[Federal Register Volume 62, Number 116 (Tuesday, June 17, 1997)]
[Notices]
[Pages 32813-32819]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-15806]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention
[Program Announcement Number 765]


National Programs to Prevent HIV Infection and Other Priority 
Health Problems Among Large Populations of Youths in High-Risk 
Situations

Introduction

    The Centers for Disease Control and Prevention (CDC), announces the 
availability of fiscal year (FY) 1997 funds for cooperative agreements 
to strengthen the capacity of national non-governmental organizations 
to assist national, State, and local efforts to prevent HIV infection 
and other priority health problems among large populations of youths in 
high-risk situations.
    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 area of Immunization and 
Infectious Diseases. (For ordering a copy of Healthy People 2000, see 
the section WHERE TO OBTAIN ADDITIONAL INFORMATION)

Authority

    This program is authorized under sections 317(k)(2) (42 U.S.C. 
247b(k)(2)) of the Public Health Service Act, as amended. Regulations 
are set forth in 42 CFR part 51b.

Eligible Applicants

    Eligible applicants must meet all five criteria listed below, and 
provide evidence of eligibility in a cover letter to the CDC Grants 
Management Officer. Supportive documentation should be attached to the 
cover letter.
     Eligible applicant(s) must be a national organization that 
is private, non-profit, professional or voluntary, and whose focus is 
education, health, or social service in nature. (Documentation of the 
applicant organization's mission, focus, and private/non-profit status 
could be provided in the form of an annual report or other relevant 
documents.)
     The grantee, as the direct and primary recipient of grant/
cooperative funds, must perform a substantive role in carrying out 
project activities and not merely serve as a conduit for an award to 
another party or to provide funds to an ineligible party.
     Eligible applicants must have affiliate offices, 
organizations, or constituencies in a minimum of 10 States and 
territories.
     The organization must have a documented history of serving 
youths in high-risk situations and experience in developing and 
implementing effective HIV prevention strategies for this population 
for at least 24 months prior to submission of the application to CDC.
     Eligible applicants must demonstrate access to large 
populations (1,000 or more) of youths in high-risk situations. To 
demonstrate such access, applicants should provide documentation of the 
numbers of youth in high-risk situations served by the organization's 
affiliate or constituent agencies, and the total number of such youth 
this represents nationwide.

Smoke Free Workplace

    CDC strongly encourages all grant recipients to provide a smoke-
free workplace and to 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.

Availability of Funds

    Approximately $1.4 million will be available in FY 1997 to fund 
approximately 6 awards. It is expected that the average award will be 
$230,000, ranging from $200,000 to $300,000. It is expected that awards 
will begin on or about September 30, 1997, and will be made for a 12-
month budget period within a project period of up to 5 years. Funding 
estimates may vary and are subject to change.
    Continuation awards for new budget periods will be based on 
satisfactory performance and the availability of funds.

[[Page 32814]]

Use of Funds

    Funds must be used for activities to prevent HIV infection among 
youths, and can be used to integrate such activities into a more 
comprehensive program to improve the health and quality of life of 
youths in high-risk situations. These funds may not be used to conduct 
research.

Lobbying

Restrictions on Lobbying

    Applicants should be aware of restrictions on the use of HHS funds 
for lobbying of Federal or State legislative bodies. Under the 
provisions of 31 U.S.C. 1352 (which has been in effect since December 
23, 1989), recipients (and their subtier contractors) are prohibited 
from using appropriated Federal funds (other than profits from a 
Federal contract) for lobbying Congress or any Federal agency in 
connection with the award of a particular contract, grant, cooperative 
agreement, or loan. This includes grants/cooperative agreements that, 
in whole or in part, involve conferences for which Federal funds cannot 
be used directly or indirectly to encourage participants to lobby or to 
instruct participants on how to lobby.
    In addition, the FY 1997 HHS Appropriations Act, which became 
effective October 1, 1996, expressly prohibits the use of 1997 
appropriated funds for indirect or ``grass roots'' lobbying efforts 
that are designed to support or defeat legislation pending before State 
legislatures. This new law, Section 503 of Pub. L. No. 104-208, 
provides as follows:

    Sec. 503(a) No part of any appropriation contained in this Act 
shall be used, other than for normal and recognized executive-
legislative relationships, for publicity or propaganda purposes, for 
the preparation, distribution, or use of any kit, pamphlet, booklet, 
publication, radio, television, or video presentation designed to 
support or defeat legislation pending before the Congress, * * * 
except in presentation to the Congress or any State legislative body 
itself.
    (b) No part of any appropriation contained in this Act shall be 
used to pay the salary or expenses of any grant or contract 
recipient, or agent acting for such recipient, related to any 
activity designed to influence legislation or appropriations pending 
before the Congress or any State legislature.

    Department of Labor, Health and Human Services, and Education, and 
Related Agencies Appropriations Act, 1997, as enacted by the Omnibus 
Consolidated Appropriations Act, 1997, Division A, Title I, section 
101(e), Pub. L. 104-208 (September 30, 1996).

Background

    HIV constitutes a significant and growing threat to the health of 
all people in the United States. Through December 1996, 581,429 cases 
of AIDS as defined by the CDC surveillance case definition had been 
reported to CDC. From April 1987 through December 1996, the cumulative 
number of AIDS cases in the United States increased from 139 to 2,754 
among persons aged 13 to 19 years of age and from 7,029 to 102,904 
among persons aged 20 to 29 years of age. Because the median incubation 
period between infection with HIV and onset of AIDS is nearly 10 years, 
many persons aged 20-29 years with AIDS could have been infected during 
adolescence. AIDS is ranked the 6th leading cause of death among 
persons aged 15-24. Blacks and Hispanics are disproportionally 
represented among young people with AIDS. Of the AIDS cases reported 
among 13- to 19-year-olds in 1995, 54 percent were among Blacks (vs. 15 
percent of the U.S. population in 1994) and 17 percent were among 
Hispanics (vs. 12 percent of the U.S. population in 1994).
    Several national reports have included specific recommendations for 
increasing and improving efforts to prevent HIV infection among youths 
in high-risk situations, including: (1) The DHHS-OIG's Report on HIV 
Infection Among Street Youth; (2) the National Commission on AIDS 
Report on Preventing HIV/AIDS in Adolescents; (3) the External Review 
of CDC's HIV Prevention Strategies by the CDC Advisory Committee on the 
Prevention of HIV Infection; (4) The National Youth Summit on HIV 
Prevention and Education: Summary Report and Recommendations; and (5) 
the Office of National AIDS Policy report on Youth and HIV/AIDS: An 
American Agenda. Implementing efforts to address these recommendations 
will contribute to achieving Healthy People 2000: The National Health 
Promotion and Disease Prevention Objectives 18.3, to ``Reduce the 
proportion of adolescents who have engaged in sexual intercourse to no 
more than 15 percent by age 15 and no more than 40 percent by age 17''; 
and Objective 18.4, to ``Increase to at least 50 percent the proportion 
of sexually active, unmarried people who used a condom at last sexual 
intercourse.'' (To order copies of the reports cited above, see the 
section WHERE TO OBTAIN ADDITIONAL INFORMATION)
    Data from serosurveillance studies indicate that HIV prevalence 
varies among different sub-populations of youth in high-risk 
situations. Relatively speaking, seroprevalence is low among adolescent 
applicants to the military (.03 percent), and moderate among youth 
attending adolescent medicine clinics (median clinic-specific 
prevalence of 0.2 percent, ranging from 0 percent--1.4 percent), STD 
clinics (median clinic-specific prevalence of 0.5 percent, ranging from 
0 percent--3.5 percent), juvenile detention center clinics (median 
clinic-specific prevalence of 0.3 percent, ranging from 0 percent--6-8 
percent), and socially and economically disadvantaged youth entering 
the Job Corps (0.3 percent). Seroprevalence is substantial among 
homeless and runaway youth attending homeless youth clinics (median 
clinic-specific prevalence of 1 percent, ranging from 1 percent--12 
percent), and alarmingly high among young men who have sex with men 
(median sample prevalence of 7 percent, ranging from 5 percent--9 
percent).
    Substantial morbidity and social problems also result from the 
approximately 1 million pregnancies that occur among adolescents, and 
of approximately 12 million persons who acquire sexually transmitted 
diseases (STD) annually, two-thirds are less than 25 years of age. 
Sexually active adolescents have high rates of chlamydia infection, and 
rates of gonorrhea in 10 to 19 year old adolescents increased between 
1993 and 1994, representing the first increase in gonorrhea among 
adolescents since 1985-1986. Rates of teenage pregnancy and STD are a 
marker of risky sexual behaviors, such as unprotected intercourse, 
among adolescents. Furthermore, genital ulcer diseases may facilitate 
acquisition and transmission of HIV infection.
    Youth in high-risk situations are more likely to engage in 
behaviors that cause HIV infection and related priority health 
problems. In the 1992 National Health Interview Survey (NHIS), out-of-
school adolescents were significantly more likely than in-school 
adolescents to have reported ever having had sexual intercourse (70.1 
percent versus 45.4 percent) and to have had four or more sexual 
partners (36.4 percent versus 14.0 percent). Out-of-school adolescents 
were also significantly more likely than in-school adolescents to have 
ever smoked cigarettes or used alcohol, marijuana, or cocaine.
    The following is the CDC definition of youth in high-risk 
situations. (From CDC, Report of the Fourth Meeting of the CDC Advisory 
Committee on the Prevention of HIV Infection, November 7-8, 1990.) 
Young people between the ages of 10 and 24 who fit at least one of the 
following categories are

[[Page 32815]]

considered at high risk for HIV infection:
     Homeless youth.
     Runaway youth.
     Youth not in school and unemployed.
     Youth requiring drug or alcohol rehabilitation.
     Youth who interface with the juvenile corrections system.
     Medically indigent youth.
     Youth requiring mental health services.
     Youth in foster homes.
     Migrant farmworker youth.
     Gay or lesbian youth.
     Youth with STDs, especially genital ulcer disease.
     Sexually abused youth.
     Sexually active youth.
     Pregnant youth.
     Youth seeking counseling and testing for HIV infection.
     Youth with signs and symptoms of HIV infection or AIDS 
without alternative diagnosis.
     Youth who barter or sell sex.
     Youth who use illegal injected drugs (including crack 
cocaine).
    Some characteristics of youth who fit the definition of youth at 
high risk for HIV infection pose barriers to effective intervention. 
Those characteristics include:
     Feeling invulnerable to disease;
     Having little adult supervision, whether at home having 
run away from home, or having been asked to leave home;
     A history of emotional, sexual, and/or physical abuse;
     Distrust of adults;
     Serious emotional and personal problems;
     Disenfranchised from institutions that normally provide 
structure and support; and
     Difficulty filling basic human needs for food, shelter, 
money, and safety--consequently placing prevention of HIV infection a 
low priority.
    Establishing effective programs to prevent HIV infection and other 
priority health problems among youth in high-risk situations is 
difficult because they are often inaccessible to and disenfranchised 
from traditional education and health systems. However, there are other 
systems which may be in a position to serve large populations of youth 
in high-risk situations, including social service agencies, community-
based organizations, juvenile justice systems, job training programs, 
the military, and other agencies and systems with access to these 
populations of young people. While these systems may not have health as 
their priority focus, they do provide access and an opportunity to 
integrate health promotion and disease prevention activities, including 
HIV prevention, into their delivery systems.
    The effectiveness of HIV prevention efforts targeting youth in 
high-risk situations is likely to be influenced by the extent to which 
programs are integrated into existing, complementary services provided 
by agencies that address the needs of these youth. Also, at the local 
level, HIV prevention community planning groups develop an HIV 
prevention plan for their respective communities. It is important to 
coordinate HIV prevention activities with these planning groups. CDC is 
seeking to fund national organizations which have the potential to 
exercise considerable leverage through their affiliates and 
constituents which have access to large numbers of youth in high-risk 
situations. With limited resources, such national organizations are in 
a position to identify the most promising prevention interventions and 
influence dissemination and implementation of such strategies at the 
local level by providing materials, training (including training of 
trainer approaches), and technical assistance to local affiliate and 
constituent agencies. CDC is especially interested in funding national 
organizations which can work effectively and collaboratively with other 
relevant systems of the Federal government to gain access to hard to 
reach large populations of youth in high-risk situations.

Purpose

    These awards are intended to strengthen the capacity of national 
non-governmental organizations to assist national, State, and local 
efforts to prevent HIV infection and other priority health problems 
among large populations of youths in high-risk situations.

Program Requirements

    In conducting activities to achieve the purpose of this program, 
the recipient will be responsible for the activities under A. 
(Recipient Activities), and CDC will be responsible for the activities 
listed under B. (CDC Activities).

A. Recipient Activities

    1. Collaborate with affiliates or constituents, other national, 
State, and local organizations that serve youths in high-risk 
situations, Community Planning Groups, CDC, and when possible other 
agencies of the Federal government to achieve the purpose of this 
program announcement.
    2. Implement the operational plan that includes reaching large 
numbers of youth in high-risk situations with appropriate, sustainable, 
and effectively targeted prevention activities through effective 
collaboration with affiliates, constituents, and other organizations 
(including other Federal agencies).
    3. Monitor and evaluate the program to provide useful information 
on an ongoing basis for program decision making, changes, and 
improvements.
    4. Disseminate programmatic information to other interested 
recipients through appropriate methods that include: (a) Identifying 
and submitting pertinent programmatic information for incorporation 
into computerized databases of health information and health promotion 
resources, such as the Combined Health Information Database (CHID) and 
the Chronic Disease Prevention (CDP) file, and (b) sharing information 
through electronic bulletin boards, such as the Comprehensive Health 
Education Network (CHEN).
    5. Participate with other appropriate agencies as well as CDC in 
planning and convening meetings that support the purpose of this 
program announcement.

B. CDC Activities

    1. Provide and periodically update information related to the 
purposes or activities of this program announcement.
    2. Collaborate with national, State, and local organizations and 
other relevant Federal agencies in planning and conducting national 
strategies designed to strengthen programs for preventing HIV infection 
and other serious health problems among youths in high-risk situations.
    3. Provide programmatic consultation and guidance related to 
program planning, implementing, and evaluating; assessment of program 
objectives; and dissemination of successful strategies, experiences, 
and evaluation reports.
    4. Assist in planning meetings of national, State, and local 
organizations and other relevant Federal agencies to address issues and 
program activities related to preventing HIV infection and other 
serious health problems among youths in high-risk situations.
    5. Assist in the evaluation of program activities.

Technical Reporting Requirements

    An original and two copies of an annual progress report and 
Financial Status Report (FSR) are required no later than 90 days after 
the end of each budget period. Final FSR and performance reports are 
required no

[[Page 32816]]

later than 90 days after the end of the project period. All reports are 
submitted to the Grants Management Officer, Procurement and Grants 
Office, CDC.
    Progress reports must include the following for each program, 
function, or activity involved: (1) A comparison of actual 
accomplishments to the objectives established for the period; (2) the 
reasons for slippage if established objectives were not met; and (3) 
other pertinent information including, when appropriate, analysis and 
explanation of unexpectedly high costs for performance. The progress 
report must also reflect the program review panel's report indicating 
all materials have been reviewed and approved.

Application

1. Pre-application Letter of Intent

    Applicants must provide evidence of eligibility in a cover letter 
to the CDC Grants Management Officer (see Eligible Applicants section), 
and should attach to this cover letter copies of any supportive 
documentation.
    Although not a prerequisite of application, a non-binding letter-
of-intent to apply is requested from potential applicants. The letter 
should be submitted to the Grants Management Branch, Procurement and 
Grants Office, CDC. (See Application Submission and Deadline Section 
for the address.) It should be postmarked no later than July 15, 1997. 
The letter should identify the announcement number, name of principal 
investigator, and specify the priority area to be addressed by the 
proposed project. The letter-of-intent does not influence review or 
funding decisions, but it will enable CDC to plan the review more 
efficiently.

2. Application Content

    Applicants are required to submit an original and two copies of the 
application, including an executive summary of not more than two pages. 
The executive summary should be placed at the beginning of the 
application.
    All application pages must be clearly numbered, and a complete 
table of contents for the application and its appendixes must be 
included. Begin each separate section on a new page. The original and 
each copy of the application must be submitted unstapled and unbound. 
All application materials must be typewritten, single-spaced, with 
unreduced type (12 point font) on 8\1/2\'' x 11'' paper, with at least 
a 1'' margin including headers and footers, and printed on one side 
only.
    All applications must be developed in accordance with Form PHS-
5161-1 (Revised 7/92), information contained in this program 
announcement, and the instructions outlined in the following section 
headings:
    A. Background and Need (not more than 5 pages): Describe the need 
for the proposed activities, to include: (1) the specific targeted 
group(s) of youths in high-risk situations to be reached and their 
special needs, to include evidence of health risk behaviors, and (2) 
the need for the particular strategies and activities planned.
    B. Capacity (not more than 5 pages): 1. Describe the applicant's 
capacity and ability to address the identified needs and implement the 
proposed activities, including current and past experience in 
addressing the needs of youths in high-risk situations, and current and 
past experience in developing and implementing effective HIV prevention 
strategies for this population.
    2. Describe the applicant's capacity and experience in developing 
and implementing large scale projects which have a national impact on 
large populations of youths in high-risk situations.
    3. Describe the applicant's existing organizational structure 
(include an organizational chart, which may be placed in an appendix) 
and how that structure will support the proposed program activities.
    4. Describe the applicant's affiliates or constituents, including: 
(a) type of affiliates or constituents, and (b) number of affiliates or 
constituents.
    5. Demonstrate how applicant will perform a substantive role in 
carrying out project activities and not merely serve as a conduit for 
an award to another party or to provide funds to an ineligible party.
    C. Goals, Objectives, and Operational Plan (not more than 12 
pages). Goals: List realistic goals that indicate where the program 
will be at the end of the projected five-year project period. Goals 
should reflect the overall scale of the project and include 
quantifiable measures of the numbers of youths in high-risk situations 
expected to be reached by the project.
    Objectives: List objectives that are specific, measurable, and 
feasible to be accomplished during the first 12-month budget period.
    The objectives should relate directly to the project goals.
    Operational Plan: 1. Describe how the applicant's affiliates or 
constituents across the nation will be involved to achieve the purpose 
of this program announcement. Describe specific activities that are 
proposed to achieve each of the applicant's objectives during the first 
budget period. The plan should clearly describe how the project will 
reach large numbers of youth in high-risk situations, including the 
specific linkages to and activities conducted in collaboration with its 
affiliates, constituents, and other organizations. If the applicant 
proposes to test and implement a model or concept in a limited number 
of sites during the first project year, the applicant must submit a 
plan that describes their capacity and intention to replicate these 
activities nationwide in subsequently funded years.
    Where meaningful and relevant, youths should be involved in program 
planning and implementation. Interventions directly impacting youths 
should be based on current health behavior change theory and research. 
In addition, the recipient must have a clear plan of action for 
reaching these youths through the recipient's affiliates, constituents, 
and other organizations. Linkages and collaborative activities between 
the recipient and intermediate affiliates, constituents, and other 
organizations must be fully described and consistent with an effective 
diffusion strategy; the recipient should also describe how it will 
encourage local affiliate and constituent agencies to coordinate with 
their respective HIV prevention community planning group. A coherent 
theory of action should make known the expected outcomes at each level 
and stage of the project, and result in direct HIV prevention 
interventions that reach large populations of youths in high-risk 
situations.
    2. Provide a chart that includes a time line for completing the 
proposed activities.
    3. Identify staff responsible for completing each activity.
    4. Provide a brief description of the activities anticipated beyond 
the first year of funding (e.g. years 2-5 of the project).
    D. Project Management and Staffing Plan (not more than 3 pages): 1. 
Describe how the proposed program will be managed and staffed, 
including the location of the program within the organization and the 
proposed staffing for the project. Provide job descriptions for 
existing and proposed positions. Staffing should include the commitment 
of at least one full-time staff member to manage the project and 
provide direction for proposed activities. Demonstrate that staff have 
the professional background and experience needed to fulfill the 
proposed responsibilities by including the curriculum vitae for each 
named staff member and a job description for staff not yet identified. 
Curriculum vitae

[[Page 32817]]

should be limited to two pages per person and can be placed in the 
appendix.
    2. For collaborating organizations participating substantially in 
proposed activities, provide the name(s) of the organization(s), and 
the applicant's staff person who will coordinate or supervise the 
activity. For each organization listed, provide a current letter of 
support indicating their intention to participate and their specific 
activities and responsibilities in the program.
    E. Sharing experiences (not more than 1 page): Indicate how 
materials that are developed or activities that are successful will be 
shared with others. Examples of such activities could include, but are 
not limited to:
    1. Sharing materials through electronic databases such as the 
Comprehensive School Health Database of the Combined Health Information 
Database (CHID), and the Chronic Disease Prevention (CDP) file.
    2. Sharing news through electronic bulletin boards such as 
Comprehensive Health Education Network (CHEN).
    3. Disseminating materials to affiliates, constituents, other 
national, state, and local organizations, and CDC.
    F. Collaborating (not more than 2 pages): Describe how the 
applicant will collaborate with its affiliates or constituents, other 
key organizations, and CDC to accomplish the proposed program 
activities. Such collaboration should include an intention to work 
closely with CDC staff, especially at major decision points and program 
milestones. Describe also how the applicant intends to encourage 
collaboration between local youth-serving agencies and their respective 
HIV prevention community planning groups.
    G. Evaluation (not more than 3 pages): Describe how the applicant 
will monitor progress in meeting program objectives and collect 
additional evaluative data to inform program decisions and improvement. 
Identify key evaluation questions and how the data will be collected, 
analyzed, and used to improve the program.
    H. Budget and Accompanying Justification (no page limitation): 
Provide a detailed budget and line-item justification for all operating 
expenses that are consistent with the stated objectives and planned 
activities of the project. (Sample budget enclosed with application 
package.)
    The budget request should include the cost of a five-day trip to 
Atlanta for two individuals to attend a CDC annual conference and a 
two-day trip to Atlanta for two individuals to attend one additional 
meeting.

Content of Non-Competing Continuation Application

    In compliance with 45 CFR 74.121(d) and 92.10(b)(4), as applicable, 
non-competing continuation applications submitted within the project 
period need only include:
    A. A brief progress report describing the accomplishments of the 
previous budget period.
    B. Any new or significantly revised items or information 
(objectives, scope of activities, operational methods, evaluation, 
etc.) not included in the 01 Year application.
    C. An annual budget and justification. Existing budget items that 
are unchanged from the previous budget period do not need re-
justification. Simply list the items in the budget and indicate that 
they are continuation items.

    Note: If indirect costs are requested on a new or continuation 
application, a copy of the organization's current negotiated Federal 
indirect cost rate agreement or cost allocation plan must be 
provided.

Special Guidelines for Technical Assistance Workshop

    A one-day technical assistance workshop will be held in Washington, 
DC, approximately two weeks after this Program Announcement publication 
date in the Federal Register. The purpose of this meeting will be to 
help potential applicants to understand the scope and intent of 
Announcement 765 and the Public Health Service grants policies, 
applications, and review procedures.
    Attendance at this workshop is not mandatory. Applicants who are 
currently funded by CDC may not use project funds to attend this 
workshop. Each potential applicant may send no more than two 
representatives to this meeting. Please provide the names of the 
persons that are planning to attend this meeting to Mary Vernon, Acting 
Chief, Special Populations Section, Division of Adolescent and School 
Health; National Center for Chronic Disease and Health Promotion, 4770 
Buford Highway, NE., Atlanta, GA 30341-3724 telephone (770) 488-5362; 
no later than June 25, 1997.

Evaluation Criteria

    Each application will be allocated a total of 100 points, and will 
be reviewed and evaluated according to the following criteria:
    A. Background and Need (15 points): The extent to which the 
applicant justifies the need for the proposed activities, including 
identifying the needs of the specific targeted group(s) to be reached 
(including evidence of risk behaviors among youths), and describes the 
need for the particular strategies and activities planned.
    B. Capacity (20 points): 1. The extent to which the applicant 
demonstrates the capacity and ability to address the identified needs 
of the targeted group(s) and implement the proposed activities, 
including current and past experience in addressing the needs of youths 
in high-risk situations, and current and past experience in developing 
and implementing effective HIV prevention strategies for this 
population.
    2. The extent to which the applicant demonstrates capacity and 
experience in developing and implementing large scale projects which 
have a national impact on large populations of youths in high-risk 
situations.
    3. The extent to which the applicant describes its existing 
organizational structure and how that structure will support the 
proposed program activities.
    4. The extent to which the applicant describes its affiliates or 
constituents, including: (a) Type of affiliates or constituencies, and 
(b) number of affiliates or constituents.
    5. The extent to which the applicant demonstrates that it will 
perform a substantive role in carrying out project activities, and not 
merely serve as a conduit for an award to another party or to provide 
funds to an ineligible party.
    C. Goals, Objectives, and Operational Plan (25 points). Goals: The 
extent to which the applicant has submitted realistic goals for the 
projected five-year project period which include quantifiable measures 
of an intention to reach large numbers of youths in high-risk 
situations with effective HIV prevention activities.
    Objectives: The extent to which 12-month objectives are specific, 
measurable, and feasible and directly relate to the applicant's goals.
    Operational Plan: 1. The extent to which proposed activities 
involve the applicant's affiliates or constituents nationwide, and are 
likely to impact large numbers of youths in high-risk situations with 
effective and well-targeted HIV prevention interventions.
    2. The extent to which the proposed activities are linked to and 
designed to achieve the stated objectives within the first budget 
period, and are likely to reduce HIV infection and other priority 
health problems among large numbers of youths in high-risk situations.
    3. The extent to which the applicant includes a reasonable timeline 
for conducting proposed activities, and identifies staff responsible 
for completing each activity.
    4. The extent to which the applicant provides a description of the 
activities

[[Page 32818]]

anticipated beyond the first year of funding (e.g. years 2-5 of the 
project).
    D. Project Management and Staffing (20 points): 1. The extent to 
which the applicant describes how the program will be managed and 
staffed, including the location of the program within the organization 
and the proposed staffing for the project, including job descriptions 
for existing and proposed positions.
    2. The commitment of at least one full-time staff member to manage 
the project and provide direction for proposed activities.
    3. The extent to which the applicant demonstrates that staff have 
the professional background and experience needed to fulfill the 
proposed responsibilities by including the curriculum vitae for each 
named staff member and a job description for staff not yet identified.
    4. The extent to which the applicant provides the name(s) of the 
organization(s) participating substantially in proposed activities, a 
staff person to coordinate or supervise activities, and letters of 
support for each organization that indicates their intention to 
participate in specific ways.
    E. Sharing Experiences and Resources (5 points): The extent to 
which the applicant indicates how it will share effective materials and 
activities.
    F. Collaborating (5 points): The extent to which the applicant 
describes how it will collaborate with its affiliates or constituents, 
other key organizations, and CDC; and the extent to which the applicant 
describes how it will encourage local youth-serving agencies to 
coordinate activities with their respective HIV prevention community 
planning groups.
    G. Evaluation (10 points): The extent to which the applicant 
describes procedures to monitor progress in meeting program objectives, 
and identifies additional evaluative data to be collected and how that 
data will be collected and used.
    H. Budget and Accompanying Justification: (Not Scored) The extent 
to which the applicant provides a detailed and clear budget narrative 
consistent with the stated objectives and planned activities of the 
project.

Executive Order 12372 Review

    This program is not subject to the Executive Order 12372 review.

Public Health Systems Reporting Requirements

    This program is not subject to the Public Health Systems Reporting 
Requirements.

Catalog of Federal Domestic Assistance Number

    The Catalog of Federal Domestic Assistance Number is 93.938.

Other Requirements

HIV/AIDS Requirements

    Recipients must comply with the document entitled: ``Interim 
Revision of Requirements of the Content of AIDS-Related Written 
Materials, Pictorials, Audiovisuals, Questionnaires, Survey 
Instruments, and Educational Sessions in Centers for Disease Control 
and Prevention Assistance Programs'' (June 15, 1992), a copy of which 
is included in the application kit. The names and affiliations of the 
review panel members must be listed on the Assurance of Compliance form 
CDC 0.1113, which is also included in the application kit. The 
recipient must submit the program review panel's report that indicates 
all materials have been reviewed and approved. (See TECHNICAL REPORTING 
REQUIREMENTS section.)

Paperwork Reduction Act

    Projects that involve the collection of information from 10 or more 
individuals and funded by cooperative agreement will be subject to 
review and approval 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 DHHS Regulations, 45 CFR part 46, 
regarding the protection of human subjects. Assurance must be provided 
to demonstrate the project will be subject to initial and continuing 
review by an appropriate institutional review committee. The applicant 
will be responsible for providing assurance in accordance with the 
appropriate guidelines and form provided in the application kit.

Application Submission and Deadline

    The original and two copies of the application Form PHS-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, Mailstop E-18, Atlanta, GA 
30305, on or before Friday, August 1, 1997. (Facsimile copies will not 
be accepted.)
    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 independent 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 shall not be accepted as proof of timely mailing.
    2. Late Applications: Applications that do not meet the criteria in 
1. (a) or 2. (b) above are considered late applications. Late 
applications will not be considered and will be returned to the 
applicant.

Where To Obtain Additional Information

    To receive additional written information call (404) 332-4561. You 
will be asked to leave your name, address, and telephone number and 
will need to refer to Announcement 765. You will receive a complete 
program description, information on application procedures, and 
application forms.
    If you have questions after reviewing the contents of all the 
documents, business management technical assistance may be obtained 
from Oppie M. Byrd, 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, Mailstop E-
18, Atlanta, Georgia 30305, telephone: (404) 842-6546, facsimile: (404) 
842-6513, E-mail: [email protected].
    Programmatic technical assistance may be obtained from Mary Vernon, 
Acting Chief, Special Populations Program Section, Program Development 
and Services Branch, Division of Adolescent and School Health, National 
Center for Chronic Disease Prevention and Health Promotion, Centers for 
Disease Control and Prevention (CDC), 4770 Buford Highway, NE., 
Mailstop K31, Atlanta, GA 30341-3724; telephone (770) 488-5356, 
facsimile (770) 488-5972, or via Internet <[email protected]>.
    Please refer to Announcement 765 when requesting information or 
submitting an application.
    Potential applicants may obtain copies of the following 
publications:
    1. 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,

[[Page 32819]]

Washington, DC 20402-9325, telephone (202) 512-1800.
    2. HIV Infection Among Street Youth (Document No. OEI-01-90-00500) 
from the Office of the Inspector General, Public Affairs, Room 5246, 
Cohen Building, 330 Independence Ave. SW, Washington, DC 20201; 
telephone (202) 619-1142.
    3. Preventing HIV/AIDS in Adolescents, and Youth and HIV/AIDS: An 
American Agenda from the National AIDS Information Clearinghouse, P.O. 
Box 6003, Rockville, MD, 20850; telephone (800) 458-5231, select option 
2.
    4. The External Review of CDC's HIV Prevention Strategies from the 
Centers for Disease Control and Prevention, National Center for HIV, 
STD, and TB Prevention, (name of Center pending), Division of HIV/AIDS 
Prevention, 1600 Clifton Road., NE., Mailstop D-21, Atlanta, GA 30333; 
telephone (404) 639-0900.
    5. The National Youth Summit on HIV Prevention and Education: 
Summary Report and Recommendations from the National Association of 
State Boards of Education, 1012 Cameron Street, Alexandria, VA, 22314; 
telephone (800) 220-5183 ($10 each + $2 shipping and handling).
    6. Additional information about HIV Prevention Community Planning 
Groups by contacting Mary Willingham, Centers for Disease Control and 
Prevention, National Center for HIV, STD and TB Prevention, Division of 
HIV/AIDS Prevention, 1600 Clifton Rd., Mailstop D-21, Atlanta, GA 
30333; telephone (404) 639-0965.
    7. The Second Annual National School Health Conference Proceedings, 
from the Centers for Disease Control and Prevention, National Center 
for Chronic Disease Prevention and Health Promotion, Division of 
Adolescent and School Health, 4770 Buford Highway, NE., Mailstop K-31, 
Atlanta, GA 30041-3724; telephone (770) 488-5324.

    Dated: June 10, 1997.
Jack Jackson,
Associate Director for Management and Operations, Centers for Disease 
Control and Prevention (CDC).
[FR Doc. 97-15806 Filed 6-16-97; 8:45 am]
BILLING CODE 4163-18-P