[Federal Register Volume 65, Number 78 (Friday, April 21, 2000)]
[Notices]
[Pages 21443-21446]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-9956]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Program Announcement 00037]


Cancer Prevention and Control Activities; Notice of Availability 
of Funds

A. Purpose

    The Centers for Disease Control and Prevention (CDC) announces the 
availability of fiscal year (FY) 2000 funds for a sole source 
cooperative agreement program for Cancer Prevention and Control 
Activities. This program addresses the ``Healthy People 2010'' priority 
area(s) related to Cancer.
    The purpose of the program is to assist with the following:
    1. Developing and disseminating current national, state, and 
community-based comprehensive information on cancer prevention and 
early detection.
    2. Developing and disseminating professional education programs.
    3. Promoting the analysis and development of surveillance and

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research data, and its translation into public health messages, 
practice and programs.
    4. Facilitating the exchange of expertise and coordination of 
programmatic efforts related to cancer prevention and control among a 
variety of public, private, and not-for-profit agencies at the 
national, state, tribal, and community level.

B. Eligible Applicants

Single Source

    Assistance will be provided only to the American Cancer Society 
(ACS). No other applications are solicited. ACS is uniquely qualified 
to conduct information and education development and dissemination 
activities under this cooperative agreement because it has--
    1. An extraordinary position as the nation's only voluntary, 
community-based cancer prevention and control organization dedicated to 
eliminating cancer as a major health problem through research, 
education, prevention, early detection and treatment of all cancers.
    2. Access to cancer research, prevention, education and treatment 
programs and to the populations they serve through an extensive network 
that includes 2 million members, a National Society, 17 Divisions 
covering all states, 5 metropolitan areas, the District of Columbia and 
Puerto Rico, and more than 3,400 community-based unit offices.
    3. Collaborative relationships with a broad range of national, 
state, and community-based public, private and not-for-profit 
organizations to disseminate information related to all aspects of 
cancer prevention and control; coordinate access to information and 
services for cancer patients, their families and others; and provide 
guidance and consultation at the national, state, and community level 
for a coordinated and comprehensive system of cancer activities. 
Therefore, the American Cancer Society is the only organization that 
can perform these activities.

C. Availability of Funds

    Approximately $755,000 is available in FY 2000 to fund the projects 
listed below. It is expected that the awards will begin June 1, 2000, 
and will be made for a 12-month budget period within a project period 
of up to 3 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.

Project 1. Coordinated School Health Programs

    Approximately $300,000 is available to support coordinated school 
health programs for cancer prevention and control for school-aged 
populations, parents, and relevant health and education personnel.

Project 2. Comprehensive Cancer Control Activities

    Approximately $400,000 will be available to plan, implement, and 
evaluate cancer control activities for the public (including minority, 
older, and underserved populations), providers (including physicians, 
nurses, physician assistants, health educators, state health department 
personnel, and others), and decision makers (policy makers, state 
health department administrators, and others.)

Project 3. International Network of Women Against Tobacco (INWAT)

    Approximately $35,000 is available to support activities which 
address the complex issues of tobacco use among women and girls 
internationally.

Project 4. Dissemination of Information on Oral Cancer

    Approximately $20,000 is available to support the review and 
revision of currently available information and educational materials 
on oral cancer and incorporate oral cancer issues into educational 
outreach services and/or activities for dental and other health care 
providers.

Use of Funds

    Cooperative agreement funds may not be expended to provide 
inpatient hospital or treatment services. Treatment is defined as any 
service recommended by a clinician, including medical and surgical 
intervention provided in the management of a diagnosed condition.

D. Program Requirements

    Projects should emphasize activities in one or more of the 
following areas:
    1. Development and dissemination of materials, conferences, 
workshops, and activities for public education on the prevention and 
early detection of cancer through behavior modification, including 
utilization of proven screening modalities for early detection (e.g., 
fecal occult blood tests, sigmoidoscopy, mammography, Pap smears), 
avoidance of ultraviolet radiation exposure, prevention and cessation 
of tobacco use, improving nutrition and dietary practices, and 
increasing physical activity levels. Materials should be culturally 
competent, linguistically appropriate and developed for a broad 
audience of race/ethnic groups.
    2. Coalition building, and coordination of resources and activities 
for adult and adolescent cancer education, promotion of prevention and 
early detection services, and referral to treatment and follow-up 
services.
    3. Epidemiologic and behavioral research development and analysis 
of data on factors related to cancer outcomes and other diseases which 
may be influenced by tobacco, early detection (e.g., fecal occult blood 
tests, sigmoidoscopy, mammography, Pap smears), avoidance of 
ultraviolet radiation exposure, nutrition and dietary practices, and 
increasing physical activity levels.
    4. Development and dissemination of materials, conferences, 
workshops and activities for professional education in cancer 
prevention and early detection, and support of training opportunities 
in cancer epidemiology, prevention, early detection and program 
evaluation.
    5. Development and evaluation of materials and activities to 
improve outreach to underserved populations for cancer prevention, 
early detection and follow-up services.
    6. The grantee will participate in a six-month progress review 
meeting with appropriate representatives from CDC within 30 days of the 
sixth month of each budget period.
    In conducting activities to achieve the purpose of this program, 
the recipient shall be responsible for activities under 1. (Recipient 
Activities), and CDC shall be responsible for conducting activities 
under 2. (CDC Activities.)

1. Recipient Activities

Project 1. Coordinated School Health Programs
    A. Collaborate with state and local education agencies with data 
collection around youth risk behavior, and school policies and 
programs.
    B. Support Coordinated School Health Programs as a priority among 
American Cancer Society's constituents and the public, with a special 
emphasis on four risk factors: Tobacco use, excessive consumption of 
fat and calories, inadequate physical activity, and obesity.
    C. Support local, state, and national coalitions to improve 
Coordinated School Health Programs.
    D. Collaborate with CDC funded and other national, non-governmental 
organizations in support of school health programs.
    E. Participate with other appropriate agencies in planning the 
annual

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National School Health Leadership Conference.
Project 2. Comprehensive Cancer Control Activities
    A. Collaborate with state health departments on comprehensive 
cancer control training, planning, implementation, and evaluation 
activities. Develop leadership models for state health departments to 
utilize. Assess comprehensive cancer control collaboration models.
    B. Coordinate and support activities related to colorectal and 
prostate cancer education and awareness. Collaborate with state health 
departments in the replication and evaluation of prostate and 
colorectal cancer training for providers and health care systems that 
promotes informed decisions; provides current, balanced information on 
the benefits and limitations of screening and treatment for these 
cancers; and provides information that will enable participants to 
overcome system barriers to implementing screening. Collaborate with 
appropriate agencies in reaching primary care providers with written 
information regarding screening for colorectal cancer and messages for 
their patients to raise awareness of the need for colorectal cancer 
screening.
    C. Identify the critical components of effective breast and 
cervical cancer screening outreach/education partnerships between state 
health departments and other organizations, including ACS.
    D. Develop evaluation measures to determine the impact of project 
activities and identify effective cancer prevention and control 
projects for future continuation, replication and/or dissemination.
    E. Develop clear cancer education materials and/or other items that 
accurately and effectively convey appropriate health messages and 
behaviors to the targeted populations regarding lung, breast, cervical, 
colorectal, prostate, and skin cancers.
    F. Identify opportunities for cancer issues management forums; 
coordinate and support cancer issues management forums among a variety 
of public, private, and not-for-profit agencies at the national, state, 
tribal, and community level.
    G. Develop and implement studies that explore the effects and 
interactions between various lifestyle factors and health services on 
the risk of cancer and cancer mortality.
Project 3. International Network of Women Against Tobacco (INWAT)
    A. Provide contacts primarily to women, individuals, and 
organizations working in tobacco control; collect and distribute 
information regarding global women and tobacco issues; and develop 
strategies to counter tobacco advertising and promotion. Strategies 
might include maintaining a website, a member directory and newsletter.
    B. Provide assistance with the organization and planning of 
conferences on tobacco control such as the World Tobacco Conference.
    C. Collaborate with state health departments to address tobacco use 
and prevention among women and girls.
    D. Provide presentations on women and tobacco, with a strong 
emphasis on tobacco company marketing tactics at state and national 
meetings in the United States.
    E. Promote female leadership in initiating the development of 
tobacco control organizations internationally.
Project 4. Dissemination of Information on Oral Cancer
    A. Inventory and assess existing educational materials and other 
forms of information on oral cancer available to the public and health 
care providers.
    B. Based on the assessment, revise educational materials and other 
forms of information on oral cancer to reflect up-to-date, science-
based knowledge.
    C. Conduct and evaluate outreach activities to increase knowledge 
and awareness among dental and other health care providers of 
information resources that address oral cancer issues.
    D. Coordinate these activities with major organizations in dental 
health, such as the American Dental Association and its component state 
associations, the National Institute of Dental and Cranial Facial 
Research, and the Association of State and Territorial Dental 
Directors.

2. CDC Activities

    A. Collaborate on and provide technical assistance for program 
activities.
    B. Assist in the conduct of epidemiologic studies, research, and 
analysis using existing or newly created databases.
    C. Participate in the development of plans for the sharing and 
dissemination of research, data analysis, evaluation efforts, 
demonstration projects and interventions, and other cancer information. 
Sponsor information exchanges through workshops, conferences, and other 
group mechanisms as appropriate .
    D. Assist in defining the scope, development, and dissemination of 
plans and education materials, guidelines, and standards for cancer 
prevention and control activities.
    E. Assist in developing and evaluating professional training 
opportunities for cancer prevention and control, particularly in the 
areas of prevention, early detection, surveillance, data analysis and 
cost-effectiveness.
    F. Give guidance on cancer issues management topics to be 
considered and timing of consideration.

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, so it is important to follow them in laying out your program 
plan. The narrative should be no more than 20 (twenty) double-spaced 
pages, printed on one side, with one-inch margins, and unreduced font.
    A separate narrative is required for each Project which contains--
    1. Statement of Need.--Identify opportunities for enhancement/
improvement and existing gaps in the support of comprehensive cancer 
control and prevention activities. Describe the extent to which the 
proposed programs will fill existing gaps and provide a brief 
description of each programmatic plan or research activity.
    2. Objectives. Establish and submit short- and long-term objectives 
for each project proposed in Section 1 (statement of need) above. 
Objectives must be specific, measurable, attainable, time phased, and 
realistic.
    3. Operational Plan.--Submit an operational plan that addresses 
means for achieving each of the objectives established in Section 2 
(objectives) above. Provide a concise description of each component or 
major activity and how it will be implemented. The plan must identify 
and establish a time line for the completion of each component or major 
activity.
    4. Evaluation Plan.--Submit a quantitative plan for monitoring 
progress toward achieving each of the objectives stated in Section 2 
(objectives) above.
    5. Program Management.--Describe the need, functions, and 
qualification for each program or research personnel requested.
    6. Budget.--Submit a detailed budget and narrative justification 
for each of the projects that is consistent with the purpose of the 
program and the proposed activities.

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F. Submission and Deadline

    Submit the original and two copies of PHS 5161-1 (OMB Number 0937-
0189).
    By May 1, 2000, submit the application to the Grants Management 
Specialist identified in the ``Where to Obtain Additional Information'' 
section of this announcement.
    1. Deadline: Applications will be considered as meeting the 
deadline if they are either:
    a. Received on or before the stated deadline date; or
    b. Sent on or before the deadline date. (Applicants 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 shall not be acceptable proof of timely 
mailing.)
    2. Late Applications: Applications which do not meet the criteria 
in 1(a) or 1(b) above are considered late applications and will be 
returned to the applicant.

G. Evaluation Criteria

    The application will be evaluated according to the following 
criteria by an independent review group appointed by CDC.
    1. Need statement. The extent to which the applicant identifies 
specific opportunities and existing gaps related to the purpose of the 
program. (10 points)
    2. Objectives. The degree to which short- and long-term objectives 
are specific, measurable, attainable, time phased, and realistic. (20 
points)
    3. Operational Plans. The adequacy of the applicant's plan to carry 
out the proposed activities, including the extent to which the 
applicant plans to work collaboratively with other organizations and 
individuals who may have an impact on cancer prevention and control 
objectives. (25 points)
    4. Evaluation Plan. The extent to which the evaluation plan appears 
capable of monitoring progress toward meeting project objectives. (25 
points)
    5. Program Management. The extent to which proposed staff appear to 
be qualified and possess capacity to perform the project. (20 points)
    6. Budget. The extent to which each line-item budget and narrative 
justification for Projects 1, 2, 3 and 4 are reasonable and consistent 
with the purpose and objectives of the program. (Not weighted)
    7. Human Subjects. Does the application adequately address the 
requirements of Title 45 CFR Part 46 for the protection of human 
subjects? (Not Weighted)
    8. The degree to which the applicant has met the CDC Policy 
requirements regarding the inclusion of women, ethnic, and racial 
groups in the proposed research. This includes:
    1. The proposed plan for the inclusion of both sexes and racial and 
ethnic minority populations for appropriate representation.
    2. The proposed justification when representation is limited or 
absent.
    3. A statement as to whether the design of the study is adequate to 
measure differences when warranted.
    4. A statement as to whether the plans for recruitment and research 
for study participants include the process of establishing partnerships 
with community(ies) and recognition of mutual benefits.

H. Other Requirements

Technical Reporting Requirements

    Provide CDC with the original plus two copies of the following:
    1. Annual written progress report must be submitted 30 days after 
the end of each budget period.
    2. Financial status report (FSR) must be submitted 90 days after 
the end of each budget period.
    3. Final financial and performance reports, must be submitted 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 package.

AR-1  Human Subjects Requirement
AR-2  Requirements for Inclusion of Women and Racial and Ethnic 
Minorities in Research
AR-9   Paperwork Reduction Act Requirements
AR-10  Smoke-Free Workplace Requirements
AR-11  Healthy People 2010
AR-12  Lobbying Restrictions
AR-20  Conference Support

I. Authority and Catalog of Federal Domestic Assistance Number

    This program is authorized under sections 301(a), 317(k)(2) of the 
Public Health Service Act [42 U.S.C. 241(a) and 247b(k)(2)], as 
amended. The Catalog of Federal Domestic Assistance Number for this 
program is 93.283.

J. Where To Obtain Additional Information

    To obtain additional information contact: Nealean K. Austin, Grants 
Management Specialist Grants Management Branch, Procurement and Grants 
Office Announcement 00037 Centers for Disease Control and Prevention 
(CDC) Room 3000, 2920 Brandywine Road, Atlanta, GA 30341, telephone 
(770)-488-2754, E-mail address [email protected]
    See also the CDC home page on the Internet: http://www.cdc.gov
    For program technical assistance, contact: Corinne Graffunder, 
Chief, Section A, Program Services Branch, Division of Cancer 
Prevention and Control, National Center for Chronic Disease Prevention 
and Health Promotion, Centers for Disease Control and Prevention (CDC), 
4770 Buford Highway, NE., Mailstop K-57, Atlanta, GA 30341-3724, 
telephone (770) 488-4880, fax (770) 488-3230.

    Dated: April 17, 2000.
John L. Williams,
Director, Procurement and Grants Office, Centers for Disease Control 
and Prevention (CDC).
[FR Doc. 00-9956 Filed 4-20-00; 8:45 am]
BILLING CODE 4163-18-P