[Federal Register Volume 65, Number 135 (Thursday, July 13, 2000)]
[Notices]
[Pages 43374-43376]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-17702]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Program Announcement 00148]


Breast & Cervical Cancer Early Detection Activities; Notice of 
Availability of Funds

A. Purpose

    The Centers for Disease Control and Prevention (CDC) announces the 
availability of fiscal year (FY) 2000 funds for a cooperative agreement 
program for Breast & Cervical Cancer Early Detection Activities. This 
program focuses on serving women in the American Indian/Alaska Native 
populations.
    In August 1994, Congress passed the National Breast and Cervical 
Cancer Mortality Prevention Act (Pub. L. 101-354). The NBCCEDP program 
was established to eliminate disparity and provide comprehensive breast 
and cervical cancer screening services for all women at or below 250 
percent of the official poverty line. The American Indian/Alaska 
Natives (AI/AN) are the only ethnic group specifically mentioned as a 
priority population in the law. CDC is committed to achieving the 
health promotion and disease prevention objectives of ``Healthy People 
2010,'' a national activity to reduce morbidity and mortality and 
improve the quality of life. This announcement is related to the focus 
area of cancer. For the conference copy of ``Healthy People'', visit 
the internet address site: http://www.health.gov/healthypeople>.
    The purpose of this announcement is to provide Breast and Cervical 
Cancer Early Detection Activities reaching the maximum number of 
eligible American Indian/Alaska Native women possible. This will be 
done by:

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    1. Enhancing tribal grantee capacity to plan, implement, monitor 
and evaluate screening, referral and follow-up, case management, public 
education and outreach, professional education, quality assurance, 
surveillance, evaluation, partnership development and community 
involvement in their NBCCEDP screening services.
    2. Enhancing the State grantee capacity to understand the unique 
issues preventing American Indian/Alaska Native women from being 
screened and to work more effectively to reach tribal women in their 
states. In a recent meeting at CDC, tribal leaders urged CDC to help 
build their capacity for developing, implementing and monitoring 
programs when tribal expertise in a given area was not available. This 
includes, when possible, respecting their preference for technical 
assistance to be provided by American Indians for programs serving 
American Indians and by funding programs directly instead of channeling 
funds through states for American Indian/Alaska Native programs. See 
Attachment I for additional background information.

B. Eligible Applicants

    Assistance will be provided only to a nonprofit organization with 
extensive experience serving the American Indian/Alaska Natives 
populations with the management of women health care programs, 
including Breast and Cervical Cancer Early Detection Activities. 
Therefore, eligible organizations should have staff in key positions 
with evidence of 5 or more years experience. Provide proof of nonprofit 
status, see AR-15 in Attachment II for additional detail information. 
The eligible applicants should demonstrate the following:
    1. Knowledge and experience in the development of American Indian/
Alaska Native women health programs;
    2. Have members who are from, or have worked in and are familiar 
with, each of the 12 Indian Health Service Areas; and
    3. Have extensive knowledge of the unique health service delivery 
issues for American Indian/Alaska Native women and have experience in 
working with IHS, tribes, tribal organizations, and state staff to 
identify effective strategies to deliver culturally competent services 
to this population;
    4. Have a past history of demonstrated success in planning, 
implementing and monitoring health programs such as:
    a. Director of Health of the Navajo Nation
    b. Director of California Indian Health Board
    c. Director of Oklahoma City Indian Clinic
    d. Director of Inter-Tribal Council of Michigan
    e. Advisors to the Indian Health Service on AI/AN women's health 
issues
    Limited competition is justified under this Program Announcement 
due to the limited number organizations that have expertise serving 
American Indian/Alaska Natives populations with the management of women 
health care programs, including Breast and Cervical Cancer Early 
Detection Activities.

    Note: 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

    Approximately $300,000 is available in FY 2000 to fund one award. 
It is expected that the award will begin on or before September 30, 
2000, for a 12-month budget period within a project period of up to 3 
years.
    Funding estimates may change. A continuation award within an 
approved project period will be made on the basis of satisfactory 
progress as evidenced by required reports and the availability of 
funds.

Use of Funds

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

D. Program Requirements

    Breast and Cervical Cancer Early Detection Program activities 
should adhere to current accepted public health recommendations by the 
U.S. Preventive Services Task Force, or current Division of Cancer 
Prevention and Control (DCPC) guidance (See Attachment Public Law 101-
354)
    In conducting activities to achieve the purpose of this program, 
the recipient shall be responsible for activities under 1. (Recipient 
Activities), and CDC shall be responsible for conducting activities 
under 2. (CDC Activities.)
1. Recipient Activities
    a. Collaborate with tribal grantees in the development of annual 
workplans which will use goals, objectives, activities and time frames 
that are realistic, measurable and relevant for reaching American 
Indian/Alaska Native women for screening.
    b. Facilitate meetings with states and tribes/tribal organizations 
within those states to develop realistic and culturally sensitive 
approaches for screening women.
    c. Conduct culturally effective Professional education to National 
Breast and Cervical Cancer Early Detection Program (NBCCEDP) sponsored 
tribes, tribal organizations and states working directly with tribes.
    d. Participate in CDC-sponsored annual trainings, meetings, and 
conferences for AI/AN grantees designed to increase culturally 
appropriate health care delivery and cultural sensitivity for 
cooperative agreement grantees.
    e. Monitor and evaluate the program including process and outcome 
measures.
2. CDC Activities
    a. Assist with providing orientation to staff on the unique 
requirements of the NBCCEP program by consultation and technical 
assistance in the planning and evaluation or program activities.
    b. Collaborate in the development of workshops planning outreach 
strategies for tribal grantees and states screening AI/AN women.
    c. Provide consultation and technical assistance on guidance on 
NBCCEDP management topics to be considered for technical assistance.
    d. Assist in developing and planning annual trainings, meetings, 
and conferences designed to increase culturally appropriate health care 
delivery and cultural sensitivity for cooperative agreement grantees.

E. Application Content

    Use the information in the ``Program Requirements,'' ``Other 
Requirements,'' and ``Evaluation Criteria'' sections to develop the 
application content. Your application will be evaluated on the criteria 
listed, so it is important to follow them in laying out your program 
plan. The narrative should be no more than 20 (twenty) double-spaced 
pages, printed on one side, with one-inch margins, and unreduced 12 
point font.
    The narrative should contain:
    1. Statement of Need--Identify opportunities for enhancement/
improvement addressing existing gaps in the support of AI/AN BCCEDP 
activities. Describe the extent to which the proposed activities will 
fill existing gaps.
    2. Objectives--Establish and submit short-and long-term objectives 
for each activity proposed in Section 1 (statement of need) above. 
Objectives

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must be specific, measurable, attainable, time phased, and realistic.
    3. Operational Plan--Submit an operational plan that addresses 
means for achieving each of the objectives established in Section 2 
(objectives) above. Provide a concise description of each component or 
major activity and how it will be implemented. The plan must identify 
and establish a time line for the completion of each component or major 
activity.
    4. Evaluation Plan--Submit a quantitative plan for monitoring 
progress toward achieving each of the objectives stated in Section 2 
(objectives) above.
    5. Organizational Capacity/Program Management--Describe the 
capacity of the organization/group to perform the technical assistance 
activities relating to Breast and Cervical Programs. Provide an 
organizational chart and a curricula vitae(not to exceed 2 pages per 
person) for each member of the organization that will be providing 
technical assistance.
    6. Budget--Submit a detailed budget and narrative justification for 
the activities that is consistent with the purpose of the program and 
the proposed activities.

F. Submission and Deadline

    Submit an original and two copies of PHS 5161-1 (OMB Number 0937-
0189) on or before August 15, 2000, submit the application to the 
Grants Management Specialist identified in the ``Where to Obtain 
Additional Information'' section of this announcement.
    Deadline: The application will be considered as meeting the 
deadline if it is either:
    a. Received on or before the stated deadline date; or
    b. Sent on or before the deadline date. (Applicant must request a 
legibly dated U.S. Postal Service postmark or obtain a legibly dated 
receipt from a commercial carrier or the U.S. Postal Service. Private 
metered postmarks shall not be acceptable proof of timely mailing.)
    Late Application: If the application does not meet the criteria in 
1.a. or 1.b. above it will be a considered late application and will be 
returned to the applicant.

G. Evaluation Criteria

    The application will be evaluated according to the following 
criteria by an independent review group appointed by CDC.
    1. Statement of Need. The extent to which the applicant identifies 
specific opportunities and existing gaps related to the purpose of the 
program. (10 points)
    2. Objectives. The degree to which short-and long-term objectives 
are specific, measurable, attainable, time phased, and realistic.(15 
points)
    3. Operational Plans. The adequacy of the applicant's plan to carry 
out the proposed activities, including the extent to which the 
applicant plans to work collaboratively with other organizations and 
individuals who may have an impact on breast and cervical cancer 
prevention and control objectives. (30 points)
    4. Organizational Capacity/Program Management. The extent to which 
the organization appears to have the organizational capacity and 
program management to develop and manage the program. The extent to 
which proposed staff appear to be qualified and possess capacity to 
perform the technical assistance described. The extent to which staff 
has expertise working with American Indian/Alaska Natives populations 
with the management of women health care programs, including Breast and 
Cervical Cancer Early Detection Activities. (30 points)
    5. Evaluation Plan. The extent to which the evaluation plan appears 
capable of monitoring progress toward meeting project objectives. (15 
points)
    6. Budget. The extent to which each line-item budget and narrative 
justification is reasonable and consistent with the purpose and 
objectives of the program. (Not weighted)

H. Other Requirements

Technical Reporting Requirements

    Provide CDC with the original plus two copies of the following:
    1. Annual written progress report must be submitted 30 days after 
the end of each budget period.
    2. Financial status report (FSR) must be submitted 90 days after 
the end of each budget period.
    3. Final financial and performance reports, must be submitted 90 
days after the end of the project period.
    Send all reports to the Grants Management Specialist identified in 
the ``Where to Obtain Additional Information'' section of this 
announcement.
    The following additional requirements are applicable to this 
program. For a complete description of each, see Attachment II in the 
application package.

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------------------------------------------------------------------------
AR-9......................................  Paperwork Reduction Act
                                             Requirements
AR-10.....................................  Smoke-Free Workplace
                                             Requirements
AR-11.....................................  Healthy People 2010
AR-12.....................................  Lobbying Restrictions
AR-15.....................................  Proof of Non Profit Status
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I. Authority and Catalog of Federal Domestic Assistance Number

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

J. Where To Obtain Additional Information

    To obtain additional information contact: Cynthia Collins, Grants 
Management Specialist, Grants Management Branch, Procurement and Grants 
Office, Announcement 00148, Centers for Disease Control and Prevention 
(CDC), Room 3000, 2920 Brandywine Road, Atlanta, GA 30341, telephone 
(770)-488-2757, E-mail address: [email protected]
    See also the CDC home page on the Internet:
http://www.cdc.gov
    For program technical assistance, contact: Annie Voigt, Program 
Consultant, Section C, Program Services Branch, Division of Cancer 
Prevention and Control, National Center for Chronic Disease Prevention 
and Health Promotion, Centers for Disease Control and Prevention (CDC), 
4770 Buford Highway, NE., Mailstop K-57, Atlanta, GA 30341-3724, 
telephone (770) 488-4707, fax (770) 488-3230.

    Dated: July 7, 2000.
Mary Anne Bryant,
Acting Director, Procurement and Grants Office Centers for Disease 
Control and Prevention (CDC).
[FR Doc. 00-17702 Filed 7-12-00; 8:45 am]
BILLING CODE 4163-18-P