[Federal Register Volume 63, Number 110 (Tuesday, June 9, 1998)]
[Notices]
[Pages 31491-31496]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-15256]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Toxic Substances and Disease Registry
[Program Announcement 98064]


Notice of Availability of Funds; Program To Build Capacity To 
Conduct Site-Specific Activities

A. Purpose

    The Agency for Toxic Substances and Disease Registry (ATSDR) 
announces the availability of fiscal year (FY) 1998 funds for a 
cooperative agreement program, Program to Build Capacity to Conduct 
Site-Specific Activities. This program addresses the Healthy People 
2000 priority areas of: Educational and Community Based Programs; 
Environmental Health; and Surveillance and Data Systems. This program 
will provide State health Departments the opportunity to conduct site-
specific health activities to determine the public health impact of 
human exposure to hazardous substances at hazardous waste sites or 
releases. ATSDR considers a site as consisting of the actual boundaries 
of a release or facility along with the resident community and area 
impacted by the subject release or facility. Specifically, funds will 
be used to build capacity to conduct ``core'' site-specific activities 
including public health assessments, health consultations, exposure 
investigations, community involvement, and preventive health education. 
These activities may lead to more focused public health activities 
including environmental health interventions, psychological effects 
interventions, and risk communication. The purpose of the program 
funded under this cooperative agreement is to work toward the ultimate 
goal of reducing exposures to hazardous substances and mitigating 
potential adverse health effects from such exposures. This program is 
directed to public health agencies which have considerable need to 
continue to build capacity to address health issues related to 
hazardous substance releases into the environment within their 
jurisdictional boundary. The specific purpose of these activities is to 
assist public health agencies to build capacity, in coordination and 
cooperation with ATSDR, to conduct health related activities under the 
Comprehensive Environmental Response, Compensation, and Liabilities Act 
(CERCLA), and Resource Conservation and Recovery Act (RCRA). This 
includes conducting health consultations, public health assessments, 
and exposure investigations. These activities will also assist 
recipients to conduct community involvement activities, and to develop, 
disseminate, and evaluate site-specific preventive health education 
materials and other programs related to exposure to hazardous 
substances in the environment.

B. Eligible Applicants

Limited Competition

    Assistance will be provided only to the health departments of 
States or their bona fide agents, including the District of Columbia, 
the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth 
of the Northern Mariana Islands, American Samoa, Guam, federally 
recognized Indian tribal governments, the Federated States of 
Micronesia, the Republic of the Marshall Islands, and the Republic of 
Palau. In consultation with States, assistance may be provided to 
political subdivisions of States.

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    The 23 public health agencies currently funded under Program 
Announcement 607 are not eligible to apply under this announcement. 
Those public health agencies are: Alabama Department of Public Health; 
Arizona Department of Health Services; Arkansas Department of Health; 
California Department of Health Services; Connecticut Department of 
Public Health; Florida Department of Health & Rehabilitative Services; 
Iowa Department of Public Health; Illinois Department of Public Health; 
Indiana State Department of Health; Louisiana Department of Health and 
Human Services; Massachusetts Department of Public Health; Michigan 
Department of Community Health; Minnesota Department of Health; 
Missouri Department of Health; New York State Department of Health; New 
Hampshire Department of Health & Human Services; New Jersey Department 
of Health and Senior Services; Ohio Department of Health; Pennsylvania 
Department of Health; South Carolina Department of Health & 
Environmental Control; Texas Department of Health; Washington State 
Department of Health; and Wisconsin Department of Health & Family 
Services.

C. Availability of Funds

    Approximately $400,000 will be available in FY 1998 to fund an 
estimated six awards. The average new award is expected to be $67,000, 
ranging from $40,000 to $90,000. It is expected that the awards will 
begin on or about September 29, 1998, and will be made for a 12-month 
budget period within a project period of up to three years. Funding 
estimates may change.
    Continuation awards within an approved project period will be made 
on the basis of satisfactory progress as evidenced by required reports 
and the availability of funds.

Use of Funds

    Funds may be expended for reasonable program purposes, such as 
personnel, travel, supplies and services. Funds for contractual 
services may be requested. However, the awardee, as the direct and 
primary recipient of ATSDR cooperative agreement 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 provide funds to an 
ineligible party. Applicant must justify the need to use a contractor. 
If contractors are proposed, the following must be provided: (1) name 
of contractor, (2) method of selection, (3) period of performance, (4) 
detailed budget, (5) justification for use of contractor, and (6) 
assurance of non-conflict of interest.
    Equipment may be purchased with cooperative agreement funds. 
However, the equipment proposed should be appropriate and reasonable 
for the activity to be conducted. The applicant, as part of the 
application process, should provide: (1) a justification for the need 
to acquire the equipment, (2) the description of the equipment, (3) the 
intended use of the equipment, and (4) the advantages/disadvantages of 
purchase versus lease of the equipment (if applicable). Requests for 
equipment purchases will be reviewed and approved only under the 
following conditions: (1) ATSDR retains the right to request return of 
all equipment purchased (in operable condition) with cooperative 
agreement funds at the conclusion of the project period, and (2) 
equipment purchased must be compatible with ATSDR hardware. Computers 
purchased with ATSDR funds should be IBM compatible and adhere to the 
Centers for Disease Control and Prevention (CDC) and ATSDR hardware 
standards.
    Recipient activities may not be conducted with funds from this 
cooperative agreement program at any Federal site where the State is a 
party to litigation at the site.

Funding Background

    Public health agencies have the principal responsibility within 
their jurisdiction for the protection of public health through 
regulatory authority and the delivery of public health program 
services. Over the years, these agencies have developed expertise as a 
direct response to problems that they are charged with resolving, 
including health problems related to hazardous substances in the 
environment. Historically, there has been a long series of 
environmental health problems requiring the response and cooperation of 
State and Federal public health agencies. Environmental contamination 
can potentially threaten the health, not only of populations 
immediately impacted by hazardous waste sites, but of entire 
communities in cases where contaminants have significantly migrated or 
been released off site and become important sources of human exposure 
to hazardous substances.
    Community involvement is an integral part of site activities. The 
goal of community involvement at sites is to foster partnerships with 
communities living near hazardous waste sites in the development, 
implementation, and evaluation of all site-specific public health 
activities.
    Health education is integral to the overall site-specific public 
health agenda. Community members have expressed concern about the 
general lack of environmental health information available to them and 
have expressed a need for community health education. Additionally, 
State health departments and concerned residents living near hazardous 
waste sites have reported a need for continuing education programs to 
educate health care professionals about (1) the health effects of 
hazardous substances and (2) the management of cases of exposure.
    Following are definitions or descriptions of the public health 
activities allowable under this cooperative agreement:
    1. Public Health Assessment Activities--The evaluation of data and 
information on the release of hazardous substances into the environment 
in order to assess any current or future impact on public health, 
develop health advisories or other health recommendations, and identify 
studies or actions needed to evaluate and mitigate or prevent human 
health effects.
    a. Petitioned Public Health Assessment--results from a request from 
a community member or other interested party who believes exposures to 
hazardous substances has occurred.
    b. Public Health Advisory--a communication from ATSDR that a public 
health threat exists of such importance and magnitude that immediate 
action should be taken. Keeping the community informed and soliciting 
input is a vital part of the public health assessment process.
    c. Health Consultation--a written or verbal response to a specific 
question or specific request for information from or via ATSDR staff or 
a request for information about health risks posed by a specific site, 
chemical release, or hazardous material and may lead to specific 
recommendations for public health actions.
    2. Exposure Investigation--Gathering and analyzing site-specific 
information to determine if human populations have been exposed. Site-
specific information may include exposure point environmental sampling, 
exposure dose-reconstruction, biological testing, and evaluation of 
existing health outcome data. Information from an exposure 
investigation is included in public health assessments, health 
consultations, and public health advisories.
    3. Community Involvement--Site-specific community involvement is 
designed to develop partnerships with communities living near hazardous

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waste sites in the development, implementation, and evaluation of site-
specific activities, which may include needs assessment, site 
evaluation activities, participation in community meetings, and being 
available to the community to gather and address health concerns.
    4. Site-Specific Health Education--Site-specific health education 
encompasses a program of education activities implemented in 
communities to enable them to prevent or mitigate the health impact of 
exposure to hazardous substances present at waste sites and releases. 
Prevention of exposure is the focus of community health education. It 
is designed to address health risks and assist the community in 
understanding, preventing, or mitigating the health effects of 
hazardous substances exposure. Prevention of health effects from 
exposure is the focus of health professions education. The core 
components of each site-specific education activity are: (a) definition 
of a target audience through a community needs assessment profile, (b) 
development, delivery, and evaluation of an educational message; and 
(c) evaluation of the impact of the public health actions undertaken in 
a site-specific community (assurance).
    5. Technical Project Team--The Technical Project Team (TPT) is made 
up of representatives from the ATSDR Division of Health Assessment and 
Consultation (DHAC), ATSDR Division of Health Studies (DHS), ATSDR 
Division of Health Education and Promotion (DHEP), ATSDR Office of 
Regional Operations (ORO), and State and local counterparts. The TPT is 
responsible for assuring the planning, implementation, and evaluation 
of all public health actions for each site assigned to the team. The 
TPT meets to review data relative to the site and considers the 
following questions: is there or has there been a completed exposure 
pathway and, are humans at health risk?

Funding Preferences

    Funding preference may be given to the State entities currently 
funded under ATSDR Program Announcements 415, ``Program for State 
Department and Public Health Agencies to Conduct Health Consultations 
and Public Health Assessment Activities'' and ATSDR Program 
Announcement 443, ``Environmental Health Education Activities for 
Health Professionals and Communities Concerned with Human Exposure to 
Hazardous Substances''.

D. Program Requirements

    ATSDR will assist and work jointly with the recipient in conducting 
the activities of this cooperative agreement program. The application 
should be presented in a manner that demonstrates the applicant's 
ability to address the health issues in a collaborative manner with 
ATSDR.

    Note: Recipient activities may not be conducted with funds from 
this cooperative agreement program at any Federal site where the 
State is a party to litigation at the site.

Recipient and ATSDR activities are listed below:

1. Recipient Activities

    The recipient will have primary responsibilities as follows:
a. Public Health Assessments
    Conduct Public Health Assessments, including petitions, National 
Priority List (NPL), Comprehensive Environmental Response, 
Compensation, and Liability Information System (CERCLIS) or other sites 
or facilities within the recipient's territorial boundary in accordance 
with the methodology provided in the ATSDR Public Health Assessment 
Guidance Manual, ATSDR's Review and Handling Procedures for Public 
Health Assessments, and other applicable guidance. The following 
activities are also considered integral in the public health assessment 
process:
    1. Prepare addenda to update public health assessments.
    2. Prepare Site Review and Updates (SRU) to evaluate current 
conditions and determine the need for further actions.
b. Health Consultations
    Prepare a written or verbal response to a specific question or 
specific request for information about health risks posed by a specific 
site (including Site Accelerated Cleanup Model (SACM)), chemical 
release, or hazardous material. Health consultations may also be 
written as a follow-up to Public Health Assessments or SRUs. 
Consultations may include the evaluation of environmental data, 
community concerns, health outcome data, and demographic 
characterizations, and the conduct of community outreach and 
interaction activities and site work plans.
c. Exposure Investigations
    Exposure Investigations may be conducted as part of a health 
assessment or health consultation response.
d. Community Involvement
    Site-specific community involvement is designed to develop 
partnerships with communities living near hazardous waste sites in the 
development, implementation, and evaluation of site-specific 
activities, which may include needs assessment, site evaluation 
activities, participation in community meetings, and to provide 
opportunities within the community to address health concerns. The 
recipient should:
    1. Develop a site-specific community involvement plan which, at a 
minimum, should include: (1) a needs assessment strategy, (2) an 
implementation strategy, and (3) an evaluation strategy.
    2. Implement the community involvement plan and, where warranted 
based on the needs assessment, establish Community Assistance Panels.
e. Health Education
    Site-specific health education encompasses a program of education 
activities implemented in communities to enable them to prevent or 
mitigate the health impact of exposure to hazardous substances present 
at waste sites and releases. Prevention of exposure is the focus of 
community health education. Prevention of health effects from exposure 
is the focus of health professions education. Based on the community 
needs assessment, a coordinated health education program to address the 
needs identified for each target audience should be developed. The 
recipient should:
    1. Develop materials that are appropriate for the target audience 
considering such issues as literacy level, cultural values, and 
languages spoken.
    2. Give priority to those sites where specific actions can be taken 
to reduce or prevent exposures or where a significant public health 
concern exists.
    3. Materials and programs targeted to a community's health care 
providers should be designed to improve the knowledge and skill of 
health care professionals concerning the potential exposure to 
hazardous substances at the selected sites. Examples include programs 
and materials designed to enhance the ability of health care providers 
to communicate risk, counsel and advise community members including 
their patients, recognize and evaluate potential exposures, obtain 
appropriate consultation from environmental health experts when needed 
or diagnose and treat conditions that may arise from exposure to 
hazardous substances.
    4. Implement the planned actions such as distributing materials, 
and conducting projects such as Grand

[[Page 31494]]

Rounds, short courses, seminars, poster display sessions, and public 
availability sessions.
f. Site-Specific Evaluation
    As part of the work plan, develop a site-specific evaluation plan 
prior to conducting activities. The plan should contain a component for 
each activity undertaken at the site. Conduct evaluation of activities 
and projects and site-specific programs to determine if community needs 
have been met as well as intended purpose of the activities. Both 
process and impact/outcome measures should be included in the 
evaluation plan.
g. Program Evaluation
    An evaluation of effectiveness of overall capacity building effort 
in addressing public health issues in communities living near hazardous 
waste sites will be conducted jointly by all participants. This 
evaluation will focus on outcome and impact measurements using a 
standard evaluation instrument. Both process and impact/outcome 
measures will be included in the evaluation.

2. Other Recipient Activities

    a. Participate in Technical Project team (TPT) review and comply 
with established review and handling procedures for incorporating the 
results of recommendations into site evaluation activities.
    b. Provide abstraction overview to ATSDR on each site for which 
site evaluation activities have been conducted for inclusion in the 
HAZDAT.
c. Workshops
    1. Conduct and participate in local, State, and federal health and 
environmental workshops and community meetings to discuss and respond 
to questions concerning a particular site's impact on public health.
    2. Participate in ATSDR-scheduled training classes or workshops to 
increase knowledge and skills in environmental public health.
    d. Respond to ATSDR's requests concerning congressional inquiries/
testimonies, program evaluation, or other information in carrying out 
the purpose of the project.

3. ATSDR Activities

    ATSDR will have primary responsibilities as follows:
a. Public Health Assessments
    Collaborate with and assist recipient in conducting Public Health 
Assessment activities on CERCLIS or other sites or facilities within 
the recipient's territorial boundary, which includes:
    1. Collaborate and assist in preparing addenda to update public 
health assessments.
    2. Collaborate and assist in preparing Site Review and Updates 
(SRU) to evaluate current conditions and determine the need for further 
actions.
b. Health Consultations
    Collaborate and assist recipient in preparing a written or verbal 
response to a specific question or specific request for information 
about health risks posed by a specific site [including Site Accelerated 
Cleanup Model (SACM)], chemical release, or hazardous material.
c. Exposure Investigations
    Collaborate and assist in conducting Exposure Investigations.
d. Community Involvement
    1. Assist in developing effective methods to conduct needs 
assessments in communities living near hazardous waste sites and in 
defining goals and objectives.
    2. Assist in development, implementation, and evaluation of the 
community involvement plan.
e. Site-Specific Health Education
    1. Collaborate in developing and reviewing all educational 
materials to ensure scientific accuracy. Provide existing materials as 
requested. Collaborate in developing projects for specific target 
audiences.
    2. Collaborate with the State in the implementation of programs and 
the distribution of materials.
f. Evaluation
    ATSDR will lead the evaluation of each recipient's total program. 
This evaluation will focus on outcome and impact measurements using a 
standard evaluation instrument. In addition, ATSDR will conduct an 
evaluation of effectiveness of overall capacity building effort in 
addressing public health issues in communities living near hazardous 
waste sites. Both process and impact/outcome measures will be included 
in the evaluation.

4. Other ATSDR Activities

    a. Initiate and conduct review by Technical Project Team.
    b. Assist with abstraction overview for the database on each site 
for which site evaluation activities have been conducted.
c. Workshops
    1. Assist recipient with participation in local, State, and Federal 
health and environmental workshops and community meetings to discuss 
and respond to questions concerning a particular site's impact on 
public health.
    2. Initiate and conduct ATSDR-scheduled training classes or 
workshops to increase recipients knowledge and skills in environmental 
public health.
    d. Assist recipient with requests concerning program evaluation, or 
congressional inquiries concerning the cooperative agreement that are 
received by ATSDR.

E. Application Content

Competing Applications

    Use the information in the Program Requirements, Other 
Requirements, and Evaluation Criteria sections to develop the 
application content. Your application will be evaluated on the criteria 
listed, so it is important to follow them in laying out your program 
plan. The application must include a 200 word or less abstract of the 
proposal. The application pages must be clearly numbered, and a 
complete index to the application and its appendices must be included. 
The original and each copy of the application must be submitted 
unstapled and unbound.
    The budget should include funds for selected cooperative agreement 
staff to attend the annual training meeting in Atlanta (five days).

F. Submission and Deadline

Application

    Submit the original and two copies of PHS Form 5161-1 (OMB Number 
0937-0189). Forms are in the application kit. On or before August 5, 
1998, submit the application to: Patrick A. Smith, Grants Management 
Specialist, Grants Management Branch, Procurement and Grants Office, 
Announcement 98064, Centers for Disease Control and Prevention (CDC), 
Room 300, 255 East Paces Ferry Road, NE., Mailstop E-13, Atlanta, 
Georgia 30305-2209.
    If your application does not arrive in time for submission to the 
independent review group, it will not be considered in the current 
competition unless you can provide proof that you mailed it on or 
before the deadline (i.e., receipt from U.S. Postal Service or a 
commercial carrier; private metered postmarks are not acceptable).

G. Evaluation Criteria

    Each application will be evaluated individually against the 
following criteria by an independent review group appointed by ATSDR. 
The proposed program will account for a total of 70 percent of the 
score from the evaluation criteria. Applications will be reviewed

[[Page 31495]]

and evaluated according to the following criteria:

a. Proposed Program--70 Percent

    Applicant's ability to address the following:
    1. Ability to respond to specific public health issues that occur 
as a result of actual or potential human exposure to a hazardous 
substance including methods to evaluate and analyze toxicological, 
community, and environmental health data; and to conduct and analyze 
data from exposure investigations.
    2. Description of involvement with communities response to concern 
about a particular site's impact on public health. Ability to develop 
and provide preventive health education in a timely fashion in response 
to public health issues including appropriateness and thoroughness of 
the methods used to evaluate preventive health education, and the 
extent to which the evaluation plan includes measures of program 
outcome (i.e., effect of participant's knowledge, attitudes, skills, 
behaviors, exposure to hazardous substances).

b. Program Personnel--15 Percent

    The extent to which the proposal has described or provided 
biographical data on the:
    1. Manner in which an integrated team will be developed to address 
components of this program. A consistent team is vital to this effort. 
ATSDR recommends that the team consist of, at minimum, \1/2\ to 1 FTE 
health assessors and \1/2\ to 1 FTE health educators/community 
involvement specialists/medical officers for core activities.
    2. Appropriate qualifications, experience, leadership ability, and 
percentage of time project director (or principle investigator) will 
commit to the project.
    3. Appropriate qualifications, experience, and description of how 
staff will be utilized in relation to the activities to be performed to 
accomplish the work and their percentage of time to be spent on the 
project; CVs should be provided.
    4. Ability of recipient to adhere to ``Third Party Agreements'' 
under ``Other Requirements'' of this announcement if contractors are 
proposed.

c. Capability--15 Percent

    Description of the applicant's capability to carry out the proposed 
project and suitability of facilities and equipment available or to be 
purchased for the project.

d. Program Budget--(Not Scored)

    The extent to which the budget relates directly to project 
activities, is clearly justified, and is consistent with intended use 
of funds. The budget should include funds for scientific staff to 
attend the annual training meeting in Atlanta (five days).

e. Continuation Awards

    Continuation awards within the project period will be made on the 
basis of an annually negotiated work plan with ATSDR staff, and the 
following criteria:
    1. Satisfactory progress has been made in meeting project 
objectives;
    2. Objectives for the new budget period are realistic, specific, 
and measurable;
    3. Proposed changes in described methods of operation, need for 
financial support, and/or evaluation procedures will lead to 
achievement of project objectives; and
    4. The budget request is clearly justified and consistent with the 
intended use of cooperative agreement funds.

H. Other Requirements

Technical Reporting Requirements

    Provide ATSDR with original plus two copies of:
    1. Annual progress reports; the progress reports must report on 
progress toward addressing activities mutually agreed to by ATSDR and 
the recipient at the time of the annual budget discussion, as part of 
the annually negotiated work plan and should include the following for 
each program, function, or activity involved: (1) a comparison of 
actual accomplishments to the goals established for the period; (2) the 
reasons for slippage if established goals were not met; and (3) other 
pertinent information.
    2. Financial status report, no more than 90 days after the end of 
the budget period; and
    3. Final financial and performance reports, no more than 90 days 
after the end of the project period.
    Send all reports to: Patrick A. Smith, Grants Management 
Specialist, Grants Management Branch, Procurement and Grants Office, 
Centers for Disease Control and Prevention (CDC), Room 300, 255 East 
Paces Ferry Road, NE., Mailstop E-13, Atlanta, GA 30305-2209.
    Disclosure. Recipient is required to provide proof by way of 
citation to State code or regulation or other State pronouncement given 
the authority of law, that medical information obtained pursuant to the 
agreement, pertaining to an individual, and therefore considered 
confidential, will be protected from disclosure when the consent of the 
individual to release identifying information is not obtained.
    The following additional requirements are applicable to this 
program. For a complete description of each, see Attachment I.

AR98-7--Executive Order 12372 Review
AR98-9--Paperwork Reduction Act Requirements
AR98-10--Smoke-Free Workplace Requirements
AR98-11--Healthy People 2000
AR98-17--Peer and Technical Reviews of Final Reports of Health 
Studies--ATSDR
AR98-18--Cost Recovery--ATSDR
AR98-19--Third Party Agreements--ATSDR

I. Authority and Catalog of Federal Domestic Assistance Number

    This program is authorized under Sections 104(i), (1)(E), (4), (6), 
(7), (9), (14) and (15) of the Comprehensive Environmental Response, 
Compensation, and Liability Act (CERCLA) of 1980, as amended by the 
Superfund Amendments and Reauthorization Act (SARA) of 1986 [42 U.S.C. 
9604(i)(1) (E), (4), (6), (7), (9), (14) and (15)], and Section 3019 
(b) and (c) of the Resource Conservation and Recovery Act (RCRA), as 
amended (Hazardous and Solid Waste Amendments of 1984) [42 U.S.C. 6939a 
(b) and (c)].
    The Catalog of Federal Domestic Assistance numbers are 93.200, 
93.201, 93.203.

J. Where To Obtain Additional Information

    Please refer to Announcement Number 98064 when requesting 
information and submitting an application.
    To receive additional written information and to request an 
application kit, call 1-888-GRANTS4 (1-888-472-6874). You will be asked 
to leave your name and address and will be instructed to identify the 
Announcement number of interest.
    If you have questions after reviewing the contents of all of the 
documents, business management technical assistance may be obtained 
from: Patrick A. Smith, 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, Mailstop 
E13, Atlanta, Georgia 30305, Telephone (404) 842-

[[Page 31496]]

6803, INTERNET address [email protected].
    For programmatic technical assistance contact: Sharon Conley, 
Financial Acquisition Specialist, Office of Program Operations & 
Management (OPOM), Agency for Toxic Substances and Disease Registry 
(ATSDR), 1600 Clifton Road, NE., Mailstop E-60, Atlanta, Georgia 30333, 
Telephone (404) 639-0559, INTERNET address [email protected].
    Also, the CDC home-page on the Internet: http://www.cdc.gov is 
available for copies of this Announcement and funding documents as well 
as application forms.

    Dated: June 3, 1998.
Georgi Jones,
Director, Office of Policy and External Affairs, Agency for Toxic 
Substances and Disease Registry.
[FR Doc. 98-15256 Filed 6-8-98; 8:45 am]
BILLING CODE 4163-70-P