[Federal Register Volume 61, Number 126 (Friday, June 28, 1996)]
[Notices]
[Pages 33745-33748]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-16546]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Announcement 652]


1996 State Pediatric Nutrition Surveillance Systems

Introduction

    The Centers for Disease Control and Prevention (CDC) announces the 
availability of fiscal year (FY) 1996 funds to support a cooperative 
agreement program in development of the State Pediatric Nutrition

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Surveillance System (PedNSS) to collect, analyze, and disseminate data 
for children aged 5-17 years who are routinely seen for well-child care 
in public health clinics.
    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 areas of Nutrition and Maternal 
and Child Health. (For ordering a copy of ``Healthy People 2000,'' see 
the section ``Where To Obtain Additional Information.'')

Authority

    This program is authorized under sections 301(a) and 317(k)(2) of 
the Public Health Service Act, [42 U.S.C. 241(a) and 42 U.S.C. 
247b(k)(2)], as amended.

Smoke-Free Workplace

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

Eligible Applicants

    Eligible applicants are the official public health agencies of 
States or their bona fide agents. 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 the Marshall Islands, the Republic of Palau, 
and federally recognized Indian tribal governments.
    Eligible applicants must have the ability to collect Statewide data 
on height, weight, anemia status, and sociodemographic information for 
at least 5,000 children, aged 5-17 years who receive well-child care in 
public health clinics. Written documentation must be provided as 
evidence of this ability (a computerized record layout of these 
specified data items may be used as evidence).

Availability of Funds

    Approximately $150,000 is available to fund approximately 3 awards. 
It is expected that the average award will be $50,000, ranging from 
$40,000 to $60,000. It is expected that the awards 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 3 years. Funding estimates may vary 
and are subject to change.
    Continuation awards within the project period will be made on the 
basis of satisfactory performance and availability of funds.

Purpose

    These awards are to assist States to develop and use the PedNSS to 
collect, analyze, and disseminate data for children aged 5-17 years who 
are routinely seen for well-child care in public health clinics.

Program Requirements

    In conducting activities to achieve the purpose of this program, 
the recipient shall be responsible for conducting activities under A., 
and CDC shall be responsible for conducting activities under B.
A. Recipient Activities
    1. Develop and use the PedNSS to collect, analyze, and disseminate 
data for children aged 5-17 years who are routinely seen for well-child 
care by public health clinics.
    2. In accordance with guidelines to be provided by CDC, establish 
and maintain a data system to collect PedNSS data items including 
sociodemographic variables (geographic location, ethnicity, race, age), 
anthropometry (height, weight) and hematology (hematocrit and/or 
hemoglobin) for children aged 5-17 years who receive well-child care in 
public health clinics. If available, additional data items related to 
obesity such as dietary information and physical activity should be 
included in the database.
    3. Develop and carry out procedures to ensure the completeness and 
quality of the data, including training and data editing.
    4. With technical assistance and/or provision of software from CDC, 
produce data for analysis and generation of reports.
    5. Develop and carry out a plan for the analysis, interpretation, 
and use of surveillance data in appropriate prevention and intervention 
programs as needed to reduce the prevalence of thinness, overweight, 
and anemia among older children.
    6. Prepare and disseminate surveillance information, through 
presentation and publication in appropriate forums.
B. CDC Activities
    1. Provide standardized data items, code definitions, and methods 
to collect the desired surveillance information.
    2. Provide training in the appropriate skills to collect 
anthropometric and hematologic data.
    3. Provide technical support for mainframe and personal computer 
software programs available from CDC for data processing and analysis.
    4. Assist States with the analyses, interpretation, and use of the 
surveillance data for program planning and evaluation at the State and 
local level.

Evaluation Criteria (100 Points)

    Applications will be reviewed and evaluated according to the 
following criteria:
A. Statement of Need (5 Points)
    Evidence of the need for data on thinness, overweight, and anemia 
among older children.
B. Goals and Objectives (5 Points)
    The appropriateness of goals, objectives, and whether objectives 
are specific, measurable, time-phased, and feasible.
C. Operational Plan (45 points)
    The adequacy of the plan to develop the PedNSS system:
    1. To collect data on children aged 5-17 years, provide additional 
data items.
    2. To design, test, and provide data in a timely manner.
    3. To assure completeness and quality of data.
    4. To analyze, interpret, and use surveillance data in decision 
making.
    5. To disseminate surveillance findings.
D. Capability (35 Points)
    1. The availability of current and historic Statewide data for 
children aged 5-17 years (such as 100 percent of clinics or service 
providers of the program).
    2. Existing case management system to improve compliance with 
routine well-child clinic visits.
    3. The extent to which key staff have experience with surveillance 
systems and data analysis and evaluation; and evidence of a strong 
working relationship with relevant organizational entities is provided.
E. Project Evaluation (10 Points)
    The appropriateness of the project evaluation to assess:
    1. The completeness and quality of data shared with CDC for 
analysis.
    2. The use of surveillance data for program planning and 
evaluation.

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    3. The dissemination of data through presentations and 
publications.
F. Budget (Not Weighted)
    The extent to which the applicant describes the total amount of 
funds requested in each of the object class categories and clearly 
links the budget items to objectives and activities proposed for the 
budget period.
G. Human Subjects: (Not Weighted)
    Whether or not exempt from the Department of Health and Human 
Services (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.

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 Sharron P. Orum, Grants Management Officer, 
Grants Management Branch, Procurement and Grants Office, Centers for 
Disease Control and Prevention (CDC), 255 East Paces Ferry Road, NE., 
Room 314, mail Stop E-18, Atlanta, Georgia 30305, no later than 30 days 
after the application deadline. The appropriation for this financial 
assistance program was received late in the fiscal year and would not 
allow for an application date which would accommodate the 60-day State 
recommendation process period. The Program Announcement Number and 
Program Title should be referenced on the document. The granting agency 
does not guarantee to ``accommodate or explain'' 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 forward them to Sharron P. Orum, Grants Management Office, 
Grants Management Branch, Centers for Disease Control and Prevention 
(CDC), 255 East Paces Ferry Road, NE., Room 314, Mailstop E-18, 
Atlanta, Georgia 30305. This should be done no later than 30 days after 
the application deadline. 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 the cooperative agreement will be subject to 
review by the Office of Management and Budget (OMB) under the Paperwork 
Reduction Act.
Human Subjects
    If the proposed project involves research on human subjects, the 
applicant must comply with the Department of Health and Human Services 
Regulations, 45 CFR Part 46, regarding the protection of human 
subjects. Assurance must be provided to demonstrate that the project 
will be subject to initial and continuing review by an appropriate 
institutional review committee. 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. Should human subjects review be 
required, the proposed workplan should incorporate timelines for such 
development and review activities.

Application Submission and Deadline

    The original and two copies of the application PHS Form 5161-1 
(Revised 7/92, OMB Number 0937-0189) must be submitted to Sharron P. 
Orum, Grants Management Officer, Grants Management Branch, Procurement 
and Grants Office, Centers for Disease Control and Prevention (CDC), 
255 East Paces Ferry Road, NE., Room 314, Mail Stop E-18, Atlanta, 
Georgia 30305, on or before July 29, 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 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 Application: 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, application package, and business management technical 
assistance may be obtained from Albertha Carey, Grants Management 
Specialist, Grants Management Branch, Procurement and Grants Office, 
Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry 
Road, NE., Room 314, Mail Stop E-18, Atlanta, Georgia 30305, or by 
telephone on (404) 842-6508; by fax on (404) 842-6513; or by Internet 
or CDC WONDER electronic mail at <[email protected]>.
    Technical assistance may be obtained from Diane Clark, Public 
Health Nutritionist, Division of Nutrition, National Center for Chronic 
Disease Prevention and Health Promotion, Centers for Disease Control 
and Prevention (CDC), Mail Stop K-25, 4770 Buford Highway, NE., 
Atlanta, Georgia 30341-3724, or by telephone on (770) 488-4913; by fax 
on (770) 488-4728; or

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by Internet or CDC WONDER electronic mail at <[email protected].
    Please refer to Announcement 652 when requesting information and 
submitting an application.
    Potential applicants may obtain a copy of ``Healthy People 2000'' 
(Full Report; Stock No. 017-001-00474-0) or ``Healthy People 2000'' 
(Summary Report; Stock No. 017-001-00473-1) referenced in the 
``Introduction'' through the Superintendent of Documents, Government 
Printing Office, Washington, DC 20402-9325; telephone (202) 512-1800.
    There may be delays in mail delivery and difficulty in reaching the 
cdc atlanta offices during the 1996 summer olympics. therefore, CDC 
suggests using internet, following all instructions in this 
announcement and leaving messages on the contact person's voice mail 
for more timely responses to any questions.

    Dated: June 24, 1996.
Joseph R. Carter,
Acting Associate Director for Management and Operations, Centers for 
Disease Control and Prevention (CDC).
[FR Doc. 96-16546 Filed 6-27-96; 8:45 am]
BILLING CODE 4163-18-P