[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