[Federal Register Volume 61, Number 130 (Friday, July 5, 1996)]
[Notices]
[Pages 35217-35219]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-17098]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention
[Announcement 651]


1996 Demonstration Sites for State Pregnancy and Pediatric 
Nutrition Surveillance Systems

Introduction

    The Centers for Disease Control and Prevention (CDC) announces the 
availability of fiscal year (FY) 1996 funds for a cooperative agreement 
for Demonstration Sites for Pediatric Nutrition Surveillance Systems 
(PedNSS) and State Pregnancy Nutrition Surveillance Systems (PNSS) to 
improve data quality and to add additional questions to these systems.
    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, Maternal 
and Infant Health, and Surveillance and Data Systems. (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 247b(k)(2)], as 
amended.

Smoke-Free Workplace

    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

    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:
    1. Provide evidence that the State is currently participating in, 
and submitting data for, items indicated below in the PedNSS and/or 
PNSS:
    a. If applying to work with the PedNSS system, a minimum of 4 of 
the 5 data items listed in Appendix A should have no more than 40% 
missing data. (A copy of Appendix A will be included in the application 
kit.)
    b. If applying to work with the PNSS system, a minimum of 14 of the 
18 data items listed in Appendix B should have no more than 40% missing 
data. (A copy of Appendix B will be included in the application kit.)
    2. Provide written documentation that each demonstration site 
includes:
    a. A minimum of 1,000 children enrolled in Women, Infants, and 
Children (WIC) are seen in each of at least 10 potential demonstration 
sites per year (PedNSS system only).
    b. A minimum of 300 women enrolled in WIC are seen in each of at 
least 10 potential demonstration sites per year (PNSS system only).

Availability Of Funds

    Approximately $350,000 is available in FY 1996 to fund 
approximately 4 awards, no more than two of which will be made to 
applicants who participate in PedNSS only. It is expected that the 
average award will range from $80,000 to $100,000. 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 progress and the availability of funds.

Purpose

    These awards are to establish demonstration test clinic sites to 
improve the quality of the PedNSS and/or PNSS surveillance; collect 
high quality data; process, analyze, and disseminate data; add new data 
items; and enhance the ability of these systems to monitor nutrition-
related problems of women and children.

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. Establish demonstration sites to: (a) improve the quality of 
data collected by the PedNSS and/or PNSS; (b) expand the PedNSS and/or 
PNSS to include additional data items that are routinely collected in 
public health clinics; and (c) develop standardized questions to add to 
the PedNSS and/or PNSS on two of the following topics: food security, 
dietary information, and physical activity.
    2. Choose potential demonstration sites (clinics, county, or 
agency) based on clinic size, current data quality, geographic 
representation, and ethnic diversity.
    3. Document equipment used, current practices of measuring health 
parameters, and data collection procedures using standard qualitative 
research methods such as focus groups, key informant interviews, etc.
    4. Develop and carry out a plan to assure standardized equipment 
and measurement techniques, training procedures, and data collection 
forms in accordance with guidelines to be provided by CDC.
    5. Include in the surveillance system, information on type of 
formula fed to infants, whether the infant's mother participates in WIC 
(PedNSS only), and risk factors contributing to WIC eligibility. Add 
new standardized

[[Page 35218]]

questions to the data collection form on two of the following three 
topics: food security, dietary information, and physical activity. The 
recipient should be willing to consider including other data items as 
the need arises.
    6. Develop and implement a plan to monitor data collection 
activities.
    7. Develop a plan to assess data quality on an ongoing basis and 
revise practices and techniques as needed.
    8. Evaluate the project in terms of: (a) improvement of data 
quality, (b) feasibility of collecting new data items, and (c) 
usefulness of new data items.
    9. Prepare and disseminate procedures used and findings through 
presentation and publication in appropriate forums.

B. CDC Activities

    1. Provide technical support to evaluate current practices of data 
collection and develop a plan to improve data quality.
    2. Collaborate in the design of standardized data items, 
definitions, procedures, and methods to collect the desired 
surveillance information.
    3. Provide technical support for monitoring data collection and 
data quality, data processing and analysis, and the distribution of 
tasks between State and clinic offices.

Evaluation Criteria (100 Points)

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

A. Statement of Need (5 Points)

    The need for State-specific, high-quality data on data items 
currently collected and new data items.

B. Goals and Objectives (5 Points)

    The appropriateness of goals, objectives, and activities stated in 
the overall plan, and whether objectives are specific, measurable, 
time-phased, and feasible.

C. Operational Plan (45 Points)

    The extent and adequacy of the plan to use qualitative methods, 
assure use of standardized equipment and operational procedures, 
monitor data collection activities, assess data quality, revise 
practices and techniques, and add new standardized questions to the 
data collection.

D. Capability (35 Points)

    1. The extent and appropriateness of the existing surveillance 
system for PedNSS and/or PNSS.
    2. The extent to which project staff appear to have the skills to 
provide training on data collection, data quality assessment and data 
processing.
    3. Evidence that adding new data items and software to analyze data 
quality to the existing computerized surveillance systems will be 
feasible.

E. Project Evaluation (10 Points)

    The appropriateness of the evaluation to assess improvements to 
data quality and feasibility of collecting new data items.

F. Budget (Not Weighted)

    The extent to which the budget clearly relates to proposed 
objectives and activities.

G. Human Subjects: (Not Scored)

    Whether or not exempt from the DHHS regulations, procedures are to 
be 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, (2) protections 
appear adequate, but there are comments regarding the protocol, (3) 
protections appear inadequate and the ORG 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 receipt date of the application.
    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, Mail Stop E-18, 
Atlanta, Georgia 30305. This should be done no later than 30 days after 
the receipt date of the application. 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

[[Page 35219]]

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 August 2, 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, telephone 
(404) 842-6508, fax (404) 842-6513, or 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, telephone (770) 488-4913, fax (770) 488-
4728, or Internet or CDC WONDER electronic mail at 
<[email protected]>.
    Please refer to Announcement 651 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.

    Dated: June 28, 1996.
Joseph R. Carter,
Acting Associate Director for Management and Operations, Centers for 
Disease Control and Prevention (CDC).
[FR Doc. 96-17098 Filed 7-03-96; 8:45 am]
BILLING CODE 4163-18-P