[Federal Register Volume 65, Number 125 (Wednesday, June 28, 2000)]
[Notices]
[Pages 39902-39910]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-16280]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Program Announcement 00100]


Community-Based Strategies To Increase HIV Testing of Persons at 
High Risk in Communities of Color; Notice of Availability of Funds

A. Purpose

Why Are These Funds Being Offered?

    For fiscal year 2000, the Centers for Disease Control and 
Prevention (CDC) is offering funds to community-based organizations 
(CBOs) to implement innovative strategies to increase the number of 
high-risk persons who receive HIV prevention counseling, testing, and 
referral services. These CBOs should be working in communities of color 
(African Americans, Hispanics, American Indians, Asian and Pacific 
Islanders) and focus special emphasis on trying to reach those who are 
HIV positive and do not know their status.

Goals

    1. To strengthen HIV prevention services provided by CBOs in 
communities of color which have very high risk of HIV infection.
    2. To increase community-based HIV counseling, testing, and 
referral services.
    3. To increase the number of high-risk persons who are tested for 
HIV infection and find out the test results.
    4. To promote successful partnerships to improve HIV testing and 
prevention efforts.

B. Eligible Applicants

Who Can Apply?

To Be Able To Apply, You Must
    1. Have a current non-profit status under Internal Revenue Service 
Code Section 501(c)(3).
    2. Be located in and provide services to communities of color that 
are in the 40 metropolitan statistical areas (MSAs) with the highest 
prevalence of reported AIDS cases in communities of color as of 1998 or 
in any of the counties or cities that had the most syphilis cases in 
1999 (see below for a list of the MSAs and high syphilis counties).
    3. Have more than half of your executive board or governing group 
filled by members of the racial/ethnic population you plan to serve.
    4. Have more than half of your key management, supervisory, and 
administrative positions (for example,

[[Page 39903]]

executive, program, fiscal director positions), and more than half of 
your key service positions (for example, outreach worker, case manager, 
counselor, group facilitator) filled by members of the racial/ethnic 
population you plan to serve.
    5. Be able to show that your organization has provided HIV 
prevention or care services to the targeted population for 2 years or 
more.
    6. Have a current letter of support from the health department that 
shows you have discussed with them the details of your proposed 
counseling, testing, and referral activities and that you agree to 
follow the health department's guidelines for these services. If your 
organization is selected for funding, you will need a formal memorandum 
of agreement with the health department. (See below for more detailed 
information on working with the health department.)
    7. Not request more than $250,000, including indirect costs.
    8. Not be a government or municipal agency (including a health 
department, school board, or public hospital), a private or public 
university or college, or a private hospital.
    You can apply on your own or with one or more CBOs as a coalition. 
The term coalition, for this announcement, means a group of 
organizations working together, where each organization has a clearly 
defined activity assigned to them from the overall program plan. All 
groups share program responsibilities, but the organization applying 
for funds must take the lead and perform a substantial portion of the 
program activities. The lead organization must meet all of the 
requirements listed above. Groups that are to be a part of the 
coalition must meet the requirement in #2 in this section.
    For this announcement, only those organizations that are in the 
following 40 high AIDS prevalence MSAs for 1998 or the 25 high syphilis 
counties for 1999 are eligible to apply (because there is overlap 
between the MSAs and syphilis counties, only nine of the syphilis 
counties are listed separately). In the following list, counties, 
municipalities, and cities (in parentheses) and contact names, phone 
numbers, and e-mail addresses are included for each MSA and high 
syphilis county. The list is separated by state. City names connected 
with a hyphen indicate one MSA.

MSAs

    New York: Nassau-Suffolk (Nassau and Suffolk); New York City 
(Bronx, Kings, New York, Putnam, Queens, Richmond, Rockland, 
Westchester); Rochester (Genesee, Livingston, Monroe, Ontario, Orleans, 
Wayne); Contact: Maria Favuzzi, 212-788-4224; e-mail: 
[email protected].
    California: Los Angeles-Long Beach (Los Angeles); Oakland (Alemeda, 
Contra Costa); Orange County (Orange); Riverside-San Bernadino 
(Riverside, San Bernadino); San Francisco (Marin, San Francisco, San 
Mateo); San Diego (San Diego); Contacts: California: Mary Geary, 916-
327-3243; e-mail: [email protected]; San Francisco: Marise Rodrigues, 
415-554-9176; e-mail: [email protected]; Los Angeles: 
Charles L. Henry, 213-351-8001; e-mail: [email protected], fax: 
213-387-0912.
    Florida: Fort Lauderdale (Broward); Jacksonville (Clay, Duval, 
Nassau, St. Johns); Miami (Dade); Orlando (Lake, Orange, Osceola, 
Seminole); Tampa-St. Petersburg-Clearwater (Hernando, Hillsborough, 
Pasco, Pinellas); West Palm Beach-Boca Raton (Palm Beach); Contact: 
Marlene Lalota, 850-245-4423; e-mail: [email protected].
    Washington, D.C./Maryland/Virginia/West Virginia: Washington, D.C. 
(District of Columbia; Calvert, Charles, Frederick, Montgomery, Prince 
George's, MD; 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, VA; Berkeley, Jefferson, WV); 
Norfolk-Virginia Beach, Newport-News (Currituck, NC; Gloucester, Isle 
of Wight, James city, Mathews, York, Chesapeake city, Hampton city, 
Newport News city, Norfolk city, Poquoson city, Portsmouth city, 
Suffolk city, Virginia Beach city, Williamsburg city, VA); Richmond-
Petersburg (Charles city, Chesterfield, Dinwiddie, Goochland, Haqnover, 
Henrico, New Kent, Powhatan, Prince George, Colonial Heights city, 
Hopewell city, Petersburg city, Richmond city, VA); Contacts: District 
of Columbia: Donald Jones, 202-727-2500; Virginia: Teresa Henry, 804-
371-4119; e-mail: [email protected]; West Virginia: Loretta Haddy 
304-558-5358; e-mail: [email protected]; Maryland: Gary 
Wunderlich, 410-767-5287; e-mail: [email protected].
    New Jersey/Pennsylvania: Bergen-Passaic (Bergen, Passaic); 
Middlesex-Somerset-Hunterdon (Hunterdon, Middlesex, Somerset); Jersey 
City (Hudson); Newark (Essex, Morris, Susses, Union, Warren); 
Philadelphia (Burlington, Camden, Gloucester, Salem, NJ; Bucks, 
Chester, Delaware, Montgomery, Philadelphia, PA); Contacts: New Jersey: 
Laurence E. Ganges, 609-984-6125; e-mail: [email protected]; 
Philadelphia: Jeffrey Jenne, 212-685-5639; e-mail: 
[email protected].
    Puerto Rico: San Juan (Aguas Buenas, Barceloneta, Bayamon, 
Canovanas, Carolina, Catano, Ceiba, Comerio, Corozal, Dorado, Fajardo, 
Florida, Guaynabo, Humacao, Juncos, Las Piedras, Loiza, Luquillo, 
Manati, Morovis, Naguabo, Naranjito, Rio Grande, San Juan, Toa Alta, 
Toa Baja, Trujillo Alto, Vega Alta, Vega Baja, Yabucoa); Contact: 
Orlando Lopez, 787-274-5502; e-mail: [email protected].
    Maryland: Baltimore (Anne Arundel, Baltimore, Carroll, Harford, 
Howard, Queen Anne's, Baltimore City); Contact: Gary Wunderlich, 410-
767-5287; e-mail: [email protected].
    Illinois: Chicago (Cook, DeKalb, DuPage, Grundy, Kane, Kendall, 
Lake, McHenry, Will); Contacts: Illinois: Sharon Pierce, 217-524-5983; 
e-mail: [email protected].
    Chicago: Janice Johnson, 312-747-0120; e-mail: [email protected].
    Georgia: Atlanta (Barrow, Bartow, Carroll, Cherokee, Clayton, Cobb, 
Coweta, DeKalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Henry, 
Newton, Paulding, Pickens, Rockdale, Spalding, Walton); Contact: Miguel 
Miranda, 404-657-3100; e-mail: [email protected].
    Texas: Austin (Bastrop, Caldwell, Hays, Travis, Williamson); Dallas 
(Collin, Dallas, Denton, Ellis, Henderson, Hunt, Kaufman, Rockwall); 
Houston (Chambers, Fort Bend, Harris, Liberty, Montgomery, Waller); San 
Antonio (Bexar, Comal, Guadalupe, Wilson); Contacts: Texas: Casey Blass 
or Janna Zumbrun, 512-490-2515; e-mails: [email protected] or 
[email protected]. Houston: Lupita Thornton, 713-798-0829; 
e-mail: [email protected].
    Massachusetts/New Hampshire: Boston-Worcester-Lawrence-Lowell-
Brockton (Bristol, Essex, Middlesex, Norfolk, Plymouth, Suffolk, 
Worcester, MA; Hillsborough, Rockingham, Strafford, NH); Contacts: 
Massachusetts: Jean McGuire, 6171-624-5303; e-mail: 
[email protected]; New Hampshire: David R. Ayotte, 603-271-4481; 
e-mail: [email protected].
    Connecticut: Hartford (Hartford, Middlesex, Tolland); New Haven-
Bridgeport-Stamford-Danbury-Waterbury (Fairfield, New Haven); Contact: 
Richard Melchreit, 860-509-7800; e-mail: 
[email protected].

[[Page 39904]]

    Michigan: Detroit (Lapeer, Macomb, Monroe, Oakland, St. Clair, 
Wayne); Contact: Loretta Davis-Satterla, 517-335-9673.
    Louisiana: New Orleans (Jefferson, Orleans, Plaquemines, St. 
Bernard, St. Charles, St. James, St. John the Baptist, St. Tammany); 
Contact: Daphne LeSage 504-568-7474; e-mail: 
[email protected].
    Tennessee/Arkansas/Mississippi: Memphis-Arkansas-Mississippi 
(Crittenden, AR; DeSoto, MS; Fayette, Shelby, Tipton, TN); Contact: 
Tennessee: Richard E. Cochran, 615-741-7764; e-mail: 
[email protected]; Arkansas: John Chmielewski, 501-661-2666; e-
mail: [email protected]; Mississippi: Craig Thompson, 
601-576-7711; e-mail: [email protected].
    Missouri/Illinois: St. Louis-Illinois (Clinton, Jersey, Madison, 
Monroe, St. Clair, IL; Franklin, Jefferson, Lincoln, St. Charles, St. 
Louis, Warren, St. Louis city, MO); Contact: Missouri: Mary Menges, 
573-751-6141; e-mail: [email protected]; Illinois: Sharon 
Pierce, 217-524-5983; [email protected].
    Ohio: Cleveland-Lorain-Elyria (Ashtabula, Cuyahoga, Geauga, Lake, 
Lorain, Medina); Contact: Lee Evans, 614-644-1850; e-mail: 
[email protected]
    South Carolina: Columbia (Lexington, Richland); Contact: Linda 
Kettinger, 803-898-0625; e-mail: [email protected].

High Syphilis Counties

    Arizona: Maricopa County; Contact: Ann Gardner or Lee Connelly, 
602-230-5819; e-mails: [email protected]; [email protected].
    Indiana: Marion County; Contact: Michael Butler, 317-233-7867; e-
mail: [email protected].
    Kentucky: Jefferson County; Contact: Gary Kupchinsky, 502-564-6539; 
e-mail: [email protected].
    Mississippi: Hinds County, Contact: Craig Thompson, 601-576-7711; 
e-mail: [email protected].
    North Carolina: Guilford and Mecklenburg Counties; Guilford: Harold 
Gabel, 336-373-3283; e-mail: [email protected]; 
Mecklenburg: Peter Safer, 704-336-4700; [email protected].
    Oklahoma: Oklahoma City; Contact: Bill Pierson, 405-271-4636; e-
mail: [email protected].
    Virginia: Danville City; Contact: Teresa Henry, 804-371-4119; e-
mail: [email protected].
    Washington: King County; Contact: Karen Hartfield, 206-296-4649; e-
mail: [email protected].
    Wisconsin: Milwaukee City, Contact: Kathleen Krchnavek, 608-267-
3583; e-mail: [email protected].

Working With the Health Department

    HIV prevention counseling, testing, and referral are complicated 
program activities with important legal, medical, and ethical 
implications. Health departments have been providing these services 
since the mid 1980s. During these years, they have developed policies, 
procedures, guidelines, and performance standards for counseling, 
testing, and referral that are responsive to the specific laws and 
other issues in their state. Health departments have a legal 
responsibility to ensure adherence to these policies, procedures, 
guidelines, and performance standards. If you receive funding under 
this announcement, you are required to work with the health department 
that is located in your area. CDC will help you establish this 
partnership. The following lists what you must do as an applicant and 
if you are selected for funding.
    Applicant:
    1. Talk with the health department about the details of your 
proposed counseling, testing and referral procedures, and research the 
health department's policies and guidelines for these services. Your 
proposed program should be responsive to these requirements.
    2. Include in your application a letter of support from the health 
department showing you have discussed with them the details of your 
proposed counseling, testing, and referral activities and that you 
agree to follow the health department's guidelines for all of these 
services (examples include, but are not limited to informed consent, 
anonymous versus confidential testing, training of counselors, 
confidentiality, surveillance reporting, laboratory processing).
    If Funded:
    1. Obtain an official memorandum of agreement with the health 
department.
    2. Report to the health department on your activities. The health 
department will have the forms you need. Information you need to gather 
will generally include the following, but may vary between health 
departments: state, site type, site number, date of visit, sex, race/
ethnicity, age, reason for visit, risk for HIV infection, whether 
client accepted testing, results of test, whether post-test counseling 
occurred, date of post-test counseling and state, county, and zip code 
of client residence.
    3. Work with the health department to meet their training standards 
if your organization's staff needs training in how to do HIV prevention 
counseling, testing, and referral. You must follow the health 
department's guidelines.
    In those locations where there are Prevention for HIV-Infected 
Persons (PHIP) Demonstration Projects, funded organizations will be 
asked to work in collaborative relationship with the health department-
funded PHIP project. The jurisdictions funded under the PHIP project 
include California, Maryland, Wisconsin, the City of San Francisco, and 
Los Angeles County. CDC will assist you in making contact with these 
PHIP projects.

    Note: You can only submit one application. If you apply alone 
and as part of a group, your application will not be considered and 
will be returned to you. Your organization can apply for this 
funding even if you are currently receiving funding from CDC; 
however, you must still meet all of the requirements above.


    Note: Your application will not be considered for funding if it 
(1) does not meet any one of the items listed above, (2) asks for 
funds to support only administrative and not program implementation 
costs, or (3) asks for more than $250,000, including indirect costs. 
No organization will receive more than $250,000 for the first year. 
Also, public Law 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

How Much Money Is Available?

    About $8 million is available for awards for fiscal year 2000. 
Those CBOs who are selected will receive funding in September 2000. The 
funds are to be used during a budget time frame of 12 months.

    Note: Funding estimates may change based on the availability of 
funds.

    Your organization's project may be continued for a total of 4 years 
(that is to say, 2000, 2001, 2002, 2003) under this agreement. Funding 
at the same level after the first year is based on the amount of funds 
available to CDC and your success and/or progress in meeting your goals 
and objectives. You must keep track of your successes by writing 
reports and sending them to CDC. Also, CDC staff may visit your 
organization to learn about your activities. When asking for subsequent 
funding, you must again show CDC that you still meet the requirements 
stated under ``Who Can Apply?''
    CDC is committed to working with CBOs in these activities and to 
ensuring

[[Page 39905]]

that these funds are distributed in a way that matches the geographic 
locations and risk behaviors where the epidemic is widespread.

How Is the Money To Be Used?

    This funding must be used to help communities of color which have 
high rates of HIV infection or whose members are at a high risk of 
infection and do not know their status. These funds are intended to 
increase the number of high-risk persons who get tested for HIV and, as 
a result, learn their HIV status. They also are intended to support HIV 
prevention counseling and referral for these persons and their sex or 
needle-sharing partners, as needed.

    Note: You cannot use these funds to give medical care (for 
example, substance abuse treatment, medical treatment, or 
medications).

    Part of the funding received through this announcement can be used 
to hire one or more contractors or to support coalition partners to 
help with specific activities; however, you, not the contract 
organization(s) or the coalition partner, must carry out most of the 
activities (including managing the program and activities) paid for 
with this funding.

D. Program Requirements

Recipient Activities--What Activities Must My CBO Do?

Prevention Priority Activities

    1. Reaching Your Clients.
    2. Counseling and Testing.
    3. Referral and Linkages With Other Service Providers.
    4. Partner Counseling and Referral Services.
    5. Training, Quality Assurance, and Program Monitoring and 
Evaluation.
1. Reaching Your Clients
    There are many activities you might implement to reach those 
persons who are at a high risk of becoming HIV infected or who are 
already infected but don't know that they are. Services should be 
provided in a setting that is comfortable and accessible to your 
clients. Reaching out to promote easy access will help to inform and 
encourage these persons to use the HIV prevention services that are 
available. In your proposed program, you will need to include details 
of how you plan to reach these sometimes hard-to-reach persons and make 
counseling, testing, and referral services more easily accessible to 
them.
2. Counseling and Testing
    Your proposed activities must meet all local and state legal 
requirements for HIV prevention counseling, testing, and referral 
services and should address how you intend to provide these services in 
areas with a high rate of HIV infection, AIDS cases, or high-risk 
activities. You may choose to provide services in your facility or make 
services available in areas where these persons live, work, and gather 
(for example, street outreach using mobile vans, testing in housing 
projects, testing in parks). Your proposed activities should include 
plans on how to train staff to:
    a. Give persons client-centered prevention counseling, testing, and 
referral services as outlined in CDC guidance (see section I. Where Can 
I Get More Information for a list of helpful publications).
    b. Follow up with those who have not returned to find out if they 
are infected with HIV or to receive post-test counseling.
    c. Gather information on your activities to give to the health 
department and CDC. Your health department will give you the reporting 
forms you need.

    Note: Funds from this cooperative agreement cannot be used for 
ongoing counseling sessions. Your proposed plans should include a 
way to refer persons who are HIV infected or at a high risk of 
infection for extended counseling.

    Some of the newest rapid test technologies greatly improve testing 
efforts. As reported in CDC's Morbidity and Mortality Weekly Report 
(March 27, 1998/47(11); 211-215), the use of the rapid test with same-
day results for HIV screening in clinical-care settings can 
substantially improve the delivery of counseling and testing services * 
* * providing preliminary positive results also increases the number of 
infected persons who ultimately learn their infection status and can be 
referred for medical treatment and prevention services. These tests can 
be especially effective in outreach activities and consideration should 
be given to using them. Discuss your proposed testing methods with your 
health department. CDC will provide more information on rapid tests to 
those organizations selected for funding.
3. Referral and Linkages With Other Service Providers
    Those persons who are at a high risk of HIV or are infected with 
the virus will need more services than will be supported by this 
funding. To meet needs such as ongoing counseling or medical care, you 
must:
    a. Provide referrals for ongoing counseling and other services to 
meet their needs (for example, sexually transmitted disease [STD] and 
tuberculosis screening and treatment, prevention services, mental 
health services, substance abuse treatment).
    b. Be able to track and report how many HIV-infected persons acted 
on the referral you provided and are receiving services as a result of 
the referral.
    c. Keep your referral lists up to date.

    Note: Because rates of both HIV and STDs are high, prevention 
programs that include both of these are better able to meet the 
needs of the target population(s). If your organization does not do 
STD testing and treatment, then you must find out who in your area 
does and work closely with them so you can refer your clients when 
necessary.

4. Partner Counseling and Referral Services
    Sex and needle-sharing partners of HIV infected persons should be 
told of their risk and be offered HIV prevention counseling, testing, 
and referral services. Training and experience are necessary to be able 
to offer this service. If your organization does not have this training 
or experience, you must work with the health department to determine 
the best plan for providing partner notification services. Some states 
require that only the health department provide these services. If you 
will provide this service, you must obtain and follow the health 
department's guidelines, protocols, procedures, and performance 
standards for partner counseling and referral. If you do not follow 
certain guidelines, you could be breaking state laws concerning 
privacy. Contact the health department for a complete list of 
requirements.
5. Training, Quality Assurance, and Program Monitoring and Evaluation
    Staff who will provide HIV counseling, testing, partner counseling, 
and referral services must be appropriately trained. Also, checking to 
see how good a job you are doing and continuing to learn ways to 
improve your program are ongoing parts of this cooperative agreement. 
It is suggested that if selected for funding, you invest approximately 
five percent of the funds for training, quality assurance, and program 
monitoring and evaluation.
    Your proposed program should address how you would:
    a. Keep track of the training your staff receives in pre- and post-
test HIV prevention counseling and referral and partner counseling and 
referral.
    b. Check on whether staff are following guidelines on how to 
provide pre- and post-test HIV prevention counseling and partner 
counseling and referral (for example, have management sit in on a 
counseling session).

[[Page 39906]]

    c. Check on whether staff are following guidelines on testing 
methods and laboratory processing.
    d. Determine if objectives, as defined in your application, are 
being met.
    e. Find out if persons who test positive for HIV infection returned 
to get their test results.
    f. Know if your services are meeting the needs of the target 
population. Surveys and focus groups are a good way to collect this 
information from your clients.
    g. Gather information required by the health department that covers 
each episode of HIV prevention counseling and testing you provide. 
Following is the type of information that should be included: state, 
site type, site number, date of visit, gender, race/ethnicity, age, 
reason for visit, risk for HIV infection, whether client accepted 
testing, results of test, whether post-test HIV prevention counseling 
occurred, date of post-test HIV prevention counseling and state, 
county, and zip code of client residence.

CDC Activities--How Will CDC Help?

    If you are selected for funding, CDC will support you by:
    1. Providing assistance and consultation on program and 
administrative issues through its partnerships with health departments, 
national and regional minority organizations, contractors, and other 
national and local organizations.
    2. Meeting with you to find out what your training needs are and 
working with you to ensure those needs are met.

    Note: CDC will work with state and local health departments to 
provide training either directly or through its network of HIV/STD 
prevention training centers. This service is available to persons 
who supervise, manage, and perform partner counseling and referral 
and other outreach activities and for staff who provide direct 
patient care.

    3. Sharing the most up-to-date scientific information on risk 
factors for HIV infection and prevention measures, and successful 
program strategies to help prevent HIV infection.
    4. Providing assistance and information if you choose to use the 
new rapid test technologies.
    5. Helping you establish partnerships with state and local health 
departments, community planning groups, and other groups who receive 
federal funding to support HIV/AIDS activities.
    6. Making sure that successful prevention interventions, program 
models, and lessons learned are shared between grantees through 
meetings, workshops, conferences, newsletter development, Internet, and 
other avenues of communication.
    7. Overseeing your success in program and fiscal activities, 
protection of client privacy, and compliance with other requirements 
that apply to your organization.

E. Application Content

What Do I Include in My Application and How Should It Look?

    Note: Applications that do not follow the instructions and 
format below will be returned without being reviewed.

Application Instructions
    For your application to be considered for funding, you must include 
all of the following parts of the proposal: (1) Table of Contents; (2) 
How Do I Show My Eligibility?; (3) What Do I Include in the Abstract?; 
(4) How Do I Write My Proposal? (Narrative); (5) Justification of Need 
(20 points; 6 pages); (6) Program Activities (40 points; 15 pages); (7) 
Training, Quality Assurance, and Program Monitoring and Evaluation (25 
points; 8 pages); (8) Organization History and Experiences (15 points; 
6 pages); and (9) How Much Will Your Proposed Program Cost (Budget).
Format Guidelines
    You must:
    1. Include page numbers throughout your application. Begin with the 
first page and number each page through to the last page of the last 
attachment.
    2. Have a Table of Contents for the whole package you send in.
    3. Begin each separate section of your application on a new page.
    4. Not staple or bind the original document submission or the two 
(2) copies.
    5. Type all materials in a 12 point type size, single spaced.
    6. Use 8\1/2\ x 11 paper.
    7. Set the margins at a minimum of 1 inch.
    8. Use headers and footers, as needed.
    9. Type on one side of the paper only.
Content Guidelines
    The sections that follow give you the questions you have to answer 
to correctly prepare your application. There are four sections:

    1. How Do I Show My Eligibility?
    2. What Do I Include in the Submission Form?
    3. How Do I Write My Proposal (Narrative)?
    4. How Much Will My Proposed Program Cost and How Many Staff Do 
I Need?

    When answering the questions below, you must:
    1. Label each section, as indicated below, using the section title 
(for example, How Do I Show My Eligibility?) and, when appropriate, the 
name of the subsection (for example How Do I Write My Proposal 
[Narrative], Justification of Need).
    2. Use the abbreviation N/A (not applicable), if a section does not 
apply to your application.
    3. Include all information that is part of the basic plan (for 
example, activity timetables, staff program responsibilities, 
evaluation plans) in the main section of the application.

    Note: Your application will be reviewed based on the answers you 
give to these questions. To be sure you get the best review of your 
application, follow the format provided below when writing your 
application. Please answer all questions with complete sentences 
that provide detailed information about your eligibility and 
proposed activities. Do not put basic information in attachments.

How Do I Show My Eligibility?

    In this section, give us information about your organization. For 
example, your non-profit, tax exempt status; target population; goals; 
and location of your office and proposed target area within the 40 MSAs 
with the highest prevalence of AIDS for 1998 or the high syphilis areas 
as of 1999 (see B. Who Can Apply for a list of MSAs and high syphilis 
counties). This will let us know if you are eligible.
    You must answer all of the following questions and provide any 
documents requested. If you do not provide all the materials requested, 
your application will not be reviewed and will be returned to you. 
Place the documents at the end of your application answers for this 
section. Do not place these documents with the attachments that you 
will include at the end of your application.
    1. Is your organization located within and serving one of the MSAs 
with the highest prevalence of reported AIDS cases as of 1998 or one of 
the counties or cities with the highest syphilis cases as of 1999? If 
yes, which one?
    2. Does your organization have a current, valid Internal Revenue 
Service (IRS) 501(c)(3) non-profit status?

    Note: If you answer yes, you must attach a copy of the 
determination letter from the IRS at the end of this section. If 
your answer is no, you are not eligible to submit an application.

    3. Has your organization provided HIV prevention or care services 
to the population you plan to target for two years or more?

    Note: Attach to the end of this section a list of the HIV 
prevention or care services your organization has provided to the 
proposed target population and the time period during which each 
type of service was provided (for example, street outreach, July 
1996-present).

    4. Does your organization have an executive board or governing body 
with more than half of its members belonging

[[Page 39907]]

to the racial/ethnic minority population(s) you plan to serve?

    Note: Attach to the end of this section a list of your board or 
governing body members, and indicate for each position held, race/
ethnicity, profession, and gender.

    5. Are more than half of key management, supervisory, and 
administrative positions (for example, executive director, program 
director, fiscal director) and more than half of key service provision 
positions (for example, outreach worker, prevention case manager, 
counselor, group facilitator) filled by persons belonging to the 
racial/ethnic minority population(s) you plan to serve?

    Note: Attach a list of your current key staff at the end of this 
section. For each staff person listed, include his/her areas of 
expertise, role he/she will play in the proposed project, race/
ethnicity, and gender. If you think you will need more staff to 
carry out your proposed plan, please provide a list of staff needed 
at the end of this section. Include expertise needed, the role they 
will fill, and race/ethnicity, as it applies.

    6. Do you have a letter of support from the health department 
indicating that you have discussed with them your plans for HIV 
prevention counseling, testing, and referral services and that you 
agree to follow the health department's guidelines for these 
activities.

    Note: Attach the letter from the health department to the end of 
this section. If you are selected for funding, you will have to have 
a formalized memorandum of agreement with the health department.

    7. Is your organization applying alone or with other organizations 
in a coalition (this means a group of organizations working together, 
where each organization has a clearly defined activity assigned to them 
from the overall program plan)?
    8. Is your organization currently funded under one of the following 
CDC Program Announcements: 99091, 99092, 99096, or 00023? If yes, list 
the amount of your award for each announcement and the cooperative 
agreement number?
    9. Is your organization a government or municipal agency, a private 
or public university or college, or a private hospital? (If you answer 
yes, you are not eligible to apply.)
    10. Is your organization included in the category described in 
section 501(c)(4) of the Internal Revenue Code of 1986 that engages in 
lobbying activities? (If you answer yes to this question, you are not 
eligible to apply.)

What Do I Include in the Submission Form?

    The full application packet is available from The National 
Prevention Information Network (NPIN) at 1-800-458-5231 (TTY users: 1-
800-243-7012) or their web site: www.cdcnpin.org/program. You can also 
send requests by fax to 1-888-282-7681 or e-mail to [email protected]. This information is also posted on the Division of 
HIV/AIDS Prevention (DHAP) website at: http://www.cdc.gov/hiv/funding/00100. The application packet includes forms, instructions, guidance, 
and the submission form. The submission form includes a list of 
questions and a request for a short description of your target 
population and your proposed program plan. Your answers will not be 
scored, but will give us an idea of your overall plan. This will help 
in the review process. Your short description should be no more than 
100 words and should tell us about:
    1. The population you plan to target and the geographic area where 
they live.
    2. The goals and the outcomes you expect to have as a result of the 
services you are going to provide.
    3. A brief description/outline of what you plan to do.

How Do I Write My Proposal (Narrative)?

    Your narrative should be no more than 35 pages. We have included 
the number of points attached to each section and a suggested number of 
pages. Sections can vary in length as long as the total number of pages 
in this section is no more than 35. The narrative should address the 
following areas.

Justification of Need

    How is this section scored: You will be scored on what information 
you use and how you use it to demonstrate the need of the target 
population for your proposed program. Check with the health department 
for information on the HIV statistics and HIV needs assessment 
developed for the community planning process. Use this information when 
writing your answer for this section.
    Suggested length: 6 pages.
    Points for this section: 20 points.
    Answer all of the following questions for this section.
    1. How has your proposed target population been affected by the 
HIV/AIDS epidemic (for example, how many persons are infected with HIV, 
with AIDS, how many deaths have there been from AIDS, how do 
socioeconomics affect the population)? (5 points)
    2. What are the behaviors and other characteristics of your target 
population that put them at a high risk of becoming infected with HIV 
or giving HIV to a needle-or sex-sharing partner (for example, unsafe 
sexual behaviors as indicated by rates of STDs, teen pregnancy rates, 
or assessments of risk behaviors; substance use rates; environmental, 
social, cultural, or language characteristics)? (5 points)
    3. What are the barriers to accessing HIV prevention counseling and 
testing in your target population? How will you address these barriers? 
(5 points)
    4. Which organizations in your area are providing similar services? 
Please describe their activities and how your proposed activities will 
further meet the needs of the target population or improve services 
provided. (2 points)
    5. Is your proposed target population a priority population as 
indicated in the comprehensive HIV prevention plan developed through 
the community planning process? If not, please tell us why your 
proposed activities are needed? (3 points)

Program Activities

    How is this section scored: We will look at whether or not your 
goals are likely to be achieved; that is to say, if your activities are 
sound, doable, creative, specific (how detailed you are in what you 
want to do), time-phased (have you set a time frame), and measurable 
(can you show that your activities made a difference). Remember that 
you will work with the health department and other organizations 
serving your proposed target population to carry out your program 
activities. As the applicant, you must describe how all planned 
services are to be provided either by you or together with another 
organization.
    Suggested length: 15 pages.
    Points for this section: 40 points.
    Answer all of the following questions for this section.
    What are your objectives and activities to accomplish your 
objectives for the first year (include objectives for each of the 
program areas: Reaching clients, counseling and testing, referral and 
linkages, partner counseling and referral services)? You must give 
objectives that can be measured (that is to say, you can show with 
numbers that progress is being made and the specific activities done to 
achieve each objective).

For Example: Objectives

    Reaching clients: Reach No. ________ high-risk persons with face-
to-face information about the benefits of testing; Counseling and 
testing: Inform No. ________ persons from the target population of 
their test results; Referral and linkages: Ensure that No. ________ 
HIV-positive persons are able to get

[[Page 39908]]

medical services; Partner counseling and referral: Successfully notify 
No. ________ partners of their risk and encourage testing. Refer No. 
________ of clients with HIV to the health department for partner 
counseling and referral services.

Reaching Your Clients (8 points):

    1. What will you do to reach persons who have not been tested 
before and who are at a high risk because of their behaviors?
    2. What steps will you take to build trust and credibility with the 
target population?
    3. How will you get the target population to use your services?
    4. How will you use the available social networks to help you 
provide counseling and testing services?

Counseling and Testing (10 points):

    1. Will you offer confidential or anonymous testing?
    2. What testing methods will you use?
    3. How will you ensure that you have approval from a medical doctor 
for testing activities? (Letter of intent from a physician is 
required.)
    4. How will you get the test specimens to a laboratory for 
processing (including agreements on transportation of specimens to lab, 
type of testing, and payment for processing fees)?
    5. How will you collect and report testing information (you should 
follow the procedures outlined by the health department)?
    6. How will you follow up with persons who use your services to 
make sure they receive their test results?
    7. How will you implement HIV prevention counseling?

Referral and Linkages (6 points):

    1. How will you help persons who are HIV infected or at a high risk 
of HIV get the treatment and other services they need (for example, 
medical, mental health, and drug use treatment)?
    2. Which of your proposed activities will be carried out by those 
organizations working with you, whether they are part of an HIV 
prevention coalition, subcontractors, or non-paid partners? You must 
provide in your application a memorandum of agreement or letter of 
intent from all partnering organizations, as applicable.
    Partner Counseling and Referral Services (5 points):
    How will you ensure that partner counseling and referral services 
are provided?

Confidentiality (5 points):

    What steps will you take to ensure the confidentiality of all 
records, information, and activities related to your clients?

Management and Staffing of the Program (3 points):

    1. How will you manage your program?
    2. What will be the roles and responsibilities of the staff?
    3. What skills and experience does your staff have?
    4. What are the roles and responsibilities of those organizations 
you want to work with you (staff responsibilities, skills, experience)?

Time Line (3 points):

    What are the details of your time line? Include information on the 
most important steps in your project and the approximate dates for when 
a step is begun and expected to be completed.

Training, Quality Assurance, and Program Monitoring and Evaluation

    How is this section scored: We will look at your overall plan to 
determine if your objectives are appropriate to your goals, if they are 
complete, sound in their methods, doable, specific, time phased (have 
you set a time frame), and measurable (can you show that your 
activities made a difference).
    Suggested length: 8 pages.
    Points for this section: 25 points.
    In this section, discuss how you will address each of the 
requirements for training, quality assurance, and program monitoring 
and evaluation. With each goal and set of objectives, you also need to 
discuss activities, staffing/resources, data collection, and time line.
    Answer all of the following questions for this section.
    1. What will you do to make sure your staff gets the training they 
need? Give an estimate of the number of staff to be trained, which 
staff will be trained, and who will provide the training. (4 points)
    2. How will you routinely monitor your staff's activities to 
determine if they are following established guidelines and protocols 
for pre-and post-test HIV prevention counseling and referral and 
testing methods and laboratory processing and what training they need? 
(3 points)
    3. How will you determine and meet your organization's needs in the 
areas of capacity-building or technical assistance? (3 points)
    4. How will you determine if you are meeting your objectives during 
the first year of operation? (4 points)
    5. How will you measure whether your services are meeting the needs 
of the target population and if those you refer for services are using 
the referral? (3 points)
    6. How will you monitor your activities and those of organizations 
working with you as a subcontractor or as collaborators? (4 points)
    7. How will you collect information required by the health 
department on reaching your clients, counseling and testing, referrals 
and linkages, and partner counseling and referral services, and how 
will you use this information to improve your program? (4 points)

Organizational History and Experience

    How is this section scored: We will look at the overall experience 
of your organization in working with the target population. This will 
include how much experience you have related to your proposed project.
    Suggested length: 6 pages.
    Points for this section: 15 points.
    Answer all of the following questions for this section:
    1. What are the specific kinds of health-related services, other 
than HIV prevention services, that you have provided your target 
population and for how long? (3 points)
    2. What are the HIV prevention services (including HIV prevention 
counseling, testing, and referral services) that you have provided your 
target population and for how long? (2 points)
    3. What other experience does your organization have in providing 
services to the target population, and for how long? (2 points)
    4. What is your organization's experience in linking with other 
organizations for providing HIV care or prevention services and ongoing 
care, if needed, for your clients? (3 points)

    Note: Please describe the types of services you want to make 
available and list the activities and materials your organization 
has that will meet these needs.

    5. What experience does your organization have in record keeping of 
when and how services are provided, evaluating services, and marketing 
services to the target population? (3 points)
    6. What experience does your organization have in improving the way 
services are delivered by finding and accessing other resources (for 
example, other organizations, materials, proven strategies)? (2 points)

How Much Will My Proposed Program Cost and How Many Staff Do I Need?

    When preparing the budget, use Form 5161, 424A for the correct 
budget format. You can get this form by requesting a copy of the 
printed Program Announcement or from the Internet at:


[[Page 39909]]


http://www.cdc.gov/od/pgo/funding/funding.htm#HIV.

    You must provide details of your budget for each activity you want 
to do. You must show how the operating costs will support the 
activities and objectives you propose. Your organization should have 
the capability to access the Internet and to download documents about 
HIV from CDC and other sites, as well as have electronic mail 
available. If you do not have this capability, you must provide a 
budget for purchasing this equipment. You should also include a budget 
for the type and number of staff you will need to successfully put into 
place your proposed activities. The following information and questions 
will help you in writing this part of the application.
    1. What are your budget and staffing needs? This answer should 
provide the specifics of how you plan to spend funds. For example, how 
much funding is needed to provide services to the target population, 
how much is needed to operate your organization (staff, supplies), how 
much is needed for contracting with other organizations.

    Note: CDC may not approve or fund all proposed activities. Give 
as much detail as possible to support each budget item. List each 
cost separately when possible.

    2. If you are contracting with other organizations or are applying 
as a coalition, you must include in the budget the type and name (if 
known) of the organization(s); how you chose the organization(s); what 
activities they will do; why they are the best ones to do these 
activities; a detailed list of the funds you think you will need to pay 
the organization(s); why and how long you will use their services; and 
how you will keep track of what they are doing for you.
    3. Provide a description for each job, including job title, 
function, general duties, and activities; the rate of pay and whether 
it is hourly or salary; and the level of effort and how much time will 
be spent on the activities (give this in a percentage, for example, 50% 
of time spent on evaluation). Also, if you already know names and 
titles of persons you will be working with, include this information 
and a resume, if available. If you don't have names yet, tell us how 
you plan to recruit these persons. For positions that are voluntary, 
give a description of the work the volunteers will be doing. Also 
include the experience and training that is available in relation to 
the proposed project.
    4. If you ask for indirect costs, you must include a copy of your 
organization's current agreement concerning your negotiated Federal 
indirect cost rate.

What Other Materials Do I Need to Attach?

    Any materials you include as attachments should be printed on one 
side of 8\1/2\ x 11 paper. Do not submit materials that are bound (for 
example, booklets or pamphlets, three-ring binders, or stapled). You 
will need to provide 2 copies of these attachments, also on 8\1/2\ x 11 
paper and not bound. If your materials are bound, they will not be 
copied for the reviewer. The following is a list of additional 
materials:
    1. A description of funds you receive from any other source to 
support your HIV/AIDS programs and other similar programs that target 
the same population included in your proposed plan. You must include: 
(a) The name of the organization/source of income, the amount of 
funding they give you, a very brief description of how you use the 
funds, and the budget and project period and (b) information that tells 
us that the funds you are requesting through this program announcement 
will not be used to replace funds received from any other Federal or 
non-Federal source.

    Note: CDC-awarded funds can be used to expand or enhance 
services supported with other Federal or non-Federal funds.

    2. Independent audit statements from a certified public accountant 
for the past 2 years (1998, 1999). If not audits, please provide 
completed IRS Form 990s for the last 2 years.
    3. If you are part of a national organization, please include an 
original, signed letter from the chief executive officer of the 
national organization that states that they understand this program 
announcement and the responsibilities you will have if you are chosen 
for funding.
    4. If you are working with other organizations (for example, 
community-based or referral), you must include a memorandum of 
understanding or agreement or a letter to show that the relationship is 
accepted by both organizations. This memorandum or letter should give 
details about the activities you propose to do with the organization. 
This must be submitted each year to show that you are still working 
with the organization.

F. Submission and Deadline

How Do I Submit My Application and When Is It Due?

    You must send to us the original and two (2) copies of PHS 5161 
(OMB Number 0937-0189). Forms are available at the following Internet 
address:

http://www.cdc.gov/od/pgo/forminfo.htm.

    You must also send an original and two (2) copies of your 
application, including attachments.
    Send your application to: Ron Van Duyne, Grants Management Branch, 
Procurement and Grants Office, Program Announcement 00100 (Belinda 
Hammond), Centers for Disease Control and Prevention, 2920 Brandywine 
Road, Room 3000, Atlanta, Georgia 30341-4146.
    Application Deadline: August 7, 2000.
    Your application will be accepted, if it has a postmark of August 
7, 2000 that is from the U.S. Postal Service or a commercial carrier 
(no private meters will be accepted) and arrives in time to be given to 
the independent review group.
    Late Applications: Applications that are not received on time, that 
do not have a readable postmark, have a postmark from a private meter 
machine, or arrive too late to be included in the independent review, 
will be considered late, will not be reviewed, and will be returned to 
the applicant.
    To help CDC in the review process, we ask that you send to us by 
July 7, either through electronic mail, fax, or the U.S. Post Office a 
statement of your intent to apply for funding. Your statement should 
include your organization's name, address, and telephone and fax 
numbers. This statement is only to let CDC know of your interest in 
applying. It is not a commitment. Please send this information to the 
Project Officer and Grants Management Specialist listed in the Program/
Business Assistance section below. Submitting this information is not a 
requirement, but will help CDC make sure we have enough and the most 
qualified reviewers for this announcement.

G. Evaluation Criteria

How Will My Application Be Scored?

    Your application will not be compared to other applications. It 
will only be reviewed based on the information contained in section E. 
What Do I Include in My Application and How Should It Look? This will 
be done by an independent review group that is chosen by CDC. Before 
final award decisions are made, CDC may make general site visits to 
those CBOs who rank high on the initial scoring to look at your 
program, business management, or fiscal capabilities. CDC may also 
check with the health department and your organization's board of 
directors to find out more about

[[Page 39910]]

your organizational structure and the availability of needed services 
and support.

Technical Reporting Requirements

    If you are selected for funding, you must let CDC know how you are 
doing by sending to us an original plus two (2) copies of:
    1. Quarterly progress reports, no later than 30 days after the end 
of each 3-month period;
    2. A financial status report, no later than 90 days after the end 
of each budget period;
    3. Final financial report and performance report, no later than 90 
days after the end of the project period; and
    4. Reports on the numbers of HIV antibody counseling, testing, and 
referral activities you have done.

    Note: Send all reports to the Grants Management Specialist 
identified in section I. Where Can I Get More Information.

H. Other Requirements

What Else Do I Have to Do?

    The following are additional requirements that must be met if 
awarded a cooperative agreement under this announcement:

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 2010
AR-12 Lobbying Restrictions
AR-14 Accounting System Requirements

    For more details on these requirements, please contact the Grants 
Management Specialist listed in the contact section of this 
announcement.

I. Authority and Catalog of Federal Domestic Assistance Number

    This program is authorized under Sections 301(a) and 317 of the 
Public Health Service Act, 42 U.S.C. 241(a) and 247(b) as amended. The 
Catalog of Federal Domestic Assistance Number is 93.939, HIV Prevention 
Activities--Non-Governmental Organization Based.

J. Where To Obtain Additional Information

Where Can I Get More Information?

    CDC strongly suggests that you supplement this program announcement 
as it appears in the Federal Register, with a copy of the program 
announcement that is in an easy-to-use format, includes the necessary 
forms, and has additional information to help you through the process. 
For example, CDC has available a sample application to help guide you 
in writing your own proposal. Also, the following publications will 
help you write your application.
    CDC Report of the NIH Panel to Define Principles of Therapy of HIV 
Infection and Guidelines for the Use of Antiretroviral Agents in HIV-
Infected Adults and Adolescents. MMWR 1998;47 (No.RR-5)

www.cdc.gov/hiv/pubs/mmwr/mmwr1998.htm

    HIV Counseling, Testing and Referral: Standards & Guidelines.
    Centers for Disease Control and Prevention. U.S. Department of 
Health and Human Services. Atlanta, GA; 1994.

www.cdc.gov/hiv/pubs/hivctsrg.pdf 

    HIV Partner Counseling and Referral Services. Guidance. Centers for 
Disease Control and Prevention. U.S. Department of Health and Human 
Services. Atlanta, Georgia; December 1998.

http://www.cdc.gov/hiv/pubs/pcrs.htm 

    Public Health Service Guidelines for Counseling and Antibody 
Testing to Prevent HIV Infection and AIDS. Centers for Disease Control 
and Prevention. MMWR 1987, August 14;36:509-15.

www.cdc.gov/epo/mmwr/preview/mmwrhtml/00015088.htm

    Quality Assurance of HIV Prevention Counseling in a Multi-Center 
Randomized Controlled Trial. Kamb ML, Dillon BA, Fishbein M, Willis KL. 
Public Health Reports 1996;111(S1):99-107.
    Recommendations for HIV Testing Services for Inpatients and 
Outpatients in Acute-Care Hospital Settings. Centers for Disease 
Control and Prevention. 1993. MMWR Recommendations and Reports. U.S. 
Department of Health and Human Services, Atlanta, GA; Vol. 42, No. RR-
2, January 15, 1993.

www.cdc.gov/hiv/pubs/mmwr/mmwr1993.htm

    To request this easier-to-use version and additional written 
information, call The National Prevention Information Network (NPIN) at 
1-800-458-5231 (TTY users: 1-800-243-7012) or visit their web site: 
www.cdcnpin.org/program or you can send requests by fax to 1-888-282-
7681 or e-mail to [email protected]
    This information is also posted on the Division of HIV/AIDS 
Prevention (DHAP) website at:

http://www.cdc.gov/hiv/funding.htm

    Forms in both PDF and word processing files are available at the 
CDC Procurement and Grants Office website:

http://www.cdc.gov/od/pgo/funding/funding.htm#HIV

    CDC also maintains a Listserv (HIV-PREV) related to this program 
announcement. If you decide to subscribe to the HIV-PREV Listserv, you 
will be able to send questions and receive an answer and information 
through e-mail, including the latest news about the program 
announcement. Those questions asked most often will be posted to the 
DHAP Website. You can subscribe to the Listserv on-line or via e-mail 
by sending a message to: [email protected] and writing the 
following in the body of the message: subscribe hiv-prev first name 
last name (for example, subscribe hiv-prev john smith).
    For Program Technical Assistance: Contact: Ted Pestorius, Centers 
for Disease Control and Prevention, National Center for HIV, STD, and 
TB Prevention, Division of HIV/AIDS Prevention, Community Assistance, 
Planning, and National Partnerships Branch, 1600 Clifton Road, MS-E58, 
Atlanta, Georgia 30333, Telephone (404) 639-5215, E-mail: 
[email protected]
    For Business Questions: Contact: Belinda Hammond, Centers for 
Disease Control and Prevention, Procurement and Grants Office, Grants 
Management Branch, Program Announcement 00100, 2920 Brandywine Road, 
Room 3000, MS-E15, Atlanta, GA 30341-4146, Telephone (770) 488-2738, E-
mail: [email protected], DHAP Internet address: www.cdc.gov/hiv

    Dated: June 22, 2000.
John L. Williams,
Director, Procurement and Grants Office, Centers for Disease Control 
and Prevention (CDC).
[FR Doc. 00-16280 Filed 6-27-00; 8:45 am]
BILLING CODE 4163-18-P