[Federal Register Volume 61, Number 193 (Thursday, October 3, 1996)]
[Notices]
[Pages 51702-51708]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-25313]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Announcement No. 704]
Community-Based Human Immunodeficiency Virus (HIV) Prevention
Projects
Introduction
The Centers for Disease Control and Prevention (CDC) announces the
expected availability of fiscal year (FY) 1997 funds for cooperative
agreements for HIV prevention projects for minority and other
community-based organizations (CBOs) serving populations at increased
risk of acquiring or transmitting HIV infection.
CDC is committed to achieving the health promotion and disease
prevention objectives of ``Healthy People 2000,'' a national activity
to
[[Page 51703]]
reduce morbidity and mortality and improve the quality of life. This
announcement relates to the priority areas of Educational and
Community-Based Programs, HIV Infection, and Sexually Transmitted
Diseases (STDs). It addresses the ``Healthy People 2000'' objectives by
providing support for primary prevention for persons at increased risk
for HIV infection and by increasing the availability and coordination
of prevention and early intervention services for HIV-infected persons.
A summary of the HIV-related objectives will be included in the
application kit. (To order a copy of ``Healthy People 2000,'' see the
section entitled ``Where to Obtain Additional Information.'')
Preapplication Workshops
The following preapplication technical assistance workshops will be
held to assist all prospective applicants in understanding CDC
application requirements and program priorities:
10/11 Washington, DC
National Skills Building Conference, Washington Hilton Towers, 1919
Connecticut Ave. NW
10/15 San Juan, PR
Sands Hotel--Isla Verde, San Juan
10/15 Detroit, MI
Dept. of Health, Herman Kiefer Health Center, 1151 Taylor St., 7th
Floor Chapel
10/16 Dallas, TX
Holiday Inn, 3005 W. Airport Freeway, (Bedford, TX)
10/16 Philadelphia, PA
Doubletree Hotel, Broad Street at corner of Locust Street
10/16 St. Louis, MO
St. Louis City Health Dept., 634 N. Grand Ave., Conference Rm 100
10/16 Orlando, FL
Radisson Hotel, 60 S. Ivanhoe Blvd.
10/17 Ft. Lauderdale, FL
Broward County Public Library, 1350 E. Sunrise Blvd., Suite 100
10/18 Kansas City, MO
Bartle Hall Convention Center, 301 West 13th St.
10/18 Austin, TX
Red Lion Inn, 6121 North I-35 Hwy 290
10/21 Memphis, TN
State Tech Inst.-Farris Auditorium, 5983 Macon Cove
10/21 Seattle, WA
Wyndham Garden Hotel Sea/Tac, 18118 Pacific Highway South
10/21 Cleveland, OH
Cleveland Convocation Center, 2000 Prospect Avenue
10/22 Minneapolis, MN
Minnesota American Indian Women's Resource Center, 2300-15th Ave S.
10/23 Denver, CO
Cherry Creek Inn, 600 S. Colorado Blvd
10/24 Atlanta, GA
Holiday Inn, 130 Clairmont Ave., (Decatur, GA)
10/24 Richmond, VA
Sheraton Airport, 4700 S. Laburnum Ave.
10/24 Chicago, IL
Chicago Public Library, Harold Washington Center, 400 South State
St.
10/25 Washington, DC
American Society of Association Executives, 1575 I Street NW
10/25 Phoenix, AZ
State Health Dept., 1740 West Adams St., 4th floor Conf. Room A/B,
10/28 Rock Hill, SC
Baxter Hood Center, 452 S. Anderson Rd.
10/28 Boston, MA
Dept. of Public Health, 250 Washington Street
10/29 New York, NY
New York Hilton Conference Center, 1335 Avenue of the Americas,
53rd to 54th St.
10/29 Orange Co, CA
Red Lion Inn, 3050 Bristol St. (Costa Mesa, CA)
10/30 New Orleans, LA
Radisson Inn New Orleans Airport, 2150 Veterans Blvd. (Kenner, LA)
10/30 North Haven, CT
Holiday Inn North Haven, 201 Washington Ave.
10/31 Oakland, CA
Oakland Marriott, 1001 Broadway St.,
11/01 Somerset, NJ
Woodbridge Hilton, 120 Wood Ave. South, (Iselin, New Jersey)
All workshops are scheduled from 9:00 a.m.-4:00 p.m. and are being
held in the high HIV prevalence Metropolitan Statistical Areas.
Application kits will be available at the workshops.
Conference calls for States/territories categorized as low HIV
prevalence geographic areas will be scheduled as follows:
10/29, 12-3 p.m. EDST (WY, ID, MT, SD, ND, UT, WI, IN, IA, NE, NV)
11/4, 9-12 p.m. EDST (ME, NH, VI, WV)
11/6, 11-2 p.m. EDST (MS, AL, KY, OK, AR, NM, KS)
11/8, 4-7 p.m. EDST
(Marshall Islands, Micronesia, HI, AK, Palau, Samoa, Guam, Mariana
Islands)
The telephone number for all conference calls is: 404-639-4100 and
the pass code (when asked by the automated voice) is 267012.
For additional information about the conference calls or workshops,
call your State or City Health Department Contact.
During the workshops, information will be presented on application
and business management requirements, programmatic priorities, HIV
prevention community planning, and how to access additional
preapplication resources relevant to application development.
For additional information concerning workshops in your area,
please contact your State or local health department or a project
officer in the Division of HIV/AIDS Prevention, National Center for
HIV, STD, and TB Prevention, Centers for Disease Control and Prevention
(CDC), Mail Stop E-58, Atlanta, GA 30333, telephone (404) 639-8317.
Prospective applicants are encouraged to attend a workshop in their
area.
Authority
This program is authorized under the Public Health Service Act,
Sections 301(a) (42 U.S.C. 241(a)), and 317(k)(2) (42 U.S.C.
247b(k)(2)).
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
To be eligible for funding under this announcement, applicants must
be a tax-exempt, non-profit CBO whose net earnings in no part accrue to
the benefit of any private shareholder or person. Tax-exempt status is
determined by the Internal Revenue Service (IRS) Code, Section
501(c)(3). Tax-exempt status may be proved by either providing a copy
of the pages from the IRS' most recent list of 501(c)(3) of tax-exempt
organizations or a copy of the current IRS Determination Letter. Proof
of tax-exempt status must be provided with the application.
Note: Organizations authorized under section 501(c)(4) of the
Internal Revenue Code of 1986 are not eligible to receive Federal
grant/cooperative agreement funds.
CBOs may apply as either: (1) minority CBOs intending to serve
predominantly racial or ethnic minority populations at high risk of
acquiring or transmitting HIV infection, or (2) CBOs serving high-risk
populations without regard to their racial or ethnic identity. Each
organization may submit only one application. The applicant must
clearly indicate whether it is applying as a minority or other CBO. To
apply as a minority CBO the applicant
[[Page 51704]]
organization must have the following: (1) a governing board composed of
more than 50% racial or ethnic minority members, (2) a significant
number of minority individuals in key program positions (including
management, administrative and service provision) who reflect the
racial and ethnic demographics and other characteristics of the
population to be served, and (3) an established record of service to a
racial or ethnic minority community or communities. In addition, if the
minority organization is a local affiliate of a larger organization
with a national board, the larger organization must meet the same
requirements listed above. If applying as a minority CBO, proof of
minority status must be provided with the application. Affiliates of
national organizations must provide proof of their national
organization's eligibility and include with the application an
original, signed letter from their chief executive officer assuring
their understanding of the intent of this program announcement and the
responsibilities of recipients.
Organizations applying as a CBO serving high-risk populations,
without regard to their racial or ethnic identity, must meet the
criteria listed above, except for the proof of minority status.
CDC will not accept an application without proof of tax-exempt
status, minority status (if applicable), and proof of eligibility for
affiliates of national organizations (if applicable).
Applications requesting funds to support only administrative and
managerial functions will not be accepted.
Governmental or municipal agencies, their affiliate organizations
or agencies (e.g., health departments, school boards, public
hospitals), and private or public universities and colleges are not
eligible for funding under this announcement.
CBOs requesting funds under this announcement will be categorized
into one of two mutually exclusive groups: (1) high prevalence
Metropolitan Statistical Areas (MSAs) or (2) lower prevalence
geographic areas. For the purposes of this program, high prevalence
MSAs are defined by greater than 500 reported AIDS cases in racial or
ethnic minorities (African Americans, Alaskan Natives, American
Indians, Asian Americans, Latinos/Hispanics, and Pacific Islanders) in
the 3 year period 1993, 1994, and 1995, or as Title I eligible
metropolitan areas (EMAs) for FY 1996 under the Ryan White
Comprehensive AIDS Resources Emergency (CARE) Act. Eligible high
prevalence MSAs (and the corresponding OMB Federal Identification
Processing (FIPS) code) are the following:
Arizona................................... Phoenix-Mesa (6200).
California................................ Los Angeles-Long Beach
(4480), Oakland (5775),
Orange County (5945),
Riverside-San Bernardino
(6780), Sacramento (6920),
San Diego (7320), San
Francisco (7360), San Jose
(7400), Santa Rosa (7500).
Colorado.................................. Denver (2080).
Connecticut............................... Hartford (3283), New Haven-
Bridgeport-Stamford-Danbury-
Waterbury (5483).
Delaware-Maryland......................... Wilmington-Newark (9160).
District of Columbia-Maryland-Virginia- Washington, D.C. (8840)
West Virginia. (including Prince Georges
County).
Florida................................... Ft. Lauderdale (2680),
Jacksonville (3600), Miami
(5000), Orlando (5960),
Tampa-St. Petersburg-
Clearwater (8280), West
Palm Beach-Boca Raton
(8960).
Georgia................................... Atlanta (520).
Illinois.................................. Chicago (1600).
Louisiana................................. New Orleans (5560).
Maryland.................................. Baltimore (720).
Massachusetts-New Hampshire............... Boston-Worcester-Lawrence-
Lowell-Brockton (1123).
Michigan.................................. Detroit (2160).
Minnesota-Wisconsin....................... Minneapolis-St. Paul (5120).
Missouri-Kansas........................... Kansas City (3760).
Missouri-Illinois......................... St. Louis (7040).
New Jersey................................ Newark (5640), Jersey City
(3640), Bergan-Passaic
(875), Middlesex-Somerset-
Hunterdon (5015), Monmouth-
Ocean (5190), Vineland-
Millville-Bridgeton (8760).
New York.................................. Duchess County (2281), New
York City (5600), Nassau-
Suffolk (5380).
North Carolina-South Carolina............. Charlotte-Gastonia-Rock Hill
(1520).
Ohio...................................... Cleveland-Lorain-Elyria
(1680).
Oregon-Washington......................... Portland-Vancouver (6440).
Pennsylvania-New Jersey................... Philadelphia (6160).
Puerto Rico............................... Caguas (1310), Ponce (6360),
San Juan-Bayamon (7440).
South Carolina............................ Columbia (1760).
Tennessee-Arkansas-Mississippi............ Memphis (4920).
Texas..................................... Austin-San Marcos (640),
Dallas (1920), Ft. Worth-
Arlington (2800), Houston
(3360), San Antonio (7240).
Virginia-North Carolina................... Norfolk-Virginia Beach-
Newport News (5720),
Richmond-Petersburg (6760).
Washington................................ Seattle-Bellevue-Everett
(7600).
CBOs not located in the aforementioned list of high prevalence MSAs
will be categorized as lower prevalence geographic areas.
Availability of Funds
In FY 1997, CDC expects a total of up to $17,000,000 to be
available for funding approximately 80 CBOs (70 in high prevalence MSAs
and 10 in lower prevalence geographic areas).
A. High Prevalence MSAs
Up to $15,400,000 of the total $17,000,000 will be made available
to CBOs in high prevalence MSAs. The estimated awards will average
$200,000 and will range from $75,000 to $300,000. In high prevalence
MSAs, $11,500,000 will be dedicated to supporting minority CBOs that
represent and serve racial or ethnic minority persons and that meet the
criteria outlined in the section entitled Eligible Applicants. The
remaining $3,900,000 will be dedicated to supporting CBOs serving high-
risk
[[Page 51705]]
populations without regard to their racial or ethnic identity, in high
prevalence MSAs.
B. Lower Prevalence Geographic Areas
The remaining $1,600,000 of the total funds expected will be made
available to fund CBOs in lower prevalence geographic areas. These
estimated awards will average $100,000. Of the $1,600,000 available, up
to $1,200,000 will support minority CBOs and at least $400,000 will
support CBOs serving high-risk populations without regard to their
racial or ethnic identity.
These estimates are subject to change based on the following: the
actual availability of funds; the scope and the quality of applications
received; appropriateness and reasonableness of the budget request;
proposed use of project funds; and the extent to which the applicant is
contributing its own resources to HIV/AIDS prevention activities.
Applications for more than $300,000 will be deemed ineligible and
will not be accepted by CDC.
Funds available under this announcement must support activities
directly related to primary HIV prevention. However, intervention
activities which involve preventing other STDs and drug use as a means
of reducing or eliminating the risk of HIV infection may be supported.
No funds will be provided for direct patient medical care (including
substance abuse treatment, medical prophylaxis or drugs). These funds
may not be used to supplant or duplicate existing funding. Although
applicants may contract with other organizations under these
cooperative agreements, applicants must perform a substantial portion
of the activities (including program management and operations and
delivery of prevention services) for which funds are requested.
Awards will be made for a 12-month budget period within a 3-year
project period. (Budget period is the interval of time into which the
project period is divided for funding and reporting purposes. Project
period is the total time for which a project has been programmatically
approved.)
Noncompeting continuation awards for a new budget period within an
approved project period will be made on the basis of satisfactory
progress in meeting project objectives and the availability of funds.
Progress will be determined by site visits by CDC representatives,
progress reports, and the quality of future program plans. Proof of
eligibility will be required with the noncompeting continuation
application.
Purpose
This program will provide assistance to CBOs to: (1) Develop and
implement effective community-based HIV prevention programs that
reflect national program goals and are consistent with the HIV
prevention priorities outlined in their State or local health
department's comprehensive HIV prevention plan developed through HIV
Prevention Community Planning (where available); and (2) promote
collaboration and coordination of HIV prevention efforts among CBOs and
the local activities of HIV prevention service agencies, public
agencies including local and State health departments (and HIV
prevention community planning groups), substance abuse agencies,
educational agencies, criminal justice systems, and affiliates of
national and regional organizations.
In order to maximize the effective use of CDC funds, each applicant
must conduct at least one of the priority Health Education and Risk
Reduction (HERR) interventions described below. Although activities may
cross from one intervention type to another (e.g., individual or group
level interventions may be a part of a community-level intervention),
each applicant must indicate which one of the four interventions is its
primary focus. Because of the resources, special expertise, and
organizational capacities needed for success, applicants are
discouraged from undertaking more than two of the priority
interventions listed below.
HERR interventions include programs and services to reach persons
at increased risk of becoming HIV-infected or, if already infected, of
transmitting the virus to others. The goal of HERR interventions is to
reduce the risk of these events occurring. These interventions should
be directed to persons whose behaviors or personal circumstances place
them at high risk.
The following have been identified as successful HERR interventions
for HIV prevention and will be funded within the scope of this
announcement: Individual Level Interventions (including prevention case
management), Group Level Interventions, Community Level Interventions,
and Street and Community Outreach. The Guidelines for Health Education
and Risk Reduction Activities (included in the application kit) will
provide additional information on these interventions. A brief
description of the priority interventions follows:
A. Individual Level Interventions provide a range of one-on-one
client services that offer counseling, assist clients in assessing
their own behavior and planning individual behavior change, support and
sustain behavior change, and facilitate linkages to services in clinic
and community settings (e.g., substance abuse treatment programs) in
support of behaviors and practices that prevent the transmission of
HIV. Some clients may be at very high risk of becoming HIV-infected or,
if already infected, of transmitting the virus to others. Additional
prevention counseling, as appropriate to the needs of these clients,
should be offered. Prevention Case Management is an individual level
intervention directed at persons who need highly individualized
support, including substantial psychosocial, interpersonal skills
training, and other support, to remain seronegative or to reduce the
risk of HIV transmission to others. HIV prevention case management
services are not intended as substitutes for medical case management or
extended social services. Services provided under this component should
concentrate on the identification, coordination, and receipt of
appropriate prevention services. Prevention case management services
should complement ongoing HIV prevention services such as HIV antibody
counseling, testing, referral, and partner notification and early
medical intervention programs. Coordination with HIV counseling and
testing clinics, STD clinics, TB testing sites, substance abuse
treatment programs, family planning services, and other health service
agencies is essential to successfully recruiting or referring persons
at high risk who are appropriate for this type of intervention.
B. Group Level Interventions shift the delivery of service from
individual to groups of varying sizes. Group level interventions
provide education and support in group settings to promote and
reinforce safer behaviors and to provide interpersonal skills training
in negotiating and sustaining appropriate behavior change to persons at
increased risk of becoming infected or, if already infected, of
transmitting the virus to others. The content of the group session
should be consistent with the format, i.e., groups can meet one time or
on an on-going basis. One-time sessions can provide participants an
opportunity to hear and learn from one another's experiences, role play
with peers, and offer and receive support. Ongoing sessions may offer
stronger social influence with potential for developing emergent norms
that can support risk reduction. A group level intervention can include
more tailored individual
[[Page 51706]]
level interventions with some of the group members.
C. Community Level Interventions are directed at changing community
norms, rather than the individual or a group, to increase community
support of the behaviors known to reduce the risk for HIV infection and
transmission. While individual and group level interventions also may
be taking place within the community, interventions that target the
community level are unique in their purpose and are likely to lead to
different strategies than other types of interventions. Community level
interventions aim to reduce risky behaviors by changing attitudes,
norms, and practices through health communications, social (prevention)
marketing, community mobilization and organization, and community-wide
events. The primary goals of these programs are to improve health
status, to promote healthy behaviors, and to change factors that affect
the health of community residents. The community may be defined in
terms of a neighborhood, region, or some other geographic area, but
only as a mechanism to capture the social networks that may be located
within those boundaries. These networks may be changing and
overlapping, but should represent some degree of shared communications,
activities, and interests. Community level interventions are designed
to promote community support of prevention efforts by working with the
social norms or shared beliefs and values held by members of the
community. Specific activities include:
Identifying and describing (through needs assessments and
ongoing feedback from the community) structural, environmental,
behavioral, and psychosocial facilitators and barriers to risk
reduction in order to develop plans to enhance facilitators and
minimize or eliminate barriers.
Developing and implementing, with participation from the
community, culturally competent, developmentally appropriate,
linguistically specific, and sexual- identity-sensitive interventions
to influence specific structural, environmental, behavioral, and
psychosocial factors thought to promote risk reduction.
Persuading community members who are at risk of acquiring
or transmitting HIV infection to accept and use HIV prevention
measures.
D. Street and Community Outreach Interventions are defined by their
locus of activity and by the content of their offerings. Street and
community outreach programs reach persons at high risk, individually or
in small groups, on the street or in community settings, and provide
them prevention messages, information materials, and other services,
and assist them in obtaining primary and secondary HIV-prevention
services such as HIV-antibody counseling and testing, HIV risk-
reduction counseling, STD and TB treatment, substance abuse prevention
and treatment, family planning services, tuberculin testing, and HIV
medical intervention. Street and Community Outreach is an activity
conducted outside a more traditional, institutional health care setting
for the purpose of providing direct HERR services or referrals. The
fundamental principle of these outreach activities is that the outreach
worker establishes face-to-face contact with the client in his or her
own environment to provide HIV/AIDS risk reduction information,
services, and referrals.
Program Requirements
A cooperative agreement is a legal agreement between CDC and the
recipient in which CDC provides financial assistance and substantial
Federal programmatic involvement with the recipient during the
performance of the project. In a cooperative agreement, CDC and the
recipient of Federal funds share roles and responsibilities. In
conducting activities to achieve the purpose of this program, the
recipient will be responsible for the activities under A. below; CDC
will be responsible for activities under B. below.
A. Recipient Activities
1. Conduct a health education and risk reduction intervention(s)
for individuals, groups or communities at high risk of becoming
infected or transmitting HIV to others. The following four HERR
interventions will be funded in FY 1997: Individual Level, Group Level,
Community Level, and Street and Community Outreach. Each recipient must
conduct at least one of these priority HERR interventions.
2. As needed, refer high-risk clients, both HIV negative and HIV
positive, and assist them in gaining access to HIV antibody counseling
and testing; HIV medical care or early medical intervention; STD
screening, testing, and treatment; psychosocial support; mental health
services; substance abuse treatment; TB prevention and treatment;
reproductive health; and other supportive services.
3. Coordinate and collaborate with health departments, community
planning groups, and other organizations and agencies involved in HIV
prevention activities, especially those serving the target populations
in the local area. This includes participation in the HIV Prevention
Community Planning Process. Participation may include involvement in
workshops; attending meetings; if nominated and selected, membership on
the group; reporting on program activities; or commenting on plans.
4. Evaluate all major program activities and services supported
with CDC HIV prevention funds.
Further guidance on these recipient activities is available in the
application kit.
B. CDC Activities
1. Provide consultation and technical assistance in planning,
operating, and evaluating prevention activities. CDC will provide
consultation and technical assistance both directly and indirectly
through prevention partners such as health departments, national and
regional minority organizations (NRMOs), contractors, and other
national organizations.
2. Provide up-to-date scientific information on the risk factors
for HIV infection, prevention measures, and program strategies for
prevention of HIV infection.
3. Assist in the evaluation of program activities and services.
4. Assist recipients in collaborating with State and local health
departments, community planning groups, and other federally-supported
HIV/AIDS recipients.
5. Facilitate the transfer of successful prevention interventions
and program models to other areas through convening meetings of
grantees, workshops, conferences, newsletters, and communications with
project officers.
6. Monitor the recipient's performance of program activities,
protection of client confidentiality, and compliance with other
requirements.
7. Facilitate exchange of program information and technical
assistance between community organizations, health departments, and
national and regional organizations.
Review and Evaluation Criteria
Eligible applications will be evaluated by a two-step process. Step
1 is a review of the merits of the application against the criteria
listed in A.1. below. If an exceptionally large number of applications
are received, CDC may conduct a two-phased review in which all
applications receive a preliminary review (A.1.-A.3. below) and the
applications with high ratings receive the second phase of the review
(A.1.-A.7.). Step 2 is a predecisional site visit.
[[Page 51707]]
CDC-convened Special Emphasis Panels will evaluate each application
by the following criteria:
A. Application
1. Extent of experience in providing HIV prevention services to the
target population; (20 points).
2. Extent of need for the program as evidenced by the comprehensive
HIV prevention plan and other needs assessment information provided by
the applicant; (10 points).
3. How well the program plan identifies and describes how proposed
HERR interventions address prevention gaps related to their proposed
priority population(s); (10 points).
4. Degree to which the proposed objectives are specific,
measurable, time-phased, related to the proposed activities, related to
prevention priorities outlined in the jurisdiction's comprehensive HIV
prevention plan and national HIV prevention goals, and consistent with
the applicant organization's overall mission; (15 points).
5. The quality of the applicant's plan for conducting program
activities, and the potential effectiveness of the proposed activities
in meeting objectives; (20 points).
6. Degree of collaboration and coordination with other
organizations serving the same priority population(s). This includes
signed work plans, agreements, or other evidence of collaboration that
describe previous, current, as well as future areas of collaboration;
(15 points) and
7. The potential of the evaluation plan to measure the
accomplishment of program objectives. (10 points)
B. Predecisional Site Visits
Before final award decisions are made, CDC may make site visits to
CBOs whose applications are highly ranked. The purpose of these site
visits will be to assess the organizational and financial capability of
the applicant to implement the proposed program, review the application
and program plans for priority HERR interventions, assess compliance
with the jurisdiction's HIV prevention priorities as outlined in the
comprehensive plan, and determine any special programmatic conditions
and technical assistance requirements of the applicant.
A fiscal Recipient Capability Audit may be required of some
applicants prior to the award of funds.
Funding Priorities
In making awards, priority will be given to: (1) ensuring a
geographic balance of funded CBOs (the number of funded CBOs may be
limited in each eligible area based on the number of reported AIDS
cases, e.g., no more than one funded CBO for each 1,000 reported AIDS
cases in minority populations in 1993, 1994, and 1995), (2) providing
support to racial and ethnic minority CBOs and CBOs serving high risk
populations without regard to their racial or ethnic identity, with
proven records of effectively reaching their target populations, and
(3) supporting activities that address the HIV prevention priorities
identified in the jurisdiction's comprehensive HIV prevention plan (if
available). Consideration will also be given to ensuring a national
balance of funded CBOs in terms of targeted populations and behaviors.
Executive Order 12372 Review
Applications are subject to review as governed by Executive Order
(E.O.) 12372, Intergovernmental Review of Federal Programs. E.O. 12372
sets up a system for State and local government review of proposed
Federal assistance applications. Applicants should contact their State
single point of contact (SPOC) as early as possible to alert them to
the prospective applications and receive instructions on the State
process. For proposed projects serving more than one State, the
applicant is advised to contact the SPOC for each 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
forward them to Van Malone, Grants Management Officer, Grants
Management Branch, Procurement and Grants Office, Centers for Disease
Control and Prevention (CDC), 255 East Paces Ferry Road, NE., Room 300,
Mail Stop E-15, Atlanta, GA 30305, no later than 60 days after the
application deadline date.
CDC does not guarantee to accommodate or explain State 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 Impact 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 Single Point
of Contact (SPOC) or directly from the applicant.
Catalog of Federal Domestic Assistance Number
The Catalog of Federal Domestic Assistance Number is 93.939, HIV
Prevention Activities--Non-Governmental Organization Based.
Other Requirements
A. HIV Program Review Panel
Recipients must comply with the terms and conditions included in
the document titled Content of HIV/AIDS-Related Written Materials,
Pictorials, Audiovisuals, Questionnaires, Survey Instruments, and
Educational Sessions in Centers for Disease Control and Prevention
(CDC) Assistance Programs (June 1992), a copy of which is included in
the application kit. In complying with the program review panel
requirements contained in this document, recipients are encouraged to
use a current program review panel such as the one created by the State
health department's HIV/AIDS Prevention Program. If the recipient forms
its own program review panel, at least one member must also be an
employee or a designated representative of a State or local health
department. The names of review panel members must be listed on the
Assurance of Compliance Form, CDC 0.1113.
B. Accounting System
The services of a certified public accountant licensed by the State
Board of Accountancy or equivalent must be retained throughout the
budget period as a part of the recipient's staff or as a consultant to
the recipient's accounting personnel. These services may include the
design, implementation, and maintenance of an accounting system
[[Page 51708]]
that will record receipts and expenditures of Federal funds in
accordance with accounting principles, Federal regulations, and terms
of the cooperative agreement.
C. Audits
Funds claimed for reimbursement under this cooperative agreement
must be audited annually by an independent certified public accountant
(separate and independent of the consultant referenced above or
recipient's staff certified public accountant). This audit must be
performed within 60 days after the end of the budget period, or at the
close of an organization's fiscal year. The audit must be performed in
accordance with generally accepted auditing standards (established by
the American Institute of Certified Public Accountants (AICPA)),
governmental auditing standards (established by the General Accounting
Office (GAO)), and Office of Management and Budget (OMB) Circular A-
133.
D. 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 (in accordance with the
appropriate guidelines and form provided in the application kit) to
demonstrate that the project will be subject to initial and continuing
review by an appropriate institutional review committee.
E. Paperwork Reduction Act
Data collection initiated under this cooperative agreement has been
approved by the Office of Management and Budget under number 0920-0249,
``HIV Prevention Programs in Minority and Other Community-Based
Organizations Project Reports,'' Expiration date 8/31/99.
F. Confidentiality
All personally-identifying information obtained in connection with
the delivery of services provided to any individual in any program
supported under this announcement shall not be disclosed unless
required by a law of a State or political subdivision or unless such an
individual provides written, voluntary informed consent.
1. Non-personally-identifying, unlinked information, that preserves
the individual's anonymity, derived from any such program may be
disclosed without consent:
a. In summary, statistical, or other similar form, or
b. For clinical or research purposes.
2. Personally-identifying information: Recipients of CDC funds who
obtain and retain personally-identifying information as part of their
CDC-approved work plan must:
a. Maintain the physical security of such records and information
at all times;
b. Have procedures in place and staff trained to prevent
unauthorized disclosure of client-identifying information;
c. Obtain informed client consent by explaining the possible risks
from disclosure and the recipient's policies and procedures for
preventing unauthorized disclosure;
d. Provide written assurance to this effect including copies of
relevant policies; and
e. Obtain assurances of confidentiality by agencies to which
referrals are made.
Some projects may require an Institutional Review Board (IRB)
approval or a certificate of confidentiality.
Application Submission and Deadline
On or before January 6, 1997, submit the original and two copies of
the application (PHS Form 5161-1, OMB Number 0937-0189) to Van Malone,
Grants Management Officer, Grants Management Branch, Procurement and
Grants Office, Centers for Disease Control and Prevention (CDC), 255
East Paces Ferry Road, NE., Room 300, Mail Stop E-15, Atlanta, GA
30305. Faxed copies will NOT be accepted. In addition, CDC strongly
recommends that all applicants simultaneously submit a copy of the
application to their State HIV/AIDS Directors.
Deadline: Applications will meet the deadline if they are either
received on or before the deadline of 4:30 p.m. (EDST), January 6,
1997, or sent on or before the deadline date and received in time for
submission to the 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 will not be acceptable proof of timely mailing.)
Applications that do not meet these criteria will be considered
late and will not be considered in the current funding cycle. Late
applications will be returned to the applicant.
Where to Obtain Additional Information
To receive the application kit, call (404) 332-4561. You will be
asked to leave your name, address, and telephone number, and you must
refer to Announcement Number 704. You will then receive program
announcement 704, required application forms and attachments, a current
list of SPOCs, a summary of HIV-related objectives, a list of the State
health departments contact, and the HERR guidelines. 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 the
documents, business management technical assistance may be obtained
from Maggie Slay, 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, Mail Stop
E-15, Atlanta, GA 30305, telephone (404) 842-6797, or INTERNET address,
[email protected].
Announcement Number 704, ``Cooperative Agreements for Community-
Based Human Immunodeficiency Virus (HIV) Prevention Projects,'' must be
referenced in all requests for information pertaining to these
projects.
Programmatic technical assistance may be obtained by calling Tim
Quinn or Sam Taveras in the Division of HIV/AIDS Prevention, National
Center for HIV, STD, and TB Prevention, Centers for Disease Control and
Prevention (CDC), Mail Stop E-58, Atlanta, GA 30333, telephone (404)
639-8317. (Technical assistance may also be obtained from your
respective State/local health departments.)
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.
Dated: September 27, 1996.
Joseph R. Carter,
Acting Associate Director for Management and Operations, Centers for
Disease Control and Prevention (CDC).
[FR Doc. 96-25313 Filed 10-2-96; 8:45 am]
BILLING CODE 4163-18-P