[Federal Register Volume 63, Number 114 (Monday, June 15, 1998)]
[Notices]
[Pages 32663-32667]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-15805]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention
[Announcement Number 98088]


Notice of Availability of Funds for Fiscal Year 1998; Resource 
Center for Unintentional Injury Prevention Among Older Americans

Introduction

    The Centers for Disease Control and Prevention (CDC), announces the 
availability of fiscal year (FY) 1998 funds for a cooperative agreement 
to establish a Resource Center for Unintentional Injury Prevention 
Among Older Americans.
    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 Unintentional Injuries. 
(For ordering copies of ``Healthy People 2000'' and ``Major Causes of 
Unintentional Injuries Among Older Persons'' [1996], see the Section 
WHERE TO OBTAIN ADDITIONAL INFORMATION.)

Authority

    This program is authorized under sections 301, 317, and 391-394 [42 
U.S.C. 241, 247b, and 280b-280b-3] of the Public Health Service Act as 
amended.

Smoke-Free Workplace

    CDC 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.

Eligible Applicants

    Applications may be submitted by public and private non-profit 
organizations and by governments and their agencies. Thus, 
universities, colleges, research institutions, hospitals, other public 
and private nonprofit organizations, State and local governments or 
their bona fide agents, and federally recognized Indian tribal 
governments, Indian tribes, or Indian tribal organizations are eligible 
to apply.

    Note: Effective January 1, 1996, Public Law 104-65 states that 
an organization described

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in section 501(c)(4) of the Internal Revenue Code of 1986 which 
engages in lobbying activities shall not be eligible to receive 
Federal funds constituting an award, grant (cooperative agreement), 
contract, loan, or any other form.

Availability of Funds

    Approximately $194,000 is available in FY 1998 to fund one award. 
It is expected that the award will begin on or about September 30, 
1998, and will be made for a 12-month budget period within a project 
period of up to 3 years. Funding estimates may vary and are subject to 
change.
    A continuation award within the project period will be made on the 
basis of satisfactory progress and the availability of funds.

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. Section 1352 (which has been in effect since 
December 23, 1989), recipients (and their sub-tier 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 1998 Department of Labor, Health and Human 
Services, and Education, and Related Agencies Appropriations Act 
(Public Law 105-78) states in Section 503 (a) and (b) that 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 or any State legislature, except in presentation to 
the Congress itself or any State legislature. 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.

Prohibition on Use of CDC Funds for Certain Gun Control Activities

    The Departments of Labor, Health and Human Services, and Education, 
and Related Agencies Appropriations Act, 1998, specifies that: ``None 
of the funds made available for injury prevention and control at the 
Centers for Disease Control and Prevention may be used to advocate or 
promote gun control.''
    Anti-Lobbying Act requirements prohibit lobbying Congress with 
appropriated Federal monies. Specifically, this Act prohibits the use 
of Federal funds for direct or indirect communications intended or 
designed to influence a member of Congress with regard to specific 
Federal legislation. This prohibition includes the funding and 
assistance of public grassroots campaigns intended or designed to 
influence members of Congress with regard to specific legislation or 
appropriation by Congress.
    In addition to the restrictions in the Anti-Lobbying Act, CDC 
interprets the language in the CDC's 1998 Appropriations Act to mean 
that CDC's funds may not be spent on political action or other 
activities designed to affect the passage of specific Federal, State, 
or local legislation intended to restrict or control the purchase or 
use of firearms.

Background

    The elderly population is increasing more rapidly than other age 
groups, and its share of the total U.S. population is rising rapidly. 
Among people 65 years and older, unintentional injuries are the seventh 
leading cause of death; there were over 29,000 deaths from 
unintentional injuries in 1995. The death rate from injuries increases 
exponentially with age. Among people aged 65 years and older; the death 
rate is higher among men than among women, and higher among whites than 
among other races. The major causes of unintentional injury mortality 
are falls, motor vehicle crashes, drowning, fires and burns, and 
poisonings.
    Falls are the second leading cause of injury deaths among people 
65-84 and the leading cause for people aged 85 years and older. In 
1995, almost 7,900 people over age 65 years died as a result of falls. 
Falls are the most common cause of injuries and hospital admissions for 
trauma among the elderly. Falls account for 87 percent of all fractures 
among people aged 65 years or older and are the second leading cause of 
spinal cord and brain injury. The most serious fall-related injury is 
hip fracture. Approximately 240,000 hip fractures occur each year in 
the United States; 75 percent to 80 percent of all hip fractures are 
sustained by women. The impact of these injuries on the quality of life 
is enormous. Half of all elderly adults hospitalized for hip fracture 
cannot return home or live independently after the fracture. The annual 
cost for treating these injuries was over 3 billion dollars in 1986.
    Since most fractures are the result of falls, understanding factors 
which contribute to falling is essential in order to design effective 
intervention strategies. For people aged 65 years or older, 60 percent 
of fatal falls occur in the home, 30 percent occur in public places, 
and 10 percent occur in health care institutions. Factors that 
contribute to falls include dementia, visual impairment, neurologic and 
musculoskeletal disabilities, psychoactive medications, and 
difficulties in gait and balance. Environmental hazards such as 
slippery surfaces, uneven floors, poor lighting, loose rugs, unstable 
furniture, and objects on floors may also play a role.
    People 65 years and older represent 13 percent of the population 
and about 17 percent of all motor vehicle-related deaths. In 1995, 
6,991 people 65 years and older died in crashes--79 percent as 
passenger vehicle occupants, and 18 percent as pedestrians. This 
represents a 25 percent increase from 1985. Per mile driven, elderly 
drivers have higher fatal crash rates than drivers in all other age 
groups except teenagers. One reason elderly people have higher death 
rates than younger people from motor vehicle crashes is that they are 
more susceptible to medical complications following injuries. This 
means they are more likely to die from their injuries.

Purpose

    The purpose of this announcement is to establish a Resource Center 
for the Prevention of Unintentional Injuries Among Older Americans 
(people ages 65 and older) and to disseminate this information. The 
Resource Center will provide this information to health care 
professionals, caretakers, and other individuals concerned about 
reducing injuries among Older Americans.

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

    In Year one:

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    1. Establish links and/or collaborative relationships with 
organizations which have demonstrated resources, information, and/or 
programs related to injuries among older adults.
    2. Identify the target audiences which will benefit from access to 
injury prevention program materials. For example, these may include 
public or private organizations, health care professionals, caretakers, 
and others concerned about reducing injuries among seniors.
    3. Conduct a needs assessment to determine the types and forms of 
information needed by the various target audiences. This assessment 
should guide the decisions about what types and in what forms data are 
to be made available.
    4. Compile unintentional injury prevention program information and 
resource materials related to people 65 years and older from these 
collaborating organizations and establish a repository for these 
materials.
    5. Develop and test a system that incorporates a variety of methods 
by which the identified target audiences can access/obtain this data.
    6. Develop training materials and distribution plan that will 
ensure participation of the target audiences.
    7. Conduct process and outcome evaluation of year 01 activities.
    In Years two and three: (Continue work on 1-7).
    8. Implement the dissemination/distribution plan developed during 
Year 01.
    9. Conduct process and outcome evaluation of Year 02 and 03 
activities.

B. CDC Activities

    1. Provide technical advise and consultation on all aspects of 
recipient activities.
    2. Provide technical assistance regarding up-to-date scientific 
resources regarding injuries and injury prevention among people 65 
years and older.

Technical Reporting Requirements

    An original and two copies of a semi-annual progress report must be 
submitted 30 days after the end of each six month period. The progress 
reports must include the following for each 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 are not met; and (3) other pertinent information including, 
when appropriate, analysis and explanation of unexpectedly high costs 
for performance. An original and two copies of a Financial Status 
Report (FSR) is required no later than 90 days after the end of the 
budget period. A final progress report and FSR are due no later than 90 
days after the end of the project period. All reports are submitted to 
the Grants Management Branch, CDC.

Application Content

    Each application should be limited to 30 pages, excluding the 
budget/budget justification page(s) and attachments (i.e., letters of 
commitment, data collection forms, resumes, etc.). All material must be 
typewritten, double-spaced, with type no smaller than 10 characters per 
inch (CPI) or 12 point type Times Roman or Courier 10 point, on 8.5'' x 
11'' paper, with at least a 1'' margin. Number each page clearly and 
provide a complete index.
    A. The application must include:
    1. Abstract: A one page abstract and summary of the proposed 
effort.
    2. Background and Need: Provide background and documentation of the 
need for and benefits of maintaining a national repository and actively 
disseminating information on injury prevention among older Americans, 
and keeping the subject in the public's attention.
    3. Goals and Objectives: Overall goal(s) which indicate where the 
applicant desires to be at the end of the project period and specific 
time-framed, measurable and achievable program objectives for each 
goal(s).
    4. Description of Activities: A detailed description (i.e., who, 
what, how, and when) of specific activities to be undertaken to achieve 
each of the program objectives during the project period. A time-frame 
should be included which indicates when each activity will occur and 
who will be responsible for each activity. Include an organizational 
chart identifying placement of the program within its relevant 
organizational system (e.g., the university system).
    5. Methodology: A detailed description of the process and outcome 
methods used to evaluate the effectiveness of each activity proposed, 
including what will be evaluated, the data to be used, who will perform 
the evaluation and the time-frame for the evaluation. The evaluation 
should include progress in meeting the objectives and conducting 
activities during the project period.
    6. Collaboration: A description of any proposed collaboration with 
other entities, including academic institutions, Federal, State or 
local agencies, institutes, associations, laboratories, or experts. 
Applicant should provide a letter from each outside entity describing 
their willingness and capacity to fulfill their specific 
responsibilities.
    7. Staff and Resources: A description of the roles and 
responsibilities of the project director and all other staff members 
and collaborators. Descriptions should include the position titles, 
education and experience, and the percentage of time each will devote 
to the program. Curriculum vitae for each critical staff member and 
collaborator should be included. Include a description of current 
activities and previous experience in injury prevention. Include 
relevant experience and capability to implement and maintain a database 
and actively disseminate information.
    8. Budget: A detailed budget with accompanying narrative justifying 
all individual budget items which make up the total amount of funds 
requested. The budget should be consistent with the stated objectives 
and planned activities.

Evaluation Criteria

    Applications will be reviewed and evaluated according to the 
following criteria:

1. Background and Need (10 Percent)

    The extent to which the applicant presents the magnitude of the 
need for this project, demonstrates experience in this area, and 
describes the likely impact of their activities on the this need.

2. Goals and Objectives (25 Percent)

    The extent to which the goal(s) and objectives are relevant to the 
purpose of the proposal, feasible for accomplishment during the project 
period, measurable, and specific in terms of what is to be done and the 
time involved. The extent to which the objectives address all 
activities necessary to accomplish the purpose of the proposal.

3. Methods (20 Percent)

    The extent to which the applicant provides a detailed description 
of all proposed activities needed to achieve each objective and the 
overall program goal(s). The extent to which the applicant provides a 
reasonable and complete schedule for implementing all activities. The 
extent to which position descriptions, lines of command, and 
collaborations are appropriate to accomplishing the program goal(s) and 
objectives.

4. Evaluation (20 Percent)

    The extent to which the proposed evaluation plan is detailed and 
capable of documenting program process and outcome measures (e.g., 
establishing a

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tracking system to record number of calls received, type and number of 
materials distributed). The extent to which the applicant demonstrates 
staff and/or collaborator availability, expertise, and capacity to 
perform the evaluation.

5. Facilities, Staff, and Resources (25 Percent)

    The extent to which the applicant can provide adequate facilities, 
staff and/or collaborators, and resources to accomplish the proposed 
goal(s) and objectives during the project period. The extent to which 
the applicant demonstrates staff and/or collaborator availability, 
expertise, previous experience, and capacity to perform the undertaking 
successfully.

6. Budget and Justification (Not Scored)

    The extent to which the applicant provides a detailed budget and 
narrative justification consistent with the stated objectives and 
planned program activities.

Executive Order 12372

    Applications are subject to Intergovernmental Review of Federal 
Programs as governed by Executive Order (E.O.) 12372, which sets up a 
system for State and local government review of proposed Federal 
assistance applications. Applicants (other than federally recognized 
Indian tribal governments) should contact their State Single Point of 
Contact (SPOC) as early as possible to alert them to the prospective 
applications and receive any necessary instructions on the State 
process. For proposed projects serving more than one State, the 
applicant is advised to contact the SPOC of each affected State. A 
current list of SPOCs is included in the application kit. If SPOCs have 
any State process recommendations on applications submitted to CDC, 
they should forward them to Ron Van Duyne, Grants Management Officer, 
ATTN: Joanne Wojcik, Grants Management Branch, Procurement and Grants 
Office, Centers for Disease Control and Prevention (CDC), 255 East 
Paces Ferry Road, NE., Room 300, Mailstop E-13, Atlanta, GA 30305, no 
later than 45 days after the application deadline. The granting agency 
does not guarantee to ``accommodate or explain'' for State process 
recommendations it receives after that date.
    Indian tribes are strongly encouraged to request tribal government 
review of the proposed application. If tribal governments have any 
tribal process recommendations on applications submitted to CDC, they 
should forward them to Ron Van Duyne, Grants Management Officer, ATTN: 
Joanne Wojcik, Grants Management Branch, Procurement and Grants Office, 
Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry 
Road, NE., Room 300, Mailstop E-13, Atlanta, GA 30305, no later than 45 
days after the application deadline. The granting agency does not 
guarantee to ``accommodate or explain'' for tribal process 
recommendations it receives after that date.

Public Health System Reporting Requirements

    This program is subject to the Public Health System Reporting 
Requirements. Under these requirements, all community-based non-
governmental organizations submitting health services applications must 
prepare and submit the items identified below to the head of the 
appropriate State and/or local health agency(s) in the program area(s) 
that may be impacted by the proposed project no later than the 
application deadline date of the Federal application. The appropriate 
State and/or local health agency is determined by the applicant. The 
following information must be provided:
    A. A copy of the face page of the application (SF 424).
    B. A summary of the project that should be titled ``Public Health 
System Impact Statement'' (PHSIS), not to exceed one page, and include 
the following:
    1. A description of the population to be served;
    2. A summary of the services to be provided; and
    3. A description of the coordination plans with the appropriate 
State and/or local health agencies.
    If the State and/or local health official should desire a copy of 
the entire application, it may be obtained from the State Single Point 
of Contact (SPOC) or directly from the applicant.

Catalog of Federal Domestic Assistance Number

    The Catalog of Federal Domestic Assistance Number is 93.136.

Other Requirements

Paperwork Reduction Act

    Projects that involve the collection of information from 10 or more 
individuals and funded by the cooperative agreement will be subject to 
review by the Office of Management and Budget (OMB) under the Paperwork 
Reduction Act.

Application Submission and Deadline

    The original and two copies of the application PHS Form 5161-1 
(Revised 7/92, OMB Control Number 0937-0189) must be submitted to 
Joanne Wojcik, 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 E-
13, Atlanta, GA 30305, on or before August 10, 1998.
    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 committee. For proof of timely 
mailing, applicant must request a legibly dated U.S. Postal Service 
postmark or obtain a legibly dated receipt from a commercial carrier or 
the U.S. Postal Service. Private metered postmarks will not be 
acceptable as proof of timely mailing.
    2. Late Applications: Applications that do not meet the criteria in 
1.a. or 1.b. above are considered late applications. Late applications 
will not be considered in the current competition and will be returned 
to the applicant.

Where to Obtain Additional Information

    The program announcement and application forms may be downloaded 
from the Internet: www.cdc.gov (look under funding). You may also 
receive a complete application kit by calling 1-888-GRANTS4. You will 
be asked to identify the program announcement number and provide a name 
and mailing address. A complete announcement kit will be mailed to you.
    If you have questions after reviewing the forms, for business 
management technical assistance contact Joanne Wojcik, Grants 
Management Specialist, Grants Management Branch, Procurement and Grants 
Office, Centers for Disease Control and Prevention (CDC), 255 East 
Paces Ferry Road, NE., Mailstop E-13, Atlanta, GA 30305, telephone 
(404) 842-6535, Internet Address: [email protected].
    Programmatic assistance may be obtained from Judy Stevens, Ph.D., 
National Center for Injury Prevention and Control, Centers for Disease 
Control and Prevention (CDC), 4770 Buford Highway, NE, Mailstop K63, 
Atlanta, GA 30341-3724, telephone (770) 488-4652, Internet Address: 
[email protected].
    Please refer to Announcement Number 98088 when requesting

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information and submitting an application.
    Potential applicants may obtain a copy of ``Healthy People 2000'' 
(Full Report, Stock No. 017-001-00474-0) or ``Healthy People 2000'' 
(Summary Report, Stock No. 017-001-00473-1) referenced in the 
``INTRODUCTION'' through the Superintendent of Documents, Government 
Printing Office, Washington, DC 20402-9325, telephone (202) 512-1800.
    A copy of American Society for Testing and Materials (ASTM) Number 
1292 may be obtained from ASTM, Customer Services, 1916 Race Street, 
Philadelphia, PA 19103-1187, telephone (215) 299-5585.

    Dated: June 9, 1998.
John L. Williams,
Director, Procurement and Grants Office, Centers for Disease Control 
and Prevention (CDC).
[FR Doc. 98-15805 Filed 6-12-98; 8:45 am]
BILLING CODE 4163-18-P