[Federal Register Volume 64, Number 100 (Tuesday, May 25, 1999)]
[Notices]
[Pages 28189-28196]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-13139]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention
[Program Announcement 99094]


Community Coalition Development Projects for African American 
Communities; Notice of Availability of Funds

A. Purpose

    The Centers for Disease Control and Prevention (CDC) announces the 
availability of fiscal year (FY) 1999 funds to support African American 
community coalitions to plan and develop linked networks of HIV, STD, 
TB, substance abuse and primary care services within their respective 
communities. This program addresses the ``Healthy People 2000'' 
priority area(s) of Educational and Community-Based Programs, HIV 
Infection, and Sexually Transmitted Diseases. The purpose of this 
program is to improve the health status of African American communities 
disproportionately affected by HIV, STDs, TB, and substance abuse. 
Specific goals of the program are to increase access to health services 
by: (1) Using community coalitions to develop linked networks of HIV, 
STD, TB, and substance abuse prevention, treatment, and care services 
for African American communities disproportionately affected by HIV/
AIDS for which gaps in services and funding exist; and (2) 
strengthening existing linkages among local prevention, treatment, and 
care providers to better serve these communities. (Please refer to 
Appendix A for background information relevant to this program 
announcement. Also, refer to Section J, Where to Obtain Additional 
Information, for dates and times of audio-conferences.)

B. Eligible Applicants

    Eligible applicants (identified here as lead organizations) are 
non-profit organizations that develop coalitions to design plans for 
building and strengthening linkages among HIV, STD, TB, and substance 
abuse prevention, treatment, care services and other health and social 
service programs in specifically defined African American communities 
at high risk for these conditions. For the purposes of this 
announcement, the term ``community'' refers to a specific area within 
which the lead organization and its partners will focus their efforts. 
This area must be defined as one or more contiguous neighborhoods, 
school districts, zip codes, or census tracts.
    Lead organizations must meet the following criteria:
    1. Must be a local, nonprofit health, social service, or voluntary 
organization that has been granted tax-exempt status under section 
501(c)(3) of the Internal Revenue Code, as evidenced by an Internal 
Revenue Service (IRS) determination letter. Examples of these 
organizations include, but are not limited to, neighborhood or 
community health centers, community-based organizations, reproductive 
health centers, and substance abuse treatment programs.
    2. Must have or develop a board, governing body, or advisory group 
in which greater than 50% of the members are of the African American 
population(s) to be served. This body must also include, or demonstrate 
ability to obtain input and representation from, community members at 
high risk for HIV, STDs, TB, and substance abuse. (Examples of persons 
at high risk include, men who have sex with men, youth at risk, women 
at risk, transgender populations, injecting and other drug users).
    3. Must have greater than 50% of key staff positions, including 
management, supervisory, administrative, and service positions, filled 
by African Americans.
    4. Must have an established record of providing services to African 
Americans. An established record is defined as a minimum of three years 
serving the target community. Acceptable documentation includes letters 
of support, client satisfaction surveys, and memoranda of agreement.

[[Page 28190]]

    5. Applications under this announcement will be categorized into 
two mutually exclusive groups: (a) Organizations that must be located 
and provide services in the following high AIDS prevalence metropolitan 
statistical areas (MSAs) \1\ with more than 1000 estimated African 
Americans living with AIDS at the end of 1997 \2\ or (b) organizations 
that are located or provide services in the following areas, with high 
rates of syphilis in 1997.
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    \1\ OMB Bulletin 98-06 available at http://www.census.gov/
population/www/estimates/metrodef.html.
    \2\ HIV/AIDS Surveillance Supplemental Reports: Characteristics 
of Persons Living with AIDS at the End of 1997. Volume 5, Number 1 
available at http://www.cdc.gov/nchstp/hiv__aids/stats/hasrsupp.htm.
---------------------------------------------------------------------------

    a. Lead organizations in category (a) must be located and provide 
services in one of the following high AIDS prevalence MSAs: Atlanta, 
GA; Baltimore, MD; Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH; 
Chicago, IL; Dallas, TX; Detroit, MI; Fort Lauderdale, FL; Houston, TX; 
Jacksonville, FL; Los Angeles-Long Beach, CA; Miami, FL; Newark, NJ; 
New Haven-Bridgeport-Stamford-Danbury-Waterbury, CT; New Orleans, LA; 
New York City, NY; Oakland, CA; Philadelphia, PA-NJ; San Francisco, CA; 
Washington, DC-MD-VA-WV; and West Palm Beach-Boca Raton, FL. (Please 
see Appendix B for a complete listing of counties included in each 
MSA.)
     b. Lead organizations in category (b) must be located or provide 
services in the following high syphilis areas: Cumberland, NC; 
Cuyahoga, OH; Davidson, TN; Forsyth, NC; Franklin, OH; Fresno, CA; 
Guilford, NC; Hinds, MS; Jefferson, AL; Jefferson, KY; Maricopa, AZ; 
Marion, IN; Milwaukee, WI; Oklahoma, OK; Shelby, TN; and Tuscaloosa, 
AL. The independent city is St. Louis, MO.
    Only organizations located in the aforementioned list of high HIV 
prevalence MSAs or located or providing services in the high syphilis 
areas are eligible to apply.
    6. Local affiliates, chapters, or programs of national and regional 
organizations are eligible to apply. The local affiliate, chapter, or 
program applying must meet criteria one through five above.
    7. Governmental or municipal agencies or their affiliate 
organizations (for example, health departments, school boards, public 
hospitals) are not eligible for funding as a lead organization. 
However, local health departments must be part of the coalition.

    Note: Pub. L. 104-65 states that an organization described in 
section 501(c)(4) of the Internal Revenue Code of 1986 that engages 
in lobbying activities is not eligible to receive Federal funds 
constituting an award, grant, cooperative agreement, contract, loan, 
or any other form.

C. Availability of Funds

    The program will be conducted in two phases: During Phase 1 (years 
1 and 2), approximately 20 lead organizations will be funded to 
develop, coordinate, and participate in coalitions to plan and design 
linked networks of services in their respective communities. During 
Phase 2 (years 3 through 5) three to five of the Phase 1 grantees may 
receive continuation awards to fully implement their plans.
    1. Phase 1 (Years 1 and 2): Approximately $3.6 million is available 
in FY 1999 to fund approximately 20 projects for Phase 1 activities. 
Phase 1 awards will be made for a 12-month budget period within a 
project period of two years and will begin on or about September 30, 
1999.
    a. Approximately $2.8 million will be available to fund 
approximately 15 projects in the high prevalence MSAs listed above. It 
is estimated that the average award will be $186,667, ranging from 
$80,000 to $300,000.
    b. Approximately $800,000 will be available in FY 1999 to fund 
approximately five projects in the high syphilis counties and city 
listed above. It is estimated that the average award will be $160,000, 
ranging from $50,000 to $200,000.
    For Phase 1, applications for more than $400,000 (including 
indirect costs) in the high AIDS prevalence MSAs or more than $200,000 
(including indirect costs) in the high syphilis areas will be deemed 
ineligible and will not be accepted by CDC.
    Continuation awards within an approved project period will be made 
on the basis of availability of funds and the applicant's satisfactory 
progress toward achieving objectives. Satisfactory progress toward 
achieving objectives will be determined by progress reports and site 
visits conducted by CDC representatives. Proof of continued eligibility 
is required with noncompeting continuation applications.
    2. Phase 2 (Years 3 through 5): Approximately $3.6 million is 
expected to be available to fund three to five of the Phase 1 grantees 
for Phase 2. Phase 2 awards will be made for a 12-month budget period 
within a project period of up to three years. Selection of Phase 2 
grantees will be competitive and based on the extent and quality of 
progress in the planning and development phase, including breadth of 
inclusion of the target population and the soundness of the plan and 
proposed mechanisms for implementation.
    Funding estimates may change based on the availability of funds.

    Note: Funds to support CBOs to provide HIV prevention services 
to African American communities are also available under three other 
CDC program announcements: Program Announcement 99091--Community-
Based HIV Prevention Services and Capacity-Building Assistance to 
Organizations Serving Gay Men of Color at Risk for HIV Infection, 
Program Announcement 99092--Community-Based Human Immunodeficiency 
Virus (HIV) Prevention Projects for African Americans, and Program 
Announcement 99096--HIV Prevention Projects for African-American 
Faith-Based Organizations.

Use of Funds

    Funds available under this announcement must support activities 
directly related to primary HIV prevention and prevention of other 
STDs, TB, and substance abuse. No funds will be provided for direct 
patient medical care (including substance abuse treatment, medical 
treatment, or medications or research).
    These funds may not be used to supplant or duplicate existing 
funding. In the absence of an indirect rate agreement, a maximum of 5% 
will be awarded for the salary of the Executive Director. If the 
organization has an indirect rate that includes the Executive 
Director's salary, no additional funds will be provided. Funds will not 
be provided for the salary of an Executive Director that is also a 
member of the Organization's Board of Directors.

    Note: If indirect costs are requested, you must provide a copy 
of your organization's current negotiated Federal indirect cost rate 
agreement.

    Although applicants may contract with other organizations to 
conduct activities under these cooperative agreements, applicants must 
perform a substantial portion of the activities for which funds are 
requested. Applications requesting funds to support only administrative 
and managerial functions will not be accepted.

Funding Preferences

    In making awards for Phase 1, priority will be given to assuring:
    Geographic distribution across the eligible areas, consistent with 
AIDS morbidity in African Americans.
    Interested persons are invited to comment on the proposed funding 
priority. All comments received within 30 days after publication in the 
Federal Register will be considered before the

[[Page 28191]]

final funding priority is established. If the funding priority changes 
because of comments received, a revised announcement will be published 
in the Federal Register, and revised applications will be accepted 
before the final selections are made. Address comments to the Grants 
Management Specialist identified in the ``Where to Obtain Additional 
Information'' section of this announcement.

D. Program Requirements

    In conducting activities to achieve the purpose of this program, 
the recipient will be responsible for the activities under 1. 
(Recipient Activities), and CDC will be responsible for activities 
listed under 2. (CDC Activities).
    1. Recipient Activities:
    a. During Phase 1, the recipient (the lead organization) must:
    (1) Commit to this project a full-time position with the 
responsibility, authority, professional training, and experience needed 
to lead and coordinate program activities of the coalition;
    (2) Develop a coalition including representatives from local 
service providers and affected community members to design and develop 
a plan for a linked network of services. The coalition must include at 
least four organizations and agencies and must include local health 
departments that serve the target community;
    (3) Identify key community leaders and opinion leaders and engage 
them as part of the coalition process;
    (4) Establish and clearly document linkages with local HIV 
prevention community planning groups, Ryan White CARE Act planning 
councils and the State and local health departments;
    (5) Establish linkages with existing local and community-based 
organizations that provide services to prevent and treat HIV/AIDS, 
STDs, TB, and substance abuse. This must include close linkages with 
local health departments. The applicant should also consider including 
public hospitals, neighborhood health clinics, mental health clinics, 
managed care entities that provide services to Medicaid beneficiaries, 
WIC programs, maternal and child health programs, prenatal care 
providers, family planning clinics and social service agencies;
    (6) Develop a community needs assessment for the target area. This 
should include (a) reviewing epidemiological and other data, (b) 
reviewing the relevant State and local HIV prevention comprehensive 
plans and other relevant planning documents, and (c) conducting an 
analysis of community assets and service gaps;
    (7) Develop a detailed plan for creating and maintaining a linked 
network of services for the targeted community, based on the community 
needs assessment. This network should include, but not be limited to, 
HIV, STD, TB, and substance abuse prevention, treatment, and care 
services; mental health services; primary care services; social 
services; and family planning services. The plan must describe in 
detail all linkages that will exist within the network. These linkages 
should include development of formal memoranda of agreement, referral 
tracking mechanisms, and mechanisms to ensure appropriate routine 
sharing of data and programmatic information. The mechanisms must 
specify the role and resources that each coalition member will bring to 
the project, state the terms of the agreement, and state the duration 
of the agreement as confirmed by agreements signed by the applicant and 
each coalition member. The documents must be signed by individuals with 
the authority to represent the organization (for example, president, 
chief executive officer, or executive director). The strengthened 
linkages should result in increasing and assuring access to and quality 
of services for the targeted community; and
    (8) Begin to implement the plan for the linked network of services.
    b. During Phase 2, the recipient must:
    (1) Coordinate and participate in full implementation of the plan;
    (2) Serve as liaison among members of the coalition to provide 
management oversight, facilitate program implementation and operations, 
and maintain effective working relationships; and
    (3) Conduct an evaluation of system outcomes using both 
quantitative and qualitative data, for example, an assessment of 
changes in access to care as a result of the coalition.
    c. During both Phase 1 and Phase 2, the recipient must:
    (1) Coordinate program activities with relevant national, regional, 
State, and local HIV prevention programs in the target community to 
prevent duplication of efforts;
    (2) Participate in the HIV prevention community planning process. 
Participation may include involvement in workshops; attending meetings; 
if nominated and selected, serving as a member of the group; reporting 
on program activities; or reviewing and commenting on the comprehensive 
HIV prevention plan;
    (3) Participate with CDC in monitoring and evaluating all 
activities supported with CDC HIV prevention funds under this 
cooperative agreement;
    (4) Compile and facilitate the dissemination of lessons learned 
from the project to share with other organizations, communities, and 
CDC;
    (5) Develop a plan for obtaining additional resources from non-
Federal sources to supplement the project conducted through this 
cooperative agreement and to enhance the likelihood of its continuation 
after the end of the project period;
    (6) Participate in at least one CDC sponsored meeting of funded 
agencies;
    (7) Adhere to CDC policies for securing approval for CDC 
sponsorship of conferences; and
    (8) Before using funds awarded through this cooperative agreement 
to develop HIV prevention materials, recipients must check with the CDC 
National Prevention Information Network (NPIN) to determine if suitable 
materials are already available. Also, materials developed by 
recipients must be made available for dissemination through the CDC 
NPIN.
    NPIN maintains a collection of HIV, STD and TB resources for use by 
organizations and the public. Successful applicants may be contacted by 
NPIN to obtain information on program resources for use in referrals 
and resource directories. Also, grantees should send three copies of 
all educational materials and resources developed under this grant for 
inclusion in NPIN's databases.
    NPIN also makes available information and technical assistance 
services for use in program planning and evaluation. For further 
information on NPIN services and resources, contact NPIN at 1-800-458-
5231 (TTY users: 1-800-243-7012). NPIN's web site is www.cdcnpin.org; 
the fax number is 1-888-282-7681.
    2. CDC Activities:
    CDC will conduct the following activities:
    (1) Coordinate a national capacity building and technology transfer 
network;
    (2) Provide the recipients with consultation and technical 
assistance in planning, developing, operating and evaluating activities 
required by community coalitions to develop linked networks of 
services. CDC may provide consultation and technical assistance both 
directly from CDC and indirectly through prevention partners, such as 
health departments, national and regional minority partners (NRMOs), 
contractors, and other national or international organizations;
    (3) Provide up-to-date scientific information on the risk factors 
for HIV infection, prevention measures, and

[[Page 28192]]

program strategies for prevention of HIV infection;
    (4) Assist recipients in collaborating with State and local health 
departments, HIV prevention community planning groups, community based 
organizations (CBOs) that receive direct funding from CDC, and other 
federally-supported HIV/AIDS, STD, TB, and substance abuse prevention, 
treatment and care recipients;
    (5) Assist recipients in design and implementation of program 
activities, including provision of evaluation forms, if appropriate;
    (6) Monitor recipient performance of program activities, protection 
of client confidentiality, and compliance with other requirements;
    (7) Facilitate the transfer of successful prevention interventions, 
program models, and ``lessons learned'' through convening meetings of 
grantees, workshops, conferences, newsletters, use of the Internet, and 
communications with project officers. Also facilitate exchange of 
program information and technical assistance among community 
organizations, health departments, and national and regional 
organizations; and
    (8) Conduct an overall evaluation of the program to determine the 
effectiveness of the collaborations in developing linked service 
networks.

E. Application Content

    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 in Section G, ``Application Evaluation Criteria,'' so it is 
important to follow the format provided below in laying out your 
program proposal. The narrative should be no more than 40 pages single-
spaced pages (excluding budget and attachments), printed on one side 
and no less than 12 point font. Applications that fail to completely 
address Abstract requirements 1 a-c as listed in the instructions below 
or applications exceeding 40 pages will not be reviewed.
    Number each page clearly, and provide a complete index to the 
application and its appendices. Please begin each separate section of 
the application on a new page. The original and each copy of the 
application set must be submitted unstapled and unbound. All material 
must be typewritten, single spaced, with unreduced type on 8\1/2\'' by 
11'' paper, with at least 1'' margins, headings and footers, and 
printed on one side only. Materials which should be part of the basic 
application format will not be accepted if placed in the appendices.
    In developing the application, follow the format and instructions 
below.
Format
    1. Abstract.
    2. Assessment of Need and Justification for Proposed Activities.
    3. Long-term Goals.
    4. Existing Collaboration Activities of the Organization.
    5. Organizational History and Capacity.
    6. Program Proposal.
    a. Objectives.
    b. Plan of Operation.
    c. Timeline.
    d. Evaluation Plan.
    7. Program Management and Staffing Plan.
    8. Communications/Dissemination Plan.
    9. Evidence of Support from the Target Community.
    10. Plan for Acquiring Additional Resources.
    11. Budget Breakdown and Justification.
    12. Training and Technical Assistance Plan.
    13. Attachments.
Instructions
    1. Abstract (not to exceed 3 pages).
    Summarize your proposed program activities. Each item must be 
included as follows:
    a. Brief, clear, concise summary that establishes the eligibility 
of your organization as the ``lead'' organization by responding to each 
criterion in the Eligible Applicant section;
    b. A summary of the following:
    (1) The proposed composition of the coalition;
    (2) The applicant's capabilities;
    (3) Characteristics of the target community and why the community 
was selected;
    (4) The HIV, STD, TB and substance abuse problems and gaps in 
existing services;
    (5) The preliminary goals and objectives of your project;
    (6) Proposed roles and responsibilities of partner organizations; 
and
    (7) Proposed total cost of the program during the first year. 
Include any other funding sources which will support this project.
    c. Estimate the amount of time needed for the planning and 
designing phase and include a brief summary of proposed future years.
    2. Assessment of Need and Justification for Proposed Activities 
(not to exceed 3 pages).
    Describe the following:
    a. The target community to be served including geographic 
boundaries (for example, contiguous neighborhoods, zip codes, school 
districts, census tracts, etc.) and the criteria and approach used in 
identifying geographic boundaries. The description should also include 
the social, economic, and demographic characteristics of the target 
community;
    b. Describe environmental, social, cultural, or linguistic 
characteristics of the community that you have targeted;
    c. Describe the impact of HIV, STD, TB and substance abuse in the 
community;
    d. Describe the HIV, STD, TB and substance abuse prevention, 
treatment, and care services currently available in your community; and
    e. Clearly identify how community members are being 
disproportionately affected, the gap between the identified needs and 
the resources available, and how needs will be addressed by your 
proposed program.
    3. Long-term Goals (not to exceed 1 page). Describe the goals your 
proposed program plans to achieve over the 5-year project period.
    4. Existing Collaboration Activities of the Organization (not to 
exceed 3 pages).
    a. Describe at least one existing coalition or collaborative 
activity, not limited to HIV, in which your agency has led or 
participated. Include a summary of the collaboration, its purpose, 
activities and accomplishments. Attach memoranda of agreement from 
current coalition members and/or collaborators that describe existing 
relationships and specifies the length of their involvement and 
contributions.
    If there are no memoranda of agreement, list and describe the 
organizations and entities that have participated in the coalition and/
or collaborative activities. Include a description of existing 
relationships, length of involvement and contributions.
    b. Describe your experience in collaborating with governmental and 
non-governmental organizations, including national agencies or 
organizations, State and local health departments, community planning 
groups, and State and local non-governmental organizations that provide 
HIV, TB, STD or substance abuse prevention, treatment and care 
services.
    5. Organizational History and Capacity (not to exceed 3 pages).
    a. Organizational Structure: Describe your existing organizational 
structure, including constituent or affiliate organizations or 
networks, how the organizational structure will support the proposed 
program activities, and your ability to provide services for the 
targeted community.

[[Page 28193]]

    b. Cultural Competence: Describe your capacity to provide 
culturally competent and appropriate services that respond effectively 
to the cultural, gender, environmental, social, and multilingual 
character of the target populations, including any history of providing 
such services.
    6. Program Proposal (not to exceed 15 pages). Based on the 
``Recipient Activities'' listed in Section D, ``Program Requirements,'' 
describe the following:
    a. Objectives: Describe Phase 1 objectives that are specific, 
measurable, time phased, realistic, and related to the proposed goals. 
The objectives should cover the length of time necessary to plan and 
design a linked network of services ( up to 2 years). Describe how 
these objectives relate to the program's goals. Describe possible 
barriers to or facilitators for reaching these objectives. The 
Recipient Activities should be the basis for the objectives;
    b. Plan of Operation: Describe in detail the methods (that is, 
strategies and activities) you will use to achieve the proposed goals 
and objectives and to meet the required recipient activities. Make 
certain that your proposal addresses all required recipient activities. 
If some activities will be done by subcontractors or collaborating 
institutions or organizations (governmental or non-governmental), 
describe the respective roles and responsibilities of your organization 
and those of each collaborating entity in performing the proposed 
activities. Describe how you will market and promote your program in 
the community. Include, as attachments, memoranda of understanding or 
agreement as evidence of these established or agreed-upon collaborative 
relationships. Describe the respective roles and responsibilities of 
each collaborating entity in developing and implementing the program. 
Specify any and all organizations and agencies with which you will 
establish linkages and coordinate activities, and describe the 
activities that will be coordinated with each listed organization. 
These may include, as appropriate, the following:
    (1) Community groups and organizations, including churches and 
religious groups;
    (2) HIV/AIDS service organizations;
    (3) Ryan White CARE Title I and Title II planning bodies;
    (4) Schools, boards of education, and other State or local 
education agencies;
    (5) State and local substance abuse agencies, community-based and 
other drug treatment or detoxification programs;
    (6) Federally funded community projects, such as those funded by 
the Substance Abuse and Mental Health Services Administrations' 
(SAMSHA) Center for Substance Abuse Treatment (CSAT) and Center for 
Substance Abuse Prevention (CSAP), the Health and Human Services' 
Health Resource Services Administration (HRSA), Office of Minority 
Health (OMH), and other Federal entities;
    (7) Providers of services to youth in high risk situations (e.g., 
youth in shelters);
    (8) State or local departments of mental health;
    (9) Juvenile and adult criminal justice, correctional, or parole 
systems and programs;
    (10) Family planning and women's health agencies;
    (11) STD and TB clinics and programs; and
    (12) Medicaid managed care providers.
    c. Timeline: Provide a time line that indicates the approximate 
dates by which activities will be accomplished.
    d. Evaluation Plan: Provide an evaluation plan which describes how 
progress in meeting objectives will be monitored.
    7. Program Management and Staffing Plan (not to exceed 5 pages).
    a. Describe how the proposed program will be managed and staffed, 
including the location of the program within your organization. 
Describe in detail each existing or proposed position by job title, 
function, general duties, and activities. Include the level of effort 
and allocation of time for each project activity by staff position, job 
title, function, general duties and activities, and annual salary/rate 
of pay.
    b. If the identity of any key personnel who will fill a position is 
known, provide their curriculum vitae (not to exceed two pages per 
person) as an attachment. Note experience and training related to the 
proposed project.
    c. Provide an organizational chart that identifies lines of 
communication, accountability, reporting, and authority.
    8. Communication and Dissemination Plan: (not to exceed 1 page).
    Describe how you will share successful approaches and ``lessons 
learned'' with other organizations.
    9. Evidence of Support from the Target Community (not to exceed 2 
pages).
    List and describe the organizations with which you propose to 
collaborate and provide any other evidence of support for the proposed 
coalition. Include as attachments, letters of support from community 
members and agencies, including the county, city, and State health 
departments that serve the targeted community. Form letters will not be 
accepted as evidence of support.
    10. Plan for Acquiring Additional Resources: (not to exceed 1 
page). Describe your plan for obtaining additional resources from other 
(non-Federal) sources to supplement the program conducted through this 
cooperative agreement and to increase the likelihood of its 
continuation after the end of the project period.
    11. Budget Breakdown and Justification: Provide a detailed budget 
with accompanying justification of all operating expenses that is 
consistent with the stated objectives and activities. Be precise about 
the program purpose of each budget item and itemize calculations where 
possible.
    In the personnel section, specify the job title, annual salary/rate 
of pay, and percentage of time spent on this program.
    For contracts, applicants should name the contractor, if known; 
describe the services to be performed which justifies the use of a 
contractor; provide a breakdown of and justification for the estimated 
costs of the contract; the period of performance; the method of 
selection; and method of monitoring the contract.
    12. Training and Technical Assistance Plan: (not to exceed 2 
pages). Describe areas in which you anticipate needing technical 
assistance in designing, implementing, and evaluating your program and 
how you will obtain this technical assistance. Describe anticipated 
staff training needs related to the proposed program and how these 
needs will be met. Describe areas in which you anticipate needing CDC's 
technical assistance in your program.
    13. Attachments:
    a. Proof of Eligibility.
    Each applicant must provide documentation that they comply with all 
eligibility requirements specified under the ``Eligible Applicants'' 
section of this program announcement. Applicants should provide a 
separate section within this Attachments section that is entitled Proof 
of Eligibility to include the documents listed below. Failure to 
provide the required documentation will result in disqualification.
    (1) A reference to your organization's listing in the Internal 
Revenue Service's (IRS) most recent list of tax-exempt organizations 
described in section 501 (c) (3) of the IRS Code, i.e., IRS 
determination letter.
    (2) A list of the members of your organization's governing body 
along with their positions on the board, their expertise in working 
with or providing

[[Page 28194]]

services to the proposed target population, and their racial/ethnic 
backgrounds. (Submission of information regarding the HIV status or 
other confidential information regarding the board is optional, and 
must not be linked to a specific individual.)
    (3) Documentation that your organization is located and provides 
services in one of the 20 eligible MSAs or is located or provides 
services in one of the eligible counties or independent city. This 
documentation could include letters of support, news articles, 
brochures or flyers, annual reports, memoranda of agreement, or client 
surveys.
    (4) A Table of Organization of existing and proposed staff, 
including the board of directors, governing or advisory groups, 
volunteer staff, and their racial/ethnic backgrounds.
    (5) Documentation that your organization has an established record 
of providing services to the target population for at least three 
years, and a description of the specific services that have been 
provided.
    (6) Affiliates of national organizations must include with the 
application an original, signed letter from the chief executive officer 
of the national organization assuring their understanding of the intent 
of this program announcement and the responsibilities of recipients.
    b. Other Attachments.
    (1) Description of collaborating organizations or institutions and 
original, signed letters from the chief executive officers of each such 
organization or institution assuring their understanding of the intent 
of this program announcement, the proposed program, their role in the 
proposed program, and the responsibilities of recipients.
    (2) A description of funds received from any source to conduct HIV/
AIDS programs and other similar programs targeting the population 
proposed in the program plan. This summary must include: (a) The name 
of the sponsoring organization/source of income, amount of funding, a 
description of how the funds have been used, and the budget period; (b) 
a summary of the objectives and activities of the funded program(s); 
and (c) an assurance that the funds being requested will not duplicate 
or supplant funds received from any other Federal or non-Federal 
source. CDC awarded funds can be used to expand or enhance services 
supported with other Federal or non-Federal funds. In addition, 
identify proposed personnel devoted to this project who are supported 
by other funding sources and the activities they are supporting.
    (3) Independent audit statements from a certified public accountant 
for the previous 2 years.
    (4) A copy of your organization's current negotiated Federal 
indirect cost rate agreement, if applicable.
    (5) Evidence of collaboration, or intent to collaborate, with State 
and local chapters, affiliates, organizations, or venues.

F. Submission and Deadline

    Submit the original and two copies of PHS 5161-1 (OMB Number 0937-
0189). Forms are available at the following Internet address: 
www.cdc.gov/. . . Forms, or in the application kit. On or before July 
26, 1999, submit the application to the Grants Management Specialist 
identified in the ``Where to Obtain Additional Information'' section of 
this announcement.
    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 acceptable as proof of timely mailing.)
    Late Applications: Applications which do not meet the criteria in 
(a) or (b) above are considered late applications, will not be 
considered, and will be returned to the applicant.

G. Application Evaluation Criteria

    Each application will be evaluated individually against the 
following criteria by an independent review group appointed by CDC. 
Each organization may submit no more than one proposal under this 
announcement. If an organization submits more than one proposal, all 
proposals will be deemed ineligible and returned without comment.
Evaluation Criteria
    1. Abstract not scored. If abstract is missing, the application 
will be deemed ineligible and returned without comment.
    2. Assessment of Need and Justification for Proposed Activities 
(Total: 20 Points). The extent to which the applicant soundly and 
convincingly documents the needs of the target community including the 
rationale for the criteria and approach used for identifying the target 
community.
    3. Long-term Goals (Total 5 points). The quality of the applicant's 
stated long-term goals and the extent to which the goals are consistent 
with the purpose of the cooperative agreement, as described in this 
program announcement.
    4. Existing Collaborative Activities of the Organization (Total 15 
points).
    a. Applicant's leadership capability as evidenced by history of 
building and participating in coalitions or collaborations.
    b. The extent that the agency has experience in collaborating with 
governmental and non-governmental organizations, such as State and 
local health departments, community planning groups, and State and 
local non-governmental organizations that provide HIV, TB, STD or 
substance abuse prevention, treatment and care services.
    5. Organizational History and Capacity (Total 10 points).
    a. Applicant's capacity to conduct the proposed activities based on 
organizational structure and support and ability to provide services to 
the targeted community.
    b. Applicant's capacity to provide services that are culturally 
competent and that respond effectively to the cultural, gender, 
environmental, social and multilingual character of the target 
audiences, including documentation of any history of providing such 
services.
    6. Program Proposal (Total 25 points).
    a. Objectives. The extent to which the proposed objectives are 
specific, realistic, time-phased, measurable, and consistent with the 
program's long-term goals and proposed activities.
    b. Plan of operation.
    (1) Overall quality of the applicant's plan for conducting program 
activities and the likelihood that the proposed methods will be 
successful in achieving proposed goals and objectives;
    (2) The extent to which the applicant's plans address all the 
activities listed under Required Recipient Activities.
    c. Timeline. The extent to which the applicant's proposed timeline 
is specific and realistic.
    d. Plan of evaluation. The quality of the applicant's evaluation 
plan for monitoring the implementation of the proposed activities and 
measuring the achievement of program goals and objectives.
    7. Program Management and Staffing Plan (Total 10 points). The 
extent to which the program management and staffing plan is appropriate 
and will be able to support the proposed program activities.

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    8. Communication and Dissemination Plan (Total 5 points). The 
quality of the applicant's plan for sharing lessons learned with other 
organizations
    9. Evidence of Support from the Target Community (Total 10 points). 
The extent and appropriateness of the community, agencies and 
organizations providing evidence of their support for the project.
    10. Plan for Acquiring Additional Resources (Not Scored). The 
quality of the applicant plan for obtaining additional resources from 
other (non-Federal) sources to supplement the proposed program.
    11. Budget Breakdown and Justification (Not Scored). The extent to 
which the budget is reasonable, itemized, clearly justified, and 
consistent with the intended use of funds.
    12. Training and Technical Assistance Plan (Not Scored). The 
quality of the applicant's plan for obtaining needed technical 
assistance and staff training to support the proposed project.
    Before final award decisions are made, CDC will either make 
predecisional site visits to CBOs whose applications are highly ranked 
or review the items below with the local or State health department and 
applicant's board of directors.
    a. The organizational and financial capability of the applicant to 
implement the proposed program.
    b. The special programmatic conditions and technical assistance 
requirements of the applicant.
    A business management and fiscal recipient capability assessment 
may be required of some applicants prior to the award of funds.

H. Other Requirements

Technical Reporting Requirements
    Provide CDC with original plus two copies of
    1. Progress reports quarterly, no more than 30 days after the end 
of each quarter;
    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 the Grants Management Specialist identified in 
the ``Where to Obtain Additional Information'' section of this 
announcement.
    The following additional requirements are applicable to this 
program. For a complete description of each, see Attachment I in the 
application kit.

AR-4  HIV/AIDS Confidentiality Provisions
AR-5  HIV Program Review Panel Requirements
AR-7  Executive Order 12372 Review
AR-8  Public Health System Reporting Requirements
AR-9  Paperwork Reduction Act Requirements
AR-10  Smoke-Free Workplace Requirements
AR-11  Healthy People 2000
AR-12  Lobbying Restrictions
AR-14  Accounting System Requirements

I. Authority and Catalog of Federal Domestic Assistance Number

    This program is authorized under section 317 (k)(2) of the Public 
Health Service Act (42 U.S.C. 247b(k)(2)), as amended. The Catalog of 
Federal Domestic Assistance number is 93.939, HIV Prevention 
Activities--Nongovernmental Organization Based.

J. Where To Obtain Additional Information

    To receive additional written information and to request an 
application kit, call NPIN at 1-800-458-5231 (TTY users: 1-800-243-
7012); visit their web site: www.cdcnpin.org/program; send requests by 
fax to 1-888-282-7681 or send requests by e-mail: You will be asked to 
leave your name and address and will be instructed to identify the 
Announcement number of interest (99094).
    Pre-application Audio-conference Information.

      May 27 (1:00--2:30 p.m. EDT)
      June 1 (1:00--2:30 p.m. EDT)

    The telephone number for all calls is: 800-713-1971 and the pass 
code (when asked by the automated voice) is 407763 and the name of the 
audio-conference (Coalition Development).
    Prospective applicants are strongly encouraged to participate in 
one of the scheduled audio-conferences. These audio conferences will 
include information on the application and business management 
requirements, and how to access additional pre-application resources 
relevant to application development. Prospective applicants are 
strongly encouraged to read and become familiar with this program 
announcement before participating in the audio-conferences.
    If you have questions after reviewing the contents of all the 
documents, business management technical assistance may be obtained 
from: Kevin Moore or Sheri Disler, Grants Management Specialist, Grants 
Management Branch, Procurement and Grants Office, Centers for Disease 
Control and Prevention (CDC), 2920 Brandywine Road, Room 3000, Atlanta, 
GA 30341-4146, Telephone (770) 488-2720;
E-mail [email protected]
E-Mail [email protected]
    See also the CDC home page on the Internet: http://www.cdc.gov
    For program technical assistance, contact: Jessica Gardom, Dorothy 
Gunter, or Craig Studer, Community Assistance, Planning, and National 
Partnerships Branch, National Center for HIV, STD, and TB Prevention, 
Centers for Disease Control and Prevention (CDC), 1600 Clifton Road, M/
S E-58, Atlanta, GA 30333, Telephone number (404) 639-5230.

    Dated: May 19, 1999.
John L. Williams,
Director, Procurement and Grants Office, Centers for Disease Control 
and Prevention (CDC).

Appendix A--Background

    The HIV/AIDS epidemic constitutes a significant threat to the 
public health of the United States. Through June 1998, 665,357 cases 
of AIDS have been reported to CDC. The most recent estimate of HIV 
prevalence indicates that between 650,000 and 900,000 Americans are 
living with HIV. African Americans accounted for 47% of persons 
diagnosed with AIDS in 1997, the highest proportion thus far in the 
epidemic. They also accounted for a large proportion of HIV 
infection cases. Through June 1998, African Americans accounted for 
52% of the total number of HIV infection cases reported from 31 
states with confidential HIV infection reporting. While there has 
been a decline in incidence of AIDS as well as AIDS deaths in 
general, HIV prevalence among racial and ethnic minorities has 
remained at a high level.
    Data suggest that other sexually transmitted diseases (STDs), 
tuberculosis, and substance use are also disproportionately 
impacting minority populations. The interconnectedness of these 
epidemics with HIV is illustrated by the following:
    1. In 1997, of the total 19,851 tuberculosis cases, 6,610 were 
reported among African Americans. It is estimated that 10 to 15 
percent of all TB cases and nearly 30 percent of cases among people 
ages 25-44 are occurring in HIV-infected individuals.
    2. Even though there has been a decline in gonorrhea across all 
racial/ethnic groups, reported rates among African Americans remain 
more than 30 times higher than rates among whites. The gonorrhea 
rate among African Americans is 807.9 per 100,000, and among 
Hispanics it is 69.4 per 100,000. The rate for whites is 26 per 
100,000.
    3. Primary and secondary syphilis rates are 44 times higher 
among African Americans than among whites.
    4. While there has been an increase in herpes infection among 
all racial/ethnic groups, herpes disproportionately affects African 
Americans (more than 45% of cases).

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    5. Biological and epidemiological evidence suggests that persons 
with STDs are more likely to acquire HIV; additionally, if a person 
is HIV infected and has an STD, the likelihood of transmission of 
HIV increases.
    6. Racial and ethnic minority populations in the United States 
bear the heaviest burden of HIV disease related to drug injection. 
In 1997, IDU-associated AIDS cases made up 38% of all cases among 
African Americans, compared with 22% of all cases among whites.
    Several factors may be influencing the disproportionate 
morbidity among minority populations, including: (1) Insufficient 
access to services by the population at risk; (2) a lack of 
culturally appropriate prevention services; (3) a lack of access 
among providers to the population at risk; (4) inadequate linkages 
among the services; and (5) insufficient follow-up of referral 
services provided by various agencies. The community coalition 
approach to health promotion and risk reduction, with its increased 
awareness and access to acceptable health care, can be effective in 
empowering grassroots leadership and organizations to decrease or 
eliminate many health disparities within the target population.
    CDC, through this announcement, is seeking to promote the 
utilization of community coalitions to foster strong linkages 
between HIV, STD, TB, and substance abuse prevention, treatment and 
care and other health and social services in minority communities. 
It is hypothesized that the linkages fostered by these coalitions 
will also empower the community to address health problems in the 
context of related socio-economic issues.

Appendix B--Listing of Counties in each Eligible MSA--DEPARTMENT OF 
HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention Program Announcement No. 
99094
Community Coalition Development Projects for African American 
Communities

Atlanta, GA

    Counties--Barrow, Bartow, Carroll, Cherokee, Clayton, Cobb, 
Coweta, DeKalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Henry, 
Newton, Paulding, Pickens, Rockdale, Spalding, Walton.

Baltimore, MD

    Counties and city--Anne Arundel, Baltimore, Carroll, Harford, 
Howard, Queen Anne's, Baltimore City.

Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH

    Massachusetts counties--Bristol, Essex, Middlesex, Norfolk, 
Plymouth, Suffolk, Worcester.
    New Hampshire counties--Rockingham, Hillsborough, Strafford.

Chicago, IL

    Counties--Cook, DeKalb, DuPage, Grundy, Kane, Kendall, Lake, 
McHenry, Will.

Dallas, TX

    Counties--Collin, Dallas, Denton, Ellis, Henderson, Hunt, 
Kaufman, Rockwall.

Detroit, MI

    Counties--Lapeer, Macomb, Monroe, Oakland, St. Clair, Wayne.

Fort Lauderdale, FL

    County--Broward.

Houston, TX

    Counties--Chambers, Fort Bend, Harris, Liberty, Montgomery, 
Waller.

Jacksonville, FL

    Counties--Clay, Duval, Nassau, St. John's.

Los Angeles-Long Beach, CA

    Counties--Los Angeles.

Miami, FL

    County--Dade.

Newark, NJ

    Counties--Essex, Morris, Sussex, Union, Warren.

New Haven-Bridgeport-Stamford-Danbury-Waterbury, CT

    Counties--Fairfield, New Haven.

New Orleans, LA

    Parishes--Jefferson, Orleans, Plaquemines, St. Bernard, St. 
Charles, St. James, St. John the Baptist, St. Tammany.

New York City, NY

    Counties--Bronx, Kings, New York, Putnam, Queens, Richmond, 
Rockland, Westchester.

Oakland, CA

    Counties--Alemeda, Contra Costa.

Philadelphia, PA-NJ

    New Jersey counties--Burlington, Camden, Gloucester, Salem. 
Pennsylvania counties--Bucks, Chester, Delaware, Montgomery, 
Philadelphia.

San Francisco, CA

    Counties--Marin, San Francisco, San Mateo.

Washington, DC-MD-VA-WV

    District of Columbia.
    Maryland counties and cities--Calvert, Charles, Frederick, 
Montgomery, Prince George's.
    Virginia counties and cities--Arlington, Clarke, Culpeper, 
Fairfax, Fauquier, King George, Loudoun, Prince William, 
Spotsylvania, Stafford, Warren, Alexandria city, Fairfax city, Falls 
Church city, Fredericksburg city, Manassas city, Manassas Park city.
    West Virginia counties--Berkeley, Jefferson.

West Palm Beach-Boca Raton, FL

    County--Palm Beach.
[FR Doc. 99-13139 Filed 5-24-99; 8:45 am]
BILLING CODE 4163-18-P