessary instructions on the
State process. Indian tribes are strongly encouraged to request tribal
government review of the proposed application. 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.
If SPOCs or tribal governments have any State process
recommendations on applications submitted to CDC, they should forward
them to Ron Van Duyne, Grants Management Officer, Grants Management
Branch, Procurement and Grants Office, Centers for Disease Control and
Prevention (CDC), Room 300, 255 East Paces Ferry Road, NE., Atlanta, GA
30305, no later than 60 days after the application deadline date. 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
nongovernmental 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:
A. A copy of the face page of the application (SF 424).
B. A summary of the project that should be titled ``Public Health
System Statement'' (PHSIS), not to exceed one page, and include the
following:
1. A description of the population to be served;
2. A summary of the services to be provided; and
3. 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
The Catalog of Federal Domestic Assistance Number is 93.283.
[[Page 28872]]
Other Requirements
Paperwork Reduction Act
Projects funded through a cooperative agreement that involve
collection of information from ten or more individuals will be subject
to review 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
Regulation, 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. 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
provided in the application kit.
Women and Minority Inclusion Policy
It is the policy of the CDC to ensure that women and racial and
ethnic groups will be included in CDC supported research projects
involving human subjects, whenever feasible and appropriate. Racial and
ethnic groups are those defined in OMB Directive No. 15 and include
American Indian, Alaskan Native, Asian, Pacific Islander, Black and
Hispanic. Applicants shall ensure that women, racial and ethnic
minority population are appropriately represented for research
involving human subjects. Where clear and compelling rationale exist
that inclusion is inappropriate or not feasible, this situation must be
explained as part of the application. In conducting the review of
applications for scientific merit, review groups will evaluate proposed
plans for inclusion of minorities and both sexes as part of the
scientific assessment and assigned score. This policy does not apply to
research studies when the investigator cannot control the race,
ethnicity and/or sex of subjects. Further guidance on this policy is
contained in the Federal Register, Vol. 60, No. 179, Friday, September
15, 1995, pages 47947-47951.
Application Submission and Deadline
The original and two copies of the application PHS Form 5161-1
(Revised 7/92, OMB Control Number 0937-0189) must be submitted to Ron
Van Duyne, Grants Management Officer, Grants Management Branch,
Procurement and Grants Office, Centers for Disease Control and
Prevention (CDC), Mailstop E13, 255 East Paces Ferry Road, NE., Room
300, Atlanta, Georgia 30305, on or before July 10, 1996.
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 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 646. You will receive a complete
program description and 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), 255 East Paces Ferry Road, NE., Room 300,
Mailstop E-13, Atlanta, GA 30305, telephone (404) 842-6546, Internet:
[email protected], fax (404) 842-6513.
Programmatic technical assistance for surveillance may be obtained
from Janet Ehlers, R.N., M.S.N., Occupational Health Nurse, National
Institute for Occupational Safety and Health, Centers for Disease
Prevention and Control (CDC), Division of Surveillance, Hazard
Evaluations and Field Studies, 4676 Columbia Parkway, R-21, Cincinnati,
OH 45226, telephone (513) 841-4205, fax (513) 841-4489, Internet:
[email protected].
Programmatic technical assistance for intervention may be obtained
from Teri Palermo, R.N., Public Health Advisor, National Institute for
Occupational Safety and Health, Centers for Disease Control and
Prevention (CDC), Division of Respiratory Disease Studies, Office of
the Director, 1095 Willowdale Road, Mailstop 219, Morgantown, WV 26505-
2888, telephone (304) 285-5836, fax (304) 285-5723, Internet:
[email protected].
Please refer to Announcement 646 when requesting information and
submitting an application.
There may be delays in mail delivery as well as difficulty in
reaching the CDC Atlanta offices during the 1996 Summer Olympics (July
19 - August 4). Therefore, CDC suggests the following to get more
timely responses to any questions: use Internet/email, follow all
instructions in this announcement, and leave messages on the contact
person's voice mail.
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.
Dated: May 30, 1996.
Diane D. Porter,
Acting Director, National Institute for Occupational Safety and Health
Centers for Disease Control and Prevention (CDC).
[FR Doc. 96-14172 Filed 6-5-96; 8:45 am]
BILLING CODE 4163-19-P