[Federal Register Volume 61, Number 194 (Friday, October 4, 1996)]
[Notices]
[Pages 52034-52040]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-25429]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Program Announcement and Proposed Review Criteria and Indicators
for Grants for Primary Care Training for Fiscal Year 1997
The Health Resources and Services Administration (HRSA) announces
that applications will be accepted for fiscal year (FY) 1997 Grants for
Primary Care Training funded under the authority of sections 747(a) and
(b), section 748, section 750, and section 751, Title VII of the Public
Health Service Act (the Act), as amended by the Health Professions
Education Extension Amendments of 1992, Pub. L. 102-408, dated October
13, 1992. These grant programs include:
Grants for Predoctoral Training in Family Medicine
Grants for Faculty Development in Family Medicine
Grants for Establishment of Departments of Family Medicine
Grants for Graduate Training in Family Medicine
Grants for Residency Training in General Internal Medicine and General
Pediatrics
Grants for Faculty Development in General Internal Medicine and General
Pediatrics
Grants for Physician Assistant Training
Grants for Podiatric Primary Care Residency Training
This program announcement is subject to reauthorization of the
legislative authority and to the appropriation of funds. Applicants are
advised that this program announcement is a contingency action being
taken to assure that, should authority and funds become available for
this purpose, they can be awarded in a timely fashion consistent with
the needs of the program as well as to provide for even distribution of
funds throughout the fiscal year. At this time, due to the absence of
FY 1997 appropriations for Title VII programs, the amount of available
funding for these specific grant programs is unknown. Listed below are
the average award amounts for the primary care programs in FY 1996:
Predoctoral Training in Family Medicine..................... $115,000
Faculty Development in Family Medicine...................... 142,000
Establishment of Departments of Family Medicine............. 161,000
Graduate Training in Family Medicine........................ 107,000
Residency Training in General Internal Medicine and General
Pediatrics................................................. 201,000
Faculty Development in General Internal Medicine and General
Pediatrics................................................. 157,000
Physician Assistant Training................................ 135,000
Podiatric Primary Care Residency Training................... 90,357
Table 1 summarizes the programs, legislative authorities, and
eligibility requirements covered by this announcement.
[[Page 52035]]
Table 1.--Legislative Authority
----------------------------------------------------------------------------------------------------------------
Program CFDA number regulations Authority PHS act Program purpose Eligible entity
----------------------------------------------------------------------------------------------------------------
Departments of Family Medicine, Section 747(b)................ Establish, maintain, or Public, or private
93.984, 42 CFR, part 57, subpart improve family medicine nonprofit,
R. academic administrative accredited schools
units (which may be of medicine or
departments, divisions, osteopathic
or other units) to medicine.
provide clinical
instruction in family
medicine. Funds awarded
will be used to: (1)
Plan and develop model
educational
predoctoral, faculty
development and
graduate medical
education programs in
family medicine which
will meet the
requirements of section
747(a), by the end of
the project period of
section 747(b) support;
and (2) support
academic and clinical
activities relevant to
the field of family
medicine. Operational
programs applying for
support of established
activities in
predoctoral, faculty
development, or
graduate medical
education should apply
under section 747(a).
The program may also
assist schools to
strengthen the
administrative base and
structure that is
responsible for the
planning, direction,
organization,
coordination, and
evaluation of all
undergraduate and
graduate family
medicine activities.
Funds are to complement
rather than duplicate
programmatic activities
for actual operation of
family medicine
training programs under
section 747(a).
Graduate Training in Family Section 747(a)................ Planning, developing, Accredited schools
Medicine, 93.379, 42 CFR, part and operating or of medicine or
57, subpart Q. participating in osteopathic
approved graduate medicine, public
training programs in or private
the field of Family nonprofit
Medicine. In addition, hospitals, or
Section 747 (a) other public or
authorizes assistance private nonprofit
in meeting the cost of entities.
supporting trainees in
such programs who plan
to specialize or work
in the practice of
Family Medicine.
Predoctoral Training in Family Section 747(a)................ Planning, developing, Public, or private
Medicine, 93.896, 42 CFR, part and operating or nonprofit,
57, subpart Q. participating in accredited schools
approved predoctoral of medicine or
training programs in osteopathic
the field of family medicine.
medicine. Grants may
include support for the
program only or support
for both the program
and the trainees.
Faculty Development in Family Section 747(a)................ Planning, developing, Accredited schools
Medicine, 93.895, 42 CFR, part and operating programs of medicine or
57, subpart Q. for the training of osteopathic
physicians who plan to medicine, public
teach in family or private
medicine training nonprofit
programs. These grants hospitals, or
are intended to promote other public or
the development of private nonprofit
faculty skills in entities.
physicians who are
currently teaching or
who plan teaching
careers in family
medicine training
programs. These grants
also provide financial
assistance in meeting
the cost of supporting
physicians who are
trainees in such
programs.
Residency Training in General Section 748................... Planning, developing, Accredited schools
Internal Medicine & General and operating or of medicine or
Pediatrics, 93.884, 42 CFR, part participating in osteopathic
57, subpart FF. approved graduate medicine, public
training programs in or private
the fields of General nonprofit
Internal Medicine or hospitals, or
General Pediatrics. In other public or
addition, Section 748 private nonprofit
authorizes assistance entities.
in meeting the cost of
supporting trainees in
such programs who plan
to specialize or work
in the practice of
General Internal
Medicine or General
Pediatrics. Unlike
residencies in internal
medicine and pediatrics
from which many
physicians enter
subspecialty training,
programs supported by
these grants are
intended to emphasize
continuity and
ambulatory, preventive
and psychosocial
aspects of the practice
of medicine. Grant
funds may support the
creation of new
residency positions or
facilitate the
conversion of
``traditional''
programs to those in
which the training
emphasizes the
provision of
longitudinal,
preventive, and
comprehensive care.
Faculty Development in General Section 748................... Planning, developing and Accredited schools
Internal Medicine & General operating programs for of medicine or
Pediatrics, 93.900, 42 CFR, part the training of osteopathic
57, subpart FF. physicians who plan to medicine, public
teach in general or private
internal medicine or nonprofit
general pediatrics hospitals, or
training programs. other public or
These grants are private nonprofit
intended to promote the entities.
development of faculty
skills in physicians
who are currently
teaching or who plan
teaching careers in
general internal
medicine or general
pediatrics training
programs. These grants
also provide financial
assistance in meeting
the cost of supporting
physicians who are
trainees in such
programs.
[[Page 52036]]
Podiatric Primary Care Residency Section 751................... Planning and Schools of
Training, 93.181. implementing projects podiatric medicine
in primary care or public or
training for podiatric private nonprofit
physicians in approved hospitals.
or provisionally ``Candidate
approved residency status'' will be
programs, which shall accepted as
provide financial meeting the
assistance in the form statutory
of traineeships to requirement for
residents who ``provisional
participate in such approval.''
projects and who plan
to specialize in
primary care.
Physician Assistant Training, Section 750................... Planning, developing, Accredited schools
93.886, 42 CFR, part 57, subpart and operating or of medicine or
H. maintaining programs osteopathic
for the training of medicine or other
physician assistants public or private
and for training nonprofit
faculty to teach in entities. Eligible
such programs as physician
defined under section assistant programs
799(3) of the Public are those which
Health Service Act. are either
accredited by the
American Medical
Association's
Committee on
Allied Health
Education and
Accreditation (AMA-
CAHEA) or its
successor
organization, the
Commission on
Accreditation of
Allied Health
Education Programs
(CAAHEP).
----------------------------------------------------------------------------------------------------------------
Review Criteria
The review criteria have been established in 42 CFR, part 57,
subparts Q, R, and FF. The following criteria are being proposed to be
applied to Physician Assistant and Podiatric programs. Weighted
indicators for the review criteria were established in 60 FR 2976,
dated January 12, 1995. Consistent with streamlining efforts throughout
the Government, the proposed indicators for FY 1997 have been revised
to reduce the number and reflect program priorities. The review
criteria will be applied to all applications received in response to
this notice for funding during FY 1997. The maximum score point
potential is 200.
Table 2.--Grant Proposal Review Criteria
------------------------------------------------------------------------
Indicator Review factors
------------------------------------------------------------------------
Criterion 1: Potential Effectiveness of the Proposed Project in Carrying
Out the Training Purposes of Sections 747, 748, 750, and 751 of the PHS
Act. Maximum Points: 60 points
------------------------------------------------------------------------
Indicator 1: Workforce Proposal includes a strategy and plan for
Diversity: 15 Points. recruiting and retaining
underrepresented minority and
disadvantaged faculty, students,
trainees and/or residents. Proposal
describes the current and projected
levels of participation of these
underrepresented groups in the program.
Applicants are expected to reflect the
diversity of the populations within
their States.
Indicator 2--Generalist Proposal includes clinically oriented,
Faculty: 10 points. generalist-trained faculty (faculty
trained in any of the primary care
disciplines of family medicine, general
internal medicine, and general
pediatrics or primary care physician
assistants or primary care podiatrists)
who practice in community-based settings
that include underserved populations.
Indicator 3--Training Proposal includes a curriculum that
Emphasis: 15 points. emphasizes areas of study pertinent to
the needs of special populations in
urban, rural, and underserved areas.
Special population groups include people
with low incomes, members of racial and
ethnic minority groups, people with
disabilities, and at-risk population
groups to whom a broad range of health
care services is made available. The
curriculum should be culturally
competent regarding ethnicity, gender,
age, and sexual orientation and be
population-based whether that population
is urban, rural or underserved. The
curriculum should acknowledge and
demonstrate responsiveness to a wide
range of local health care needs at the
community and/or State level. There are
clearly demonstrated relationships
between teaching institutions and
community-based provider organizations
to assure adequate clinical experiences.
Applicants should describe
organizational relationships established
between health profession programs,
schools, teaching hospitals, and other
organizations involved in the training
of health care providers, formed to meet
the educational needs of the providers
and to address the needs of the health
care delivery system through
collaboration with provider
organizations that are community-based,
participating in managed care, and/or
serving underserved areas.
Indicator 4--Curricular Proposal describes the actions taken by
Innovation: 10 points. the institution that demonstrate faculty
involvement with the curricular
innovations that are beyond what is
traditionally part of such a curriculum.
Elements of the curriculum must be at
the cutting edge of educational
strategies and/or content. Specific
examples include, but are not limited
to, the incorporation of information
technology in training activities,
significant interdisciplinary education,
and curricular elements focusing on
additional competencies for practice in
evolving delivery systems (e.g., managed
care plans).
[[Page 52037]]
Indicator 5--Generalist Proposal includes data regarding the most
Outcomes: 10 points. recent three-year average track record
of a program in placing graduates in
primary care training, primary care
practice, or generalist faculty
positions. For Family Medicine
Predoctoral and Establishment of
Departments programs, this requires at
least 15 percent of medical school
graduates to enter family medicine
residencies. For graduates of Faculty
Development programs, this requires 80
percent of full-time fellows post-
fellowship to serve at least 50 percent
time as generalist faculty. For general
internal medicine, general pediatrics,
and family medicine residency graduates,
and physician assistant or podiatry
graduates this requires at least 80
percent of graduates to enter primary
care practice. Programs in existence for
less than three years must provide data
for all years since their establishment,
their proposed strategies for achieving
the levels described in the indicator,
and their projected level of achievement
with respect to the generalist outcomes.
For general internal medicine and general
pediatrics, if the applicant's primary
care track has been in existence for
three or more years, the applicant
should report data on the primary care
track alone. If the applicant's primary
care track has been in existence less
than three years, and the traditional
program three or more years, the
applicant should report combined data on
the traditional and primary care tracks.
------------------------------------------------------------------------
Criterion 2: Administrative and Management Ability of the Applicant to
Carry Out the Proposed Project in a Cost-Effective Manner Maximum
Points: 80 points
------------------------------------------------------------------------
Indicator 1: 80 Points....... This section should address the project
need and rationale, project objectives
and methodology for each objective,
budget justification, evaluation plan
for each objective, anticipated problems
and possible solutions in implementing
the proposed project, and institutional
collaboration and letters of support.
------------------------------------------------------------------------
Criterion 3: Economic Viability Maximum Points: 20 points
------------------------------------------------------------------------
Indicator 1: 20 Points....... This section should address
institutional, State, and other non-
Federal support for the project that
will continue after cessation of Federal
funding.
------------------------------------------------------------------------
Criterion 4: Project Requirements Maximum Points: 40 points
------------------------------------------------------------------------
Indicator 1: 40 Points....... All project requirements specific to the
program for which grant funds are
requested must be addressed in this
section. Applicants for Grants for
Graduate Training in Family Medicine may
satisfy this requirement by including a
letter of accreditation from the ACGME/
RRC or a letter of approval from the AOA
verifying that the residency meets all
requirements. To the extent that
problems are noted by the accrediting
body, the application must address the
problems and present a plausible plan
for their correction. Applicants must
address each Project Requirement if a
letter of accreditation or approval is
not included in application.
------------------------------------------------------------------------
Interested individuals are invited to comment on the proposed
review criteria for the programs Physician Assistant Training and
Podiatric Primary Care Residency Training. The proposed indicators are
for all the grant programs.
The comment period is 30 days. All comments received on or before
(Insert date 30 days from date of publication in the Federal Register)
will be considered before the final review criteria and indicators are
established.
Written comments should be addressed to: Dr. Enrique Fernandez,
Director, Division of Medicine, Bureau of Health Professions, Health
Resources and Services Administration, Parklawn Building, Room 9A-27,
5600 Fishers Lane, Rockville, MD 20857.
All comments received will be available for public inspection and
copying at the Division of Medicine, at the above address, weekdays
(Federal holidays excepted) between the hours of 8:30 a.m. and 5:00
p.m.
Other Considerations
In addition to the review criteria listed above, funding
preferences may be applied in determining funding of approved
applications. A funding preference is defined as the funding of a
specific category or group of approved applications ahead of other
categories or groups of approved applications in a discretionary
program. It is not required that applicants request consideration for a
funding preference. Applications which do not include a request for
consideration for funding preferences will be reviewed and given full
consideration for funding. The funding preferences to be applied to
awards made under this Program Announcement are defined below.
Statutory General Preference
All of the training grant programs described in this Program
Announcement are subject to the statutory general preference. As
provided in section 791(a) of the PHS Act, statutory preference will be
given to any qualified applicant that:
(A) Has a High Rate for placing graduates in practice settings
having the principal focus of serving residents of medically
underserved communities; or
(B) during the 2-year period preceding the fiscal year for which
such an award is sought, has achieved a Significant Increase in the
rate of placing graduates in such settings.
This statutory general preference will only be applied to
applications that rank above the 20th percentile of applications
recommended for approval by the peer review group. In Table 3, the
definitions of ``High Rate'' and ``Significant Increase in the Rate''
are presented as they are applied to each program.
Additional general information regarding the implementation of the
statutory general preference has been published in the Federal Register
at 59 FR 15741, dated April 4, 1994.
[[Page 52038]]
Table 3.--Definitions for the Statutory General Preferences--All Programs
----------------------------------------------------------------------------------------------------------------
Definition of
Program Definition of Definition of ``High ``Significant Increase
``Graduate'' Rate'' in Rate''
----------------------------------------------------------------------------------------------------------------
Family Medicine Programs:
(1) Predoctoral Training & Family (1) For Predoctoral (1) A minimum of 20% of (1) Between academic
Medicine Departments. Training and Family the graduates from years 1991-92 and 1992-
Medicine Departments academic year 1991-92 93, the rate of
programs, the term or 1992-93, whichever placing graduates in
means all PGY4 is greater, spend at the specified settings
graduates of the least 50% of their has increased by at
applicant institution time in clinical least 50% and not less
who have completed practice in the than 15% of 1992-93
successfully a specified settings. graduates work in such
residency in any settings.
specialty.
(2) Faculty Development.......... (2) For Faculty (2) A minimum of 20% of (2) Between academic
Development programs, the graduates from years 1994-95 and 1995-
the term means all academic year 1994-95 96, the rate of
graduates of the or 1995-96, whichever placing graduates in
fellowship and/or is greater, spend at the specified settings
faculty development least 50% of their has increased by at
program. time in the specified least 50% and not less
settings. than 15% of 1995-96
graduates work in such
settings.
(3) Graduate Training............ (3) For Graduate (3) A minimum of 25% of (3) Between academic
Training programs, the all residency years 1994-95 and 1995-
term means all graduates from 96 the rate of placing
graduates of the academic years 1993- graduates in the
family medicine 94, 1994-95, and 1995- specified settings has
residency program. 96 spend at least 50% increased by at least
of their time in 50% and not less than
clinical practice in 15% of 1995-96
the specified settings. graduates work in such
settings.
----------------------------------------------------------------------------------------------------------------
Table 3A.--Definitions for the Statutory General Preferences--All Programs
----------------------------------------------------------------------------------------------------------------
Definition of
Program Definition of Definition of ``High ``Significant Increase
``Graduate'' Rate'' in Rate''
----------------------------------------------------------------------------------------------------------------
General Internal Medicine and General
Pediatrics Programs:
(1) Graduate Training Programs... (1) For Graduate (1) A minimum of 25% of (1) Between academic
Training programs, the all residency years 1994-95 and 1995-
term means all graduates from 96, the rate of
graduates of the academic years 1993- placing graduates in
general internal 94, 1994-95, and 1995- the specified settings
medicine or general 96 spend at least 50% has increased by at
pediatrics residency of their time in least 50% and not less
program. clinical practice in than 15% of the 1995-
the specified settings. 96 graduates work in
such settings.
(2) Faculty Development Programs. (2) For Faculty (2) A minimum of 20% of (2) Between academic
Development programs, the graduates from years 1994-95 and 1995-
the term means all academic year 1994-95 96, the rate of
graduates of the or 1995-96, whichever placing graduates in
fellowship and/or is greater, spend at the specified settings
faculty development least 50% of their has increased by at
program. time in the specified least 50% and not less
settings. than 15% of 1995-96
graduates work in such
settings.
Podiatry Training Programs........... An individual who has A minimum of 25% of all Between academic years
completed successfully podiatric primary care 1994-95 and 1995-96,
all training and residency graduates the rate of placing
residency requirements from academic years graduates in the
necessary for full 1993-94, 1994-95, and specified settings has
certification in the 1995-96 spend at least increased by at least
specified health 50% of their time in 50% and not less than
profession. clinical practice in 15% of 1995-96
the specified graduates work in such
settings.. settings.
Physician Assistant Training Programs An individual who has A minimum of 20% of the Between academic year
completed successfully physician assistant 1994-95 and 1995-96,
all training program graduates from the rate of placing
requirements from an academic years 1994-95 graduates in the
American Medical or 1995-96, whichever specified settings has
Association-approved is greater, spend at increased by at least
Physician Assistant least 50% of their 50% and not less than
Training Program. time in clinical 15% of 1995-96
practice in the graduates work in such
specified settings. settings.
----------------------------------------------------------------------------------------------------------------
Alternative Ways of Meeting the Statutory General Preference
A new school or program is defined as having graduated less than
three classes. A new program will qualify for the general funding
preference if four or more of the following criteria are met:
1. The mission statement of the program identifies a specific
purpose of preparing health processionals to serve underserved
populations.
2. The curriculum includes content which will help to prepare
practitioners to serve underserved populations.
3. Substantial clinical training experience is required in
medically underserved communities.
4. A minimum of 20 percent of the faculty spend at least 50 percent
of their time providing/supervising care in medically underserved
communities.
[[Page 52039]]
5. The entire program or a substantial portion of the program is
physically located in a medically underserved community.
6. Student assistance, which is linked to service in medically
underserved communities following graduation, is available to the
students in the program.
7. The program provides a placement mechanism for deploying
graduates to medically underserved communities.
In FY 1997, new programs can qualify for the general preference by
providing assurance that a minimum percent of their prospective
graduates have signed commitments to practice in medically underserved
communities after graduation. This minimum percent will be equal to the
minimum percentage for ``high rate.''
Additional Statutory Funding Preference for the Establishment of
Departments of Family Medicine
An additional statutory funding preference applies only to Grants
for the Establishment of Departments of Family Medicine. Under section
747(b), a funding preference is provided for qualified applicants that
agree to expend the award for the purpose of:
(1) Establishing an academic administrative unit defined as a
department, division, or other unit, for programs in family medicine;
or
(2) substantially expanding the programs of such a unit.
Additional Statutory Funding Preference for the Grants for Podiatric
Primary Care Residency Training
An additional statutory funding preference applies only to Grants
for Podiatric Primary Care Residency Training. Under section 751(b), a
funding preference is provided for qualified applicants that provide
clinical training in podiatric medicine in a variety of medically
underserved communities.
Information Requirements Provision
All of the training grant programs discussed in this Announcement
are subject to the information requirements provision. Under section
791(b) of the Act, the Secretary may make an award under certain title
VII grant programs only if the applicant for the award submits to the
Secretary the following required information:
1. A description of rotations or preceptorships for students, or
clinical training programs for residents, that have the principal focus
of providing health care to medically underserved communities.
2. The number of faculty on admissions committees who have a
clinical practice in community-based ambulatory settings in medically
underserved communities.
3. With respect to individuals who are from disadvantaged
backgrounds or from medically underserved communities, the number of
such individuals who are recruited for academic programs of the
applicant, the number of such individuals who are admitted to such
programs, and the number of such individuals who graduate from such
programs.
4. If applicable, the number of recent graduates who have chosen
careers in primary health care.
5. The number of recent graduates whose practices are serving
medically underserved communities.
6. A description of whether and to what extent the applicant is
able to operate without Federal assistance under this title. Additional
details concerning the implementation of this information requirement
have been published in the Federal Register at 58 FR 43642, dated
August 17, 1993, and will be provided in the application materials.
Application Submission Deadlines
The deadline date for receipt of applications for each of these
grant programs is shown in Table 4 below. Applications will be
considered to be ``on time'' if they are either:
(1) Received on or before the established deadline date, or
(2) Sent on or before the established deadline date and received in
time for orderly processing. (Applicants should 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
shall not be acceptable as proof of timely mailing.)
Table 4.--Contact Names, Length of Support, and Deadline Dates
--------------------------------------------------------------------------------------------------------------------------------------------------------
Length of
PHS Title VII section number/ Grants management contact/phone number/E- Programmatic contact/phone number FAX: support Application
program title/ CFDA number Mail address FAX: (301) 443-6343 (301) 443-1945 (years) deadline
--------------------------------------------------------------------------------------------------------------------------------------------------------
747(a), Graduate Training in Brenda Selser 301-443-6960 Edward Spirer 301-443-3456 3 11/29/96
Family Medicine, 93.379. [email protected] [email protected]
747(a), Predoctoral Training Brenda Selser 301-443-6960 Betty Ball 301-443-3616 3 12/03/96
in Family Medicine, 93.896. [email protected] [email protected]
747(a), Faculty Development Brenda Selser 301-443-6960 Elsie Quinones 301-443-6822 3 12/06/96
in Family Medicine, 93.895. [email protected] [email protected]
747(b), Departments of Family Brenda Selser 301-443-6960 Shelby Biedenkapp 301-443-3615 3 02/24/97
Medicine, 93.984. [email protected] [email protected]
748, Residency Training in Brenda Selser 301-443-6960 Brenda Williamson 301-443-6821 3 12/02/96
Gen. Int. Medicine & [email protected] [email protected]
Pediatrics, 93.884.
748, Faculty Development in Brenda Selser 301-443-6960 Elsie Quinones 301-443-6822 3 12/09/96
Gen. Int. Medicine & [email protected] [email protected]
Pediatrics, 93.900.
751, Podiatric Primary Care Brenda Selser 301-443-6960 Edward Spirer 301-443-3456 3 01/23/97
Residency Training, 93.181. [email protected] [email protected]
750, Physician Assistant Brenda Selser 301-443-6960 Edward Spirer 301-443-3456 3 01/27/97
Training, 93.886. [email protected] [email protected]
--------------------------------------------------------------------------------------------------------------------------------------------------------
National Health Objectives for the Year 2000
The Public Health Service urges applicants to submit work plans
that address specific objectives of Healthy People 2000. 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
[[Page 52040]]
Office, Washington, DC 20402-9325 (Telephone 202-783-3238).
Academic and Community Partnerships
As part of its cross-cutting program priorities, HRSA will be
targeting its efforts to strengthening linkages between U.S. Public
Health Service education programs and programs which provide
comprehensive primary care services to the underserved.
Smoke-Free Workplace
The Public Health Service strongly encourages all grant recipients
to provide a smoke-free workplace and to 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.
Paperwork Reduction Act
The standard application form PHS
6025-1, HRSA Competing Training Grant Application, General Instructions
and supplement for these grant programs have been approved by the
Office of Management and Budget under the Paperwork Reduction Act. The
OMB Clearance Number is 0915-0060.
Application Availability
Application materials are available on the World Wide Web at
address: ``http://www.hrsa.dhhs.gov/bhpr/grants.html''. In Fiscal Year
1997, the Bureau of Health Professions (BHPr) will use Adobe Acrobat to
publish the grants documents on the Web page. In order to download,
view and print these grants documents, you will need a copy of Adobe
Acrobat Reader. This can be obtained without charge from the Internet
by going to the Adobe Web page (``http://www.adobe.com'') and
downloading the version of the Adobe Acrobat Reader which is
appropriate for your operating system, i.e., Windows, Unix, Macintosh,
etc. A set of more detailed instructions on how to download and use the
Adobe Acrobat Reader can be found on the BHPr Grants Web page under
``Notes on this WWW Page.''
If additional programmatic information is needed, please contact
the Division of Medicine, Bureau of Health Professions, Health
Resources and Services Administration, Parklawn Building, Room 9A-20,
5600 Fishers Lane, Rockville, Maryland 20857. Questions regarding
grants policy and business management issues should be directed to the
Grants Management Branch in Room 8C-26 at the above address. Please
refer to Table 4 for specific BHPr contact names and phone numbers.
For applicants who are unable to access application materials
electronically, a hard copy will be provided by contacting the HRSA
Grants Application Center. The Center may be contacted by: Telephone
Number: 1-888-300-HRSA, FAX Number: 301-309-0579, Email Address:
[email protected]. Completed applications should be returned to:
Grants Management Officer (CFDA#), HRSA Grants Application Center, 40
West Gude Drive, Suite 100, Rockville, Maryland 20850.
Grant programs for primary care training are not subject to the
provisions of Executive Order 12372, Intergovernmental Review of
Federal Programs (as implemented through 45 CFR part 100). Also, these
grant programs are not subject to the Public Health System Reporting
Requirements.
Dated: September 30, 1996.
Ciro V. Sumaya,
Administrator.
[FR Doc. 96-25429 Filed 10-3-96; 8:45 am]
BILLING CODE 4160-15-P