[Federal Register Volume 66, Number 114 (Wednesday, June 13, 2001)]
[Notices]
[Pages 31928-31933]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-14858]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Program Announcement 01115]


National Comprehensive Cancer Control Program; Notice of 
Availability of Funds

A. Purpose

    The Centers for Disease Control and Prevention (CDC) announces the 
availability of fiscal year (FY) 2001 funds for cooperative agreement 
programs for ``National Comprehensive Cancer Control Program.'' This 
program addresses the ``Healthy People 2010'' focus area of Cancer.
    The purpose of the National Comprehensive Cancer Control Program is 
to support States, Tribes, and Territories in the planning and 
implementation of comprehensive cancer control activities. See Appendix 
A for background information.
    This announcement consists of two parts. Part I supports 
comprehensive cancer control planning activities. Part II supports 
comprehensive cancer control implementation activities.

B. Eligible Applicants

    Assistance will be provided only to the health departments of 
States, the District of Columbia, and Territories, or their bona fide 
agents or instrumentalities (including the Commonwealth of Puerto Rico, 
The Virgin Islands, American Samoa, Guam, the Federated States of 
Micronesia, the Republic of the Marshall Islands, and the Republic of 
Palau) and to Federally recognized Indian Tribal governments (including 
Indian Tribes, Tribal

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organizations, Alaska Natives and Urban Indian organizations, and 
inter-tribal consortia, hereafter referred to as Tribes).
    Applicants may apply for funding under Part I or Part II but not 
both parts.
    Only one eligible application from a State, Tribe, or Territory 
will be funded. Applicants from each State, Tribe, or Territory are 
encouraged to coordinate and combine their efforts prior to submitting 
the application for their State/Tribe/Territory.

    Note: Title 2 of the United States Code, Chapter 26, Section 
1611 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 $1,900,000 is available in FY 2001 to fund 
approximately eight to twelve awards. It is expected that the awards 
will begin on or about September 30, 2001.

Part I--Comprehensive Cancer Control Planning

    Approximately $750,000 is available in FY 2001 to fund 
approximately five to seven awards. It is expected that the average 
award will be $125,000; ranging from $100,000 to $150,000. It is 
expected that the awards will be made for a 12-month budget period 
within a project period of up to two years. Funding estimates may 
change.

Part II--Comprehensive Cancer Control Implementation

    Approximately $1,150,000 is available in FY 2001 to fund 
approximately three to five awards. It is expected that the average 
award will be $250,000, ranging from $200,000 to $300,000. It is 
expected that the awards will be made for a 12-month budget period 
within a project period of up to four years. Funding estimates may 
change. Continuation awards within an approved project period will be 
made on the basis of satisfactory progress as evidenced by required 
reports and the availability of funds.
1. Direct Assistance
    You may request Federal personnel as direct assistance, in lieu of 
a portion of financial assistance.
2. Use of Funds
    These funds should not be used to support other existing programs 
such as breast and cervical cancer, cancer registry, laboratory or 
clinical services, or tobacco control programs. Funds awarded under 
this program announcement may not be used to supplant existing program 
efforts. Funds may not be used to provide direct medical care or 
prevention case management.

D. Program Requirements

    In conducting activities to achieve the purpose of this program, 
the recipient will be responsible for the activities under 1. 
(Recipient Activities), and CDC will be responsible for the activities 
listed under 2. (CDC Activities).

Part I--Comprehensive Cancer Control Planning Activities

1. Recipient Activities
    a. Assess and address the State/Tribe/Territory cancer burden to 
determine the critical target areas for cancer prevention and control 
activities; assess gaps in strategies to address the cancer burden; 
create and prioritize measurable goals and objectives for a 
comprehensive cancer control plan; and identify implementing 
organizations for priority plan strategies.
    b. Build linkages among existing State/Tribe/Territory-based 
surveillance systems (e.g., the statewide Central Cancer Registry), 
Surveillance, Epidemiology, and End Results, (SEER); vital statistics; 
other databases, including Behavioral Risk Factor Surveillance System 
(BRFSS); and other data agencies and sources to assist with assessing 
data/research gaps.
    c. Mobilize support for comprehensive cancer control planning 
activities by assessing and building support among the public and 
private sectors.
    d. Build partnerships by identifying, contacting and inviting 
potential key private, professional, voluntary, and nonprofit cancer 
control organizations, policymakers, consumers, payers, media, state 
and federal agencies, surveillance agencies, research and academic 
institutions, and others to become members of a new or existing State/
Tribe/Territory-wide comprehensive cancer control coalition/
partnership.
    e. Enhance comprehensive cancer control infrastructure by acquiring 
key staff and associated resources to produce a State/Tribe/Territory-
wide comprehensive cancer control plan.
    f. Conduct systematic evaluation of the comprehensive cancer 
control planning process through identifying resources and staff for 
evaluation, defining planning evaluation questions, assessing the 
planning process, and identifying emerging challenges, solutions and 
outcomes of the planning process.

Part II--Comprehensive Cancer Control Implementation Activities

1. Recipient Activities
    a. Implement priorities as established by the State/Tribe/
Territory's comprehensive cancer control plan, which provides a 
framework for action to reduce the burden of cancer in the State/Tribe/
Territory.
    b. Update and modify strategies to assess and address the State/
Tribe/Territory cancer burden, enabling continual identification of 
critical target areas for cancer prevention and control activities; 
assess gaps in existing strategies to address the cancer burden; and 
prioritize and identify implementing organizations for emerging 
priority plan strategies.
    c. Enhance and build new linkages among existing State/Tribe/
Territory-based surveillance systems (e.g., the statewide Central 
Cancer Registry), Surveillance, Epidemiology, and End Results (SEER); 
vital statistics, and other databases, including Behavioral Risk Factor 
Surveillance System (BRFSS) and other data agencies and sources to 
assist with assessing data/research gaps; and conduct additional data 
collection as feasible.
    d. Mobilize support for cancer prevention and control activities by 
assessing, continuing, and building additional support (resources, 
political will, etc.) among the public and private sectors.
    e. Build new and enhance existing partnerships by identifying, 
contacting and inviting potential key private, professional, voluntary, 
and nonprofit cancer control organizations, policymakers, consumers, 
payers, media, State and federal agencies, surveillance agencies, 
research and academic institutions, and others to become members of a 
new or existing State/Tribe/Territory-wide comprehensive cancer control 
coalition or partnership.
    f. Enhance the organizational infrastructure by acquiring key staff 
and associated resources to coordinate and integrate cancer prevention 
and control efforts. This would include efforts to prioritize and 
support the implementation of cancer prevention and control activities.
    g. Conduct systematic evaluation of the cancer control 
prioritization and implementation process. In addition to evaluating 
progress in meeting goals, process and impact objectives as stated in 
the implementation plan, programs should develop performance indicators 
to use as benchmarks for improvement and to determine the impact of a

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comprehensive approach to cancer prevention and control.
    h. Identify and secure resources to support the development and 
dissemination of programs that will contribute to the priority areas 
identified within the comprehensive cancer control plan. Support 
organizational and stakeholder participation in national cancer 
prevention, early detection, and control campaigns.
2. CDC Activities
    a. Assist with the exchange of information and collaboration among 
recipients.
    b. Provide to recipients relevant, state-of-the-art, research 
findings and public health recommendations related to comprehensive 
cancer control.
    c. Provide ongoing guidance, consultation, and technical assistance 
in conducting Recipient Activities.
    d. Assist with identifying and developing national cancer 
prevention and control campaigns and materials that can be integrated 
into comprehensive cancer control programs.

E. Content

Pre-application Conference Call

    Pre-application conference calls are scheduled for June 25-26, 
2001, at 1:00 p.m. Eastern Standard Time on each date. The purpose of 
the conference calls is to communicate the logistics of the application 
process and to respond to any questions regarding this Program 
Announcement. A summary of the questions and answers will be provided 
to all eligible applicants.

Applications

    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 developing your 
application. Applications should not exceed 30 double-spaced pages (no 
smaller than 10 point type) including budget and justification. 
Applicants should also submit appendices (including curriculum vitae, 
job descriptions, organizational charts, and any other supporting 
documentation), which should not exceed an additional 20 pages (20 page 
limit excludes State/Tribe/Territory cancer plan, if applicable). All 
materials must be provided in an unbound, one-sided, 8\1/2\  x  11" 
print format, suitable for photocopying (i.e., no audiovisual 
materials, posters, tapes, etc.).

Direct Assistance

    To request new direct-assistance assignees, include:
    1. Number of assignees requested;
    2. description of the position and proposed duties;
    3. ability or inability to hire locally with financial assistance;
    4. justification for request;
    5. organizational chart and name of intended supervisor;
    6. opportunities for training, education, and work experiences for 
assignees; and
    7. description of assignee's access to computer equipment for 
communication with CDC (e.g., personal computer at home, personal 
computer at workstation, shared computer at workstation on site, shared 
computer at a central office).
    Applications should contain the following:
1. Executive Summary
    The applicant should provide a clear, concise two-page written 
summary to include:
    a. Need for comprehensive cancer control planning activities or 
implementation activities.
    b. Identification of the major activities proposed to develop or 
implement a comprehensive cancer prevention and control plan.
    c. Requested amount of federal funding.
    d. Applicant's capability to conduct the comprehensive cancer 
control activities.
2. Background and Need
    The applicant should describe:
    a. The cancer disease burden for the State/Tribe/Territory, 
including the most recently available age-adjusted, overall cancer 
incidence and mortality rates by age, gender, and racial and ethnic 
groups. Cite the source for and time period covered by these data. Also 
describe the estimated State/Tribe/Territory cancer incidence and 
mortality rates for 2001.
    b. Relevant experiences in development and implementation of cancer 
prevention and control programs.
    c. Relevant experiences in coordination and collaboration between 
and among existing programs.
    d. Existing initiatives, capacity, and infrastructure (e.g., 
coalitions/partnerships; surveillance activities and systems; 
evaluation activities; information, media and health communications; 
education and outreach strategies) within which comprehensive cancer 
control will occur.
    e. Description of the need for comprehensive cancer control funding 
to enhance existing efforts.
3. Collaborative Partnerships and Community Involvement
    The applicant should include:
    a. A description of the proposed or existing broad-based State/
Tribe/Territory-wide partnership that will advise and support the 
program in planning and/or implementing comprehensive cancer control 
activities, including a plan for identifying new/additional key 
members, their charge and proposed roles/responsibilities.
    b. A description of evidence of a broad and diverse level of 
support for and commitment to comprehensive cancer control planning or 
implementation (e.g., legislation supporting cancer prevention and 
control, other sources of funding for comprehensive cancer control, 
dedicated comprehensive cancer control staff); letters of support (in a 
separate tabbed section of the application) that indicate the nature 
and extent of existing or planned collaborative support.
4. Management Plan
    The applicant should:
    a. Submit a management plan that includes a description of proposed 
management structure that addresses the use of qualified and diverse 
technical, program, administrative staff (including in-kind staff), 
organizational relationships (including lines of authority), internal 
and external communication systems, and a system for sound fiscal 
management. Minimal staffing should include a program coordinator. 
Applicant should clearly indicate who is responsible for ensuring that 
a comprehensive plan is developed and/or implemented.
    b. Provide a description of the proposed or existing linkages 
within the State/Tribe/Territory health department (e.g., across risk 
factors, categorically funded programs, disciplines), that will support 
integration and coordination within the agency. The management 
structure description should include discussion of the integration and 
coordination of risk factor and cancer-related programs both within and 
outside of the funded organization and the integration of these 
programs in the planning or implementation effort. It is important that 
the management plan address how coordination and cooperation among 
existing categorical program efforts will be facilitated, while 
allowing each program to maintain individual integrity and identity.

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    c. Provide (in the appendices) a copy of the organizational chart 
indicating the placement of the proposed or existing program in a 
department or agency. The chart should clearly demonstrate internal 
linkages necessary for comprehensive cancer control planning or 
implementation and evaluation.
    d. Provide a description of the proposed core planning or 
implementation team. The core team is traditionally made up of 
individuals both within and outside of the health agency that are 
committed to the development and implementation of the comprehensive 
cancer plan.
    e. Provide (in the appendices) curriculum vitae and job 
descriptions of key staff to be partially or fully funded through this 
announcement, as well as any staff to be provided through in-kind 
support.
5. Budget With Justification
    The applicant should provide a detailed budget request and complete 
line-item justification of all proposed operating expenses consistent 
with the Recipient Activities. If in-kind contributions are being 
provided by the applicant, these should be documented.
    The annual budget should include funds for two staff members to 
make two, two-day trips to Atlanta for a reverse site visit.
    Part I applicants should also provide the following: The applicant 
should provide a detailed workplan and time-line that describes how 
comprehensive cancer control planning activities will be conducted and 
will lead to the development of a comprehensive cancer control plan. A 
sample workplan template is included in Attachment I. Additional 
information regarding the workplan template is available at 
www.cdc.gov/cancer/nbccedp/training.
    Part II applicants should also provide the following:
1. Comprehensive Cancer Control Plan
    The applicant should:
    a. Submit a copy of the (1) existing up-to-date State/Tribe/
Territory-wide comprehensive cancer control plan, or (2) an up-to-date 
draft of a comprehensive cancer control plan. A comprehensive cancer 
control plan should include:
    (1) An assessment of the cancer burden in the State/Tribe/Territory 
using population-based data;
    (2) Short-and long-term goals and objectives to address cancer 
control issues based on identified needs;
    (3) Proposed strategies to meet the objectives; and
    (4) An assessment of existing and needed resources to implement the 
comprehensive cancer control plan.
    b. Describe the process by which the plan was developed. If the 
plan is in draft format, describe the process for assuring readiness 
for implementation by November 1, 2001. Include a description of the 
participating organizations' involvement in the development of the 
plan. Clearly describe a mechanism to review, evaluate, and update the 
plan to meet changing needs.
    c. Describe who will be responsible for maintaining the 
comprehensive cancer control plan, assuring that the partnership/
coalition is involved throughout the process, and that comprehensive 
cancer control efforts proceed according to the State/Tribe/Territory's 
plan.
2. Implementation Plan
    The applicant should include an implementation plan that:
    a. Describes how the cancer control plan will be implemented, 
including the process for determining priorities to be addressed in 
implementing the comprehensive cancer control plan, the process for 
assuring that these decisions are data-or evidence-based and grounded 
in sound science, and the role of the coalition and/or collaborators in 
the priority setting process.
    b. Includes specific, measurable, attainable, realistic and time-
framed process and outcome objectives designed to achieve a coordinated 
and integrated approach to cancer prevention and control and address 
those priorities identified from the cancer plan. The implementation 
plan for this program announcement need not address each goal and 
objective in the comprehensive cancer control plan.
    c. Provides a description of the strategies proposed to address the 
identified priority goals and objectives of the comprehensive cancer 
control plan. This should include discrete time frames, responsible 
agencies, organizations or organizational units, and activities 
proposed to meet the objectives or priorities within the comprehensive 
cancer control plan. It should also include a description of how the 
proposed activities will facilitate coordination and cooperation among 
existing categorical program efforts. The applicant should include 
goals for all four years, and specific objectives for year 01.
    d. Describes how surveillance data will be integrated into program 
activities and used to assess program progress and inform program 
decision making. The description should include evidence that existing 
surveillance systems enable programs to: collect population-based 
information on the demographics, incidence, staging of cancer at 
diagnosis, morbidity and mortality from cancer; identify segments of 
the population who are at higher risk for incidence, morbidity, 
mortality; identify factors contributing to the disease burden; and, 
when appropriate, monitor the number and characteristics of people 
served by relevant programs.
    e. Includes the current or proposed plan for evaluating
    (1) the program's progress in meeting specific objectives outlined 
in the implementation plan, and
    (2) overall success of the comprehensive cancer control effort, 
based on indicators established by the applicant. Baseline measures 
should be identified and assessed to allow for comparisons after 
implementation has begun. For each type of indicator that will be used, 
describe how data will be obtained, how information will be used to 
improve the overall program, who is responsible for each evaluation 
task, and a time-line for accomplishing each evaluation task.
    f. Describes proposed information and education efforts. Identify 
the mechanisms through which information, material, and successful 
strategies will be consistently and systematically shared and 
disseminated throughout the State/Tribe/Territory. Include in this 
description a discussion of plans for collaborating with partners on 
national campaigns or education efforts.
    g. Describe mechanisms for assuring that the core components of a 
comprehensive cancer control program, including primary cancer 
prevention/risk factor reduction, education/outreach, screening/
diagnostic/treatment services, surveillance, and evaluation, are 
consistent with accepted science and prevailing standards of public 
health practice.
    h. Describe existing programs funded by other sources that will be 
critical to the successful coordination and integration of the proposed 
comprehensive cancer control effort.

F. Submission and Deadline

    Submit the original and two copies of PHS 5161-1 (OMB Number 0937-
0189). Forms are available in the application kit and at the following 
Internet address: http://www.cdc.gov/od/pgo/forminfo.htm.
    On or before July 20, 2001, submit the application to the Grants 
Management Specialist identified in the ``Where to Obtain Additional 
Information'' section of this announcement.

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    Deadline: Applications shall be considered as meeting the deadline 
if they are either:
    1. Received on or before the deadline date; or
    2. Sent on or before the deadline date and received in time for 
submission to the independent review group. (Applicants must request a 
legibly dated U.S. Postal Service postmark or obtain a legibly dated 
receipt from a commercial carrier or U.S. Postal Service. Private 
metered postmarks shall not be acceptable as proof of timely mailing.)
    Late Applications: Applications which do not meet the criteria in 
1. or 2. above are considered late applications, will not be 
considered, and will be returned to the applicant.

G. Evaluation Criteria

    Each application will be evaluated individually against the 
following criteria by an independent review group appointed by CDC.

Part I Comprehensive Cancer Control Planning Activities

1. Background and Need (10 points)
    The extent of need based on disease burden by age, gender and 
racial/ethnic groups, mortality rates, incidence, cancer program 
experience, existing capacity and infrastructure.
2. Collaborative Partnerships and Community Involvement (20 points)
    The extent to which evidence is presented which demonstrates the 
breadth and appropriateness of both (a) existing linkages within and 
outside the State/Tribe/Territory health department to coordinate 
diverse cancer control activities, and (b) the current or proposed 
broad-based State/Tribe/Territory-wide coalition/partnership to advise 
and support comprehensive cancer control planning activities.
3. Management Plan (30 points)
    The feasibility and clarity of the proposed management plan. The 
extent to which this plan addresses the use of qualified and diverse 
technical, program and administrative staff.
4. Workplan and Time-line (40 points)
    The extent to which the workplan and time-line are feasible, 
appropriate, reasonable and provide a clear description of an 
evaluation component.
5. Budget with Justification (not scored)
    The extent to which the proposed budget is adequately justified, 
reasonable, and consistent with this program announcement and 
applicant's implementation plan.
6. Human Subjects Protection (not scored)
    The extent to which the application adequately address the 
requirements of Title 45 CFR Part 46 for the protection of human 
subjects.

Part II Comprehensive Cancer Control Implementation Activities

1. Background and Need (10 points)
    The extent of need based on disease burden by age, gender and 
racial/ethnic groups, mortality rates, incidence, cancer program 
experience, existing capacity and infrastructure.
2. Comprehensive Cancer Control Plan (20 points)
    The quality of the comprehensive cancer control plan in terms of: 
an integrated and coordinated State/Tribe/Territory-wide approach to 
prevention, early detection, treatment, rehabilitation, and palliation 
of cancer; an assessment of State/Tribe/Territory cancer burden; short 
-and long-term goals, objectives, and strategies to address cancer 
control issues; an assessment of existing and needed resources to 
develop the comprehensive cancer control program; and the full range of 
cancer prevention and control activities (from primary prevention to 
palliation). The extent to which evidence is presented that indicates a 
broad range of partners and stakeholders were included throughout the 
process to develop, implement, review and update the plan as 
appropriate; mechanisms to review, evaluate and update the plan to meet 
evolving needs, and personnel who will be responsible for maintaining 
the plan.
3. Collaborative Partnerships and Community Involvement (15 points)
    The extent to which evidence is presented which demonstrates the 
breadth and appropriateness of (a) existing linkages within and outside 
the State/Tribe/Territory health department to coordinate diverse 
cancer control activities, and (b) the current or proposed broad-based 
State/Tribe/Territory-wide coalition/partnership to advise and support 
comprehensive cancer control implementation activities.
4. Implementation Plan (35 points)
    The extent to which the applicant's implementation plan describes 
the components described under Section E. Application Content, Part II, 
number 2, Implementation Plan, of this Program Announcement.
5. Management Plan (20 points)
    The feasibility and clarity of the proposed management plan. The 
extent to which this plan addresses the use of qualified and diverse 
technical, program and administrative staff.
6. Budget with Justification (not scored)
    The extent to which the proposed budget is adequately justified, 
reasonable, and consistent with this program announcement and 
applicant's implementation plan.
7. Human Subjects Protection (not scored)
    The extent to which the application adequately address the 
requirements of Title 45 CFR Part 46 for the protection of human 
subjects.

H. Other Requirements

Technical Reporting Requirements

    Provide CDC with original plus two copies of:
    1. Annual progress reports submitted within 90 days after the end 
of each budget period that includes:
    a. Activities accomplished in the current fiscal year, presented in 
relation to what has been proposed (may submit either in narrative or 
workplan/chart format);
    b. Progress on accomplishing comprehensive cancer control 
activities; and
    c. Technical assistance needs of cooperative agreement recipient.
    2. Financial status report, no more than 90 days after the end of 
the budget period; and
    3. Final financial and performance reports, no more than 90 days 
after the end of the project period. Send all reports to the Grants 
Management Specialist identified in the ``Where to Obtain Additional 
Information'' section of this announcement.
    The following additional requirements are applicable to this 
program. For a complete description of each, see Attachment II in the 
application kit.

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

I. Authority and Catalog of Federal Domestic Assistance Number

    This program is authorized under section 317(k)(2) of the Public 
Health Service Act, [42 U.S.C. section 247b

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(k)(2)], as amended. The Catalog of Federal Domestic Assistance number 
is 93.283.

J. Where To Obtain Additional Information

    This and other CDC announcements can be found on the CDC home page 
Internet address--http://www.cdc.gov. Click on ``Funding'' then 
``Grants and Cooperative Agreements.''
    Should you have questions after reviewing the contents of all the 
documents, business management technical assistance may be obtained 
from: Jesse Robertson, Grants Management Specialist, Grants Management 
Branch, Procurement and Grants Office, Centers for Disease Control and 
Prevention, Announcement 01115, Brandywine Road, Room 3000, Atlanta, GA 
30341-4146, Telephone number: (770) 488-2747, Email address: 
[email protected].
    For program technical assistance, contact: Leslie Given, MPA, 
Public Health Advisor, Division of Cancer Prevention and Control, 
National Center for Chronic Disease Prevention and Health Promotion, 
Centers for Disease Control and Prevention, 4770 Buford Highway, NE, 
Mailstop K-57, Atlanta, GA, Telephone: (770) 488-3099, Email address: 
[email protected].

    Dated: June 7, 2001.
John L. Williams,
Director, Procurement and Grants Office, Centers for Disease Control 
and Prevention (CDC).
[FR Doc. 01-14858 Filed 6-12-01; 8:45 am]
BILLING CODE 4163-18-P