[Federal Register Volume 61, Number 118 (Tuesday, June 18, 1996)]
[Notices]
[Pages 30909-30912]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-15376]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[Announcement 637]


Grant for Injury Control Training and Demonstration Center

Introduction

    The Centers for Disease Control and Prevention (CDC) announces the 
availability of funds in fiscal year (FY) 1996 for a Grant for an 
Injury Control Training and Demonstration Center. CDC is committed to 
achieving the health promotion and disease prevention objectives 
described in ``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 Unintentional Injuries. 
(For ordering a copy of ``Healthy People 2000,'' see the Section Where 
to Obtain Additional Information.)

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Authority

    This program is authorized under Sections 301 and 391 of the Public 
Health Service Act (42 U.S.C. 241 and 280b), as amended. Program 
regulations are set forth in Title 42 of the Code of Federal 
Regulations, Part 52.

Smoke-Free Workplace

    CDC strongly encourages all grant recipients to provide a smoke-
free workplace and promote the non-use of all tobacco products, and 
Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking in 
certain facilities that receive Federal funds in which education, 
library, day care, health care, and early childhood development 
services are provided to children.

Eligible Applicants

    Applications may be submitted by public and private, nonprofit and 
for-profit organizations, and governments and their agencies. Thus, 
universities, colleges, research institutions, hospitals, other public 
and private organizations, 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.
    APPLICATIONS THAT FAIL TO COMPLY WITH THE FOLLOWING REQUIREMENT 
WILL BE CONSIDERED NON-RESPONSIVE, AND WILL BE RETURNED: Applicants 
must demonstrate that they will carry out the activities of this grant 
in a State that is predominately comprised of economically depressed 
rural communities where a relatively large portion of the work force is 
engaged in underground mining, family farming and other rural 
occupations.

    Note: Eligible applicants may enter into contracts and consortia 
agreements and understandings, as necessary, to meet the 
requirements of the program and to strengthen the overall 
application. The intent to use such mechanisms must be stated in the 
application and the nature and scope of work of these mechanisms 
require the approval of CDC.

Availability of Funds

    Approximately $1,350,000 is available in FY 1996 to support both 
direct and indirect costs for one injury control training and 
demonstration center. It is expected that the award will begin 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. Continuation of funding for future 
years will be made on the basis of satisfactory progress, including the 
achievement of milestones towards development of the training, research 
and services components of the center, and the availability of funds. 
Funding for the second and third year of the project is expected to be 
approximately $1,000,000 for each year.

    Note: At the request of the applicant, Federal personnel may be 
assigned to a project area in lieu of a portion of the financial 
assistance.

Purpose

    The purpose of this grant program is to provide support for an 
injury control training and demonstration center in a State 
predominately comprised of economically depressed rural communities 
where a relatively large portion of the work force is engaged in 
underground mining, family farming and other rural occupations.

Program Requirements

    In conducting the activities to achieve the purpose of this 
program, the recipient will be responsible for the following:
    1. Maintain a level 1 trauma center that has established linkages 
with isolated, rural hospitals that provide medical care services in 
communities where economic conditions are depressed and where many 
residents work in occupations, including underground mining and family 
farming that have an increased risk for severe injuries.
    2. Provide a full-time director/coordinator at the level 1 trauma 
center with authority and responsibility to carry out the requirements 
of the program.
    3. Provide qualified staff, other resources, and knowledge to 
implement the components of the program.
    4. Provide a state-of-the-art telecommunications system with 24 
hour capability.
    5. Maintain an applied research program in rural trauma care and 
EMS systems to enhance and extend prevention, acute care and 
rehabilitation services.
    6. Maintain training and continuing education programs for 
emergency physicians, surgeons, trauma nurses, physician assistants, 
and prehospital personnel.
    7. Maintain a population-based trauma registry with uniform case 
criteria and data elements, to be used for trauma care assessment and 
injury surveillance.
    8. Maintain an effective, well-defined working relationships with 
regional and State health agencies that have responsibility for EMS and 
trauma care services.
    9. Provide a plan to ensure continuation of the injury control 
training and demonstration center beyond expiration of grant support.

Evaluation Criteria

    Applications will be reviewed and evaluated according to the 
following criteria:
    1. The applicant's understanding of the problem of addressing rural 
trauma care issues. Applicants must demonstrate that this grant will be 
carried out in a State that is predominately comprised of economically 
depressed rural communities where a relatively large portion of the 
work force is engaged in underground mining, family farming and other 
rural occupations. Applicants must demonstrate a history of addressing 
the special needs of trauma victims engaged in these occupations (15%).
    2. Technical merit, comprehensiveness, and the ability to maintain 
a balance of activities associated with an injury control training and 
demonstration center as outlined in this announcement, including 
summary descriptions (i.e., goals and objectives, rationale, methods, 
and potential outcomes) of all projects proposed for applied research, 
training and continuing education, injury surveillance, and injury 
prevention and intervention activities.
    The degree to which applicants have 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. (30%)
    3. Training and experience of the proposed program director(s) and 
staff. The program director(s) must have an appropriate medical 
training in the field of rural trauma care and technical expertise in 
medical supervision and trauma patient management. The program 
director(s) must also provide assurances of major time commitment to 
the program (20%).

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    4. Appropriateness of facilities, telecommunication systems, and 
linkages with isolated rural community hospitals as described in this 
announcement. Applicants must demonstrate that they have operated a 
statewide computerized rural emergency department-based injury 
surveillance system, and that this system has been used for resource 
planning, and quality assurance. Also, applicants must demonstrate that 
this surveillance system is currently linked with other sources of 
injury data, such as inpatient hospital data, emergency medical 
services data, and highway crash data (20%).
    5. Proposed implementation plan with milestones and schedule for 
initiating and accomplishing the major activities of the grant (15%).
    6. Budget: The budget will be evaluated to the extent that it is 
reasonable, clearly explained, adequately justified, sufficient for the 
proposed project activities, and consistent with the intended use of 
funds. (not scored)
    7. Human Subjects Review: Whether or not exempt from the Department 
of Health and Human Subjects (DHHS) Regulations, are procedures 
adequate for the 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. (not scored)

Executive Order 12372 Review

    Applications are not subject to review by Executive order 12372.

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 93.136.

Other Requirements

Human Subjects

    If the proposed project includes research on human subjects, 
applicants must comply with the DHHS 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.

Paperwork Reduction Act

    Projects that involve the collection of information from 10 or more 
individuals and are funded by the grant will be subject to review and 
approval by the Office of Management and Budget (OMB) under the 
Paperwork Reduction Act. This project received OMB approval June 1995. 
The OMB number is 0920-0364 and expires June 1998.

Women, Racial and Ethnic Minorities

    It is the policy of the Centers for Disease Control and Prevention 
(CDC) and the Agency for Toxic Substances and Disease Registry (ATSDR) 
to ensure that individuals of both sexes and the various racial and 
ethnic groups will be included in CDC/ATSDR-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 populations are appropriately represented in applications 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. This policy does not 
apply to research studies when the investigator cannot control the 
race, ethnicity and/or sex of subjects. Further guidance to this policy 
is contained in the Federal Register, Vol. 60, No. 179, pages 47947-
47951, dated Friday, September 15, 1995.

Application Submission and Deadline

    The original and two copies of the application PHS Form 5161-1 (OMB 
Number 0937-0189) must be submitted to Joanne A. Wojcik, 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, Georgia 30305 
on or before August 13, 1996.

1. Deadlines

    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 which do not meet the criteria in 1.a. or 1.b., above 
are considered late. 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 information call (404) 332-4561. You will be 
asked to leave your name, address and telephone number and will need to 
refer to Announcement 637. You will receive a complete program 
description, information on application procedures and application 
forms. The announcement is also available through the CDC home page on 
the Internet. The address for the CDC home page is
http://www.cdc.gov.
    If you have questions after reviewing the contents of all 
documents, business management assistance may be obtained from Joanne 
A. Wojcik, Grants Management Specialist, Grants Management Branch, 
Procurement and Grants Office, Centers for Disease Control and 
Prevention (CDC), 255 E. Paces Ferry Road, NE., Mailstop E13, Atlanta, 
GA 30305, telephone (404) 842-6535, or INTERNET address 
[email protected].
    Scientific or technical assistance may be obtained from Daniel A. 
Pollock, M.D., Division of Acute Care, Rehabilitation Research, and 
Disability Prevention, National Center for Injury Prevention and 
Control, Centers for Disease Control and Prevention (CDC), 4770 Buford 
Highway, NE., Mailstop F-41, Atlanta, Georgia 30341-3724, telephone 
(770) 488-4031.
    Programmatic technical assistance may be obtained from Paul 
Burlack,

[[Page 30912]]

Division of Acute Care, Rehabilitation Research, and Disability 
Prevention, National Center for Injury Prevention and Control, Centers 
for Disease Control and Prevention (CDC), 4770 Buford Highway, NE., 
Mailstop F-41, Atlanta, Georgia 30341-3724, telephone (770) 488-4031.
    Please refer to Announcement Number 637 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) through the Superintendent 
of Documents, Government Printing Office, Washington, DC 20402-9325, 
telephone (202) 512-1800.
    Atlanta, Georgia will be the host of the 1996 Summer Olympics Games 
(July 19 through August 4, 1996). As a result of this event, it is 
likely that the Procurement and Grants Office (PGO) may experience 
delays in the receipt of both regular and overnight mail deliveries. 
Contacting PGO employees during this timeframe may also be hindered due 
to the possible telephone disruptions.

    Dated: June 11, 1996.
Joseph R. Carter.
Acting Associate Director for Management and Operations Centers for 
Disease Control and Prevention (CDC).
[FR Doc. 96-15376 Filed 6-17-96; 8:45 am]
BILLING CODE 4163-18-P