[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]
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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
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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]
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