[Federal Register Volume 67, Number 94 (Wednesday, May 15, 2002)]
[Notices]
[Pages 34716-34720]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-12087]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Program Announcement 02091]


National Programs To Support Healthy Aging, Epilepsy, Prevention 
Activities, and Arthritis; Notice of Availability of Funds

A. Purpose

    The Centers for Disease Control and Prevention (CDC) announces the 
availability of fiscal year (FY) 2002 funds for National Programs to 
Support Healthy Aging, Epilepsy, Prevention Activities, and Arthritis. 
These programs address the ``Healthy People 2010'' focus areas of 
Access to Quality Health Services, Educational and Community Based 
Programs, Physical Activity and Fitness, Disability and Secondary 
Conditions, Arthritis, Osteoporosis, and Chronic Back Conditions, and 
Health Communication.
    The CDC, National Center for Chronic Disease Prevention and Health 
Promotion, is issuing this Program Announcement in an effort to 
simplify and streamline the grant and cooperative agreement pre-award 
and post-award administrative process, provide increased flexibility in 
the use of funds, and measure performance related to each grantee's 
stated objectives. Some advantages of the streamlined process are: 
elimination of separate documents (continuation application and semi-
annual progress report) to issue a continuation award; consistency in 
reporting expectations; and increased flexibility within approved 
budget categories.
    This program announcement covers the following program areas:

Program Area 1: Healthy Aging

    The purpose of the Healthy Aging Program is to establish national 
partnerships to enhance health and quality of life for older adults 
through a broad national strategy to: (1) Promote oral, physical, and 
mental health healthy behaviors, (2) reduce the impact of injuries and 
chronic diseases, and (3) maintain function and independence for older 
Americans. Applicants may apply for one or more of the following 
priority areas:
    Priority A--Collaboration and Health Promotion: To strengthen and 
enhance collaborations between health departments at the state and 
local level, and/or community organizations/networks that focus on 
older adults, e.g. senior centers and area agencies on aging, to 
promote behaviors and practices that lead to healthier, more 
fulfilling, and more satisfying lives for older adults.
    Priority B--Implementation and Evaluation: To strengthen the 
capacity of national, state, and/or local agencies to conduct and 
evaluate programs that promote health, reduce the impact of injuries 
and chronic diseases, and maintain function and independence for older 
adults.
    Priority C--Evaluate and Develop Tools: To assess and develop 
consumer education tools and strategies to improve health, reduce the 
impact of disease and injury, and delay disability and the need for 
long-term care among older adults.

Program Area 2: Epilepsy

    The purpose of this program is to conduct epilepsy programs that 
enhance the health and quality of life of people with epilepsy through 
health promotion, education and enhancement of communication channels. 
Applicants may apply for one or more of the following priority areas:
    Priority A--Partnership Building: To promote public awareness of 
epilepsy and facilitate collaborative partnerships at all levels of 
public health.
    Priority B--Create Awareness/Improve Health Communications: To 
expand the outreach of media campaigns to promote understanding and 
awareness and improve communication strategies to develop, disseminate, 
and evaluate epilepsy educational materials and programs.
    Priority C--Consumer and Provider Education: To expand the 
availability of carefully designed and well tested low-literacy 
epilepsy education materials for minority groups, self-management 
materials for those with epilepsy, and continuing medical education for 
health care providers.

Program Area 3: Prevention Activities

    The purpose of this program is to develop national health promotion 
and disease prevention strategies for health care organizations, state 
and local health departments, businesses, and other non profit 
organizations whose mission is to promote prevention, improve health 
care quality and improve the public's health.

Program Area 4: Arthritis

    The purpose of the Arthritis program is to implement the National 
Arthritis Action Plan: A Public Health Strategy (NAAP). Specific 
activities are intended to improve the availability and quality of 
information and services in order to improve the quality of life for 
persons with arthritis.

B. Eligible Applicants

    Assistance will be provided only to existing grantees under the 
following program announcements:
    a. National Programs to Support Healthy Aging--Program Announcement 
01133.
    b. Initiatives to Develop and Implement Programs to Enhance 
Epilepsy, Public Awareness and Partnerships, Education, and 
Communication--Program Announcement 01134.
    c. Implementation of the National Arthritis Action Plan: A Public 
Health Strategy--Program Announcement 99128.
    d. National Strategies to Promote Disease Prevention and Health 
Promotion--Program Announcement 99153.
    Attachment I at the end of this document contains a sole source 
justification for the Arthritis Foundation. Note: Title 2 of the United 
States Code section 1611 states that an organization described in 
section 501(c)(4) of the Internal Revenue Code that engages in lobbying 
activities is not eligible to receive Federal funds constituting an 
award, grant or loan.

C. Availability of Funds

Program Area 1: Healthy Aging

    Approximately $500,000 is available in FY 2002 to fund five awards. 
The average award will be $100,000, with a range from $75,000 to 
$200,000.
    Priority Area A--Collaboration and Health Promotion: Approximately 
$100,000 is available to fund one award under Priority Area A in FY 
2002.
    Priority Area B--Implementation and Evaluation: Approximately 
$200,000 is available to fund two awards under Priority Area B in FY 
2002. The average award is expected to be $100,000.
    Priority Area C--Evaluating and Developing Tools: Approximately 
$200,000 is available to fund two awards under Priority Area C in FY 
2002. The average award is expected to be $100,000.

Program Area 2: Epilepsy

    Approximately $2,100,000 is available in FY 2002 to fund one award.

[[Page 34717]]

Program Area 3: Prevention Activities

    Approximately $500,000 is available in FY 2002 to fund one award.

Program Area 4: Arthritis

    Approximately $1,000,000 is available in FY 2002 to fund one award.

    Note: It is expected that all awards under this Program 
Announcement will be awarded on or before August 30, 2002 and will 
be made for a 12-month budget period. It is expected that Program 
Areas 1 and 2 (Healthy Aging and Epilepsy) will have project periods 
of up to five years; Program Areas 3 and 4 (Prevention Activities 
and Arthritis) are expected to have project periods of up to two 
years. Funding estimates may change due to availability of funds.
    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.

D. Program Requirements

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

1. Recipient Activities

Program Area 1: Healthy Aging
    Priority Area A--Collaboration and Health Promotion: Develop 
mechanisms to:
    a. Provide resources to health departments at the state and local 
level and/or community organizations/networks that focus on promoting 
healthy behaviors and practices among older adults.
    b. Develop communications resources for use by communications 
organizations and older adults.
    c. Develop tools to help communities inventory and publicize their 
resources.
    d. Integrate health plans and other health care resources into 
community demonstration projects.
    Priority Area B--Implementation and Evaluation:
    a. Identify innovative health and supportive programs for older 
adults;
    b. Conduct systematic review and synthesis of quality programs 
including organizational capacity, resource requirements and outcomes 
achieved;
    c. Disseminate findings to organizations and individuals who work 
in the field of aging studies.
    Priority Area C--Evaluate and Develop Tools: Evaluate existing 
consumer education tools and strategies and develop new tools by:
    a. Conducting consumer research and marketing activities (e.g. 
focus groups and other appropriate assessment activities) among older 
adults, including those from minority and other under-served 
communities.
    b. Developing recommendations and strategies for group-specific 
future interventions, educational messages, and programs according to 
the findings.
Program Area 2: Epilepsy
    The applicant shall conduct activities in one or more of the 
following three priority areas:
    Priority Area A--Partnership Building:
    a. Provide financial and personnel support to epilepsy affiliates/
chapters and other health-related organizations to facilitate building 
collaborative public health partnerships with state and local health 
departments.
    b. Provide financial and personnel support to health related 
organizations (other than epilepsy affiliates/chapters) to facilitate 
building collaborative partnerships.
    c. Expand ongoing communication vehicles (i.e., listservs, web 
sites, newsletters, conference calls, meetings) to facilitate problem 
solving and idea sharing among organizations involved in collaborative 
activities to strengthen programs to promote public awareness of 
epilepsy, provide education for those with epilepsy, the general 
public, and for health care providers, and enhance communication 
channels.
    Priority Area B--Create Awareness/Improve Health Communications:
    a. Expand a sustained multifaceted media relations outreach 
program.
    b. Expand, implement and evaluate strategies to disseminate 
existing educational materials to those with epilepsy who are under 
served.
    Priority Area C--Consumer and Provider Education
    a. Expand the development or adaption, evaluation, and 
dissemination of low-literacy epilepsy education materials and/or 
educational materials for under served segments of the population, 
including large minority groups (e.g., Hispanic, Asian, American 
Natives, African American).
    b. Develop, evaluate, and disseminate epilepsy self-management 
materials delivered through traditional and/or alternative delivery 
mechanisms (i.e., Internet-based, CD ROM, other).
    c. Develop appropriate training on selected epilepsy interventions 
with demonstrated cost-effectiveness with appropriate experts including 
international organizations.
    d. Develop, evaluate, and disseminate continuing medical education 
(CME) or CME and continuing education units (CEU) granting self study 
professional education through alternative delivery mechanisms (i.e., 
Internet based, CD-ROM).
Program Area 3: Prevention Activities
    a. Develop and implement national health disease prevention 
programs and preventive health models for use by the recipient in 
providing assistance to a broad range of organizations, including 
private sector health care organizations, State and local health 
departments, universities, managed care organizations, and businesses.
    b. Collaborate nation-wide with public, private, nonprofit, and 
academic institutions to promote the goals of prevention.
    c. Conduct process and outcome evaluation on all activities.
    d. Disseminate information concerning effective prevention 
activities for health care organizations.
Program Area 4: Arthritis
    The applicant should propose at least one activity in each of the 
two following areas:
    Priority Area A--Partnership Activities
    a. Develop mechanisms to provide financial support to Arthritis 
Foundation Chapters to participate in collaborative activities with 
state health department and other partners.
    b. Develop mechanisms to support training for Arthritis Foundation 
Chapter staff, state and local health department staff, and others to 
provide evidence-based self management education and physical activity 
programs (i.e., Arthritis Self Help Course--ASHC, People with Arthritis 
Can Exercise--PACE, and Arthritis Foundation Aquatics).
    Priority Area B--Consumer education
    a. Based on the results of evaluation activities funded in FY 2000 
and FY 2001, further develop, evaluate, and disseminate self-management 
materials delivered through web-based or CD ROM delivery mechanisms. 
Applicant is strongly encouraged to review the adequacy of previous or 
ongoing evaluation efforts and propose new or expanded efforts as 
necessary.
    b. Support evaluation activities that may include market research 
approaches to better characterize the use and non-use of evidence-based 
self management education (i.e., ASHC) or physical activity (i.e., PACE 
or Aquatics) programs. Specifically, this activity should (1) 
characterize program participants and non-participants, specifically 
addressing access and availability issues, and demographic 
characteristics; (2) examine current strategies for program 
dissemination and access; (3) identify factors,

[[Page 34718]]

facilitators and barriers, that limit or enhance the delivery and 
utilization of programs; and (4)recommend strategies to improve program 
delivery to significantly improve the utilization of the programs.
    c. Support evaluation activities to determine the effectiveness of 
existing Arthritis Foundation self management education or physical 
activity interventions. The grantee is strongly encouraged to examine 
these interventions among large minority groups. The ASHC should not be 
considered under this activity.
    d. Develop mechanisms to enhance the capacity of the Arthritis 
Foundation to respond to requests for information from the public.
    e. Develop or support the development of innovative self management 
education or physical activity programs. These programs should have 
clearly defined purposes and objectives. Newly developed programs 
should be pilot tested in preparation for a more thorough evaluation. 
They should not be disseminated prior to evaluation. No more than 
$100,000 should be devoted to this activity. The grantee may conduct 
this activity through AF chapters.
    f. Support or develop mechanisms to support training for leaders 
and trainers for the Spanish language version of the Arthritis Self 
Help Course.
    g. Identify new opportunities to partner in the development of new 
health communications messages and materials. Hard to reach, 
underserved populations, especially African Americans and Hispanic 
Americans are of special interest.

2. CDC Activities for Program Areas 1, 2, 3, and 4 (Healthy Aging, 
Epilepsy, Arthritis and Prevention Activities)

    a. Provide consultation on potential activities and mechanisms of 
fulfillment for partnership support, including chapters or affiliates 
and other partners. CDC will provide careful review of applicant grant 
announcements and where appropriate, participate in the review of 
applications.
    b. Provide consultation on health communication and education 
efforts for the public in general, older adults, people with arthritis 
and people with epilepsy. CDC will provide review and input on the 
scope of work for proposed activities.
    c. Provide consultation on the development and evaluation of self 
management education, physical activity, or other prevention programs. 
CDC will work with recipients to ensure proposed activities complement 
work already supported or conducted by CDC and are consistent with a 
public health approach to address arthritis, epilepsy, and older 
adults.
    d. Provide consultation and support to analyze and interpret data 
from evaluation activities.
    e. Provide assistance to plan and implement linkages among agencies 
funded under this program announcement. CDC will work to explore 
synergies among the activities of the different agencies funded under 
this announcement.
    f. Provide assistance in the dissemination of interventions and 
training materials. CDC's support of and ongoing interaction with state 
health departments and other partners provide a mechanism for 
dissemination of evaluated health communication and self management 
materials developed under this announcement.

E. Content

Application

    Use the information in the Program Requirements, Other 
Requirements, and Evaluation Criteria sections to develop the 
application content. Your application will be evaluated using the 
criteria listed, so it is important to follow them in laying out your 
program plan. All applications should have a type-written narrative of 
no more than 20 double-spaced pages, printed on one side, with one inch 
margins and 12 point Times New Roman font. The application should be 
organized into the following sections:
1. Executive Summary
    Provide a clear, concise, and objectively written statement of the 
major objectives and components of the proposed activities, proposed 
time frame, and evaluation plan. Include proof of your non-profit 
status.
2. Needs Assessment
    Describe the documented need for the proposed activities and 
current activities that provide relevant experience and expertise to 
perform the proposed activities.
3. Collaborative Relationships
    Describe collaborative relationships with other agencies and 
organizations that will be involved in the proposed activities.
4. Operational and Evaluation Plan
    Describe the specific process, impact, and outcome objectives for 
each proposed project, the major steps required to achieve the 
objectives, and a projected timetable for completion that displays 
dates for the accomplishment of specific proposed activities. Describe 
the evaluation process that will be used to determine effectiveness and 
initiate improvement as needed.
5. Management and Staffing Plan
    Describe how the program will be effectively managed. Include the 
following:
    a. Management structure including the lines of authority and plans 
for fiscal control.
    b. The staff positions responsible for implementation of the 
program.
    c. Qualifications and experience of the designated staff.
6. Budget and Justification
    Provide a detailed budget request and line item justification of 
all proposed operating expenses.

F. Submission and Deadline

Applications

    Submit the original and two copies of PHS 5161-1 (OMB Number 0937-
0189). Forms are available at the internet address: http://www.cdc.gov/od/pgo/forminfo.htm or in the application kit. Submit the application 
on or before July 1, 2002 to: Technical Information Management--
PA02091, Procurement and Grants Office, Centers for Disease Control and 
Prevention, 2920 Brandywine Rd., Room 3000, Atlanta, GA 30341-4146.
    Deadline: Applications shall be considered as meeting the deadline 
if they are received on or before the deadline date.
    Late Applications: Applications which do not meet the criteria 
above are considered late applications, and will be returned to the 
applicant.

G. Evaluation Criteria (100 Points)

    Applications received from grantees funded under Program 
Announcements 01133, 01134, 99128, or 99153 will be reviewed by 
independent reviewers utilizing the Technical Acceptability Review 
(TAR) process.

1. Needs Assessment: (25 points)

    The extent to which the applicant demonstrates that the experience 
and expertise for the proposed projects.

2. Collaboration: (15 points)

    The extent to which the applicant provides evidence of 
collaborative relationships with other agencies and organizations 
relevant to successful completion of the proposed projects.

[[Page 34719]]

3. Operational and Evaluation Plan: (35 points)

    The extent to which the applicant clearly identifies the specific 
outcome and process objectives for the proposed projects, and the major 
steps required to meet the objectives; provides a realistic plan for 
collaboration with partners including CDC in the project; and proposes 
an evaluation plan that is likely to provide meaningful information 
about the achievement of the project's objectives.

4. Implementation Plan: (10 points)

    The extent to which the projected timetable for completion of tasks 
and for meeting objectives is reasonable and realistic.

5. Project Management and Staffing Plan: (15 points)

    The extent to which the applicant demonstrates management structure 
and staff positions with clear lines of authority and plans for fiscal 
control, and that designated staff have appropriate qualifications and 
experience.

6. Budget (Not Scored)

    The extent to which the applicant provides a detailed budget and 
justification consistent with the proposed program objectives and 
activities.

H. Other Requirements

Technical Reporting Requirements

    Provide CDC with original plus two copies of:
    1. Semi-annual progress reports. The first report is due February 
28, 2003. Subsequent semi-annual reports will be due on the 28th of 
February each year through February 28, 2006.
    Continuation Application Guidance:
    The February 28 semi-annual progress report and accompanying budget 
and budget justification will be used to process your continuation 
award. Semi-annual progress reports should include the following 
information outlined in the requirements under items (a) through (e):
    a. A succinct description of the program accomplishments/narrative 
and progress made in meeting each program objective during the first 
six months of the budget period (August 30 through February 28) and 
should consist of no more than 20 pages.
    b. The reason for not meeting established program goals and 
strategies to be implemented to achieve unmet objectives (see 
performance measures attached for each program area).
    c. A description of any new objectives including the expected 
impact on the overall burden of cardiovascular diseases and related 
risk factors and method of evaluating effectiveness.
    d. A one year line item budget and budget justification.
    e. For all proposed contracts, provide the name of contractor, 
period of performance, method of selection, method of accountability, 
scope of work, and itemized budget and budget justification. If the 
information is not available when the application is submitted, please 
indicate to be determined until the information is available. When the 
information becomes available, it should be submitted to the CDC 
Procurement and Grants Management Office contact identified in this 
program announcement. Documenting and reporting the number of training 
programs offered and the number of people trained.
    2. Annual progress reports. The annual report is due no more than 
90 days after the end of the budget period (August 30, 2003) and should 
consist of the same information outlined for the semi-annual progress 
report in (a) through (c) above.
    3. Financial status reports are due, no more than 90 days after the 
end of the budget period.
    4. Final financial and performance reports are due, 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.

Measures of Effectiveness

    Applicants are required to provide measures of effectiveness that 
will demonstrate the accomplishment of the various identified 
objectives of the cooperative agreement. Measures of effectiveness must 
relate to the Program and Priority areas as stated below. Measures must 
be objective and quantitative and must measure the intended outcome. 
These measures of effectiveness shall be submitted with the application 
and shall be an element of evaluation.
Program Area 1: Healthy Aging
    Priority Area A--Collaboration and Health Promotion: Document the 
change in healthy behavior of aging adults by developing resources that 
focus on promoting healthy behaviors and practices among older adults: 
documentation should include a description of the process used, the 
scientific rationale for the content of the resources, intended target 
audience, and proposed evaluation plans.
    Priority Area B--Implementation and Evaluation: Review of programs 
for older adults and dissemination of findings: documentation should 
include a description of the evaluation and dissemination processes.
    Priority Area C--Evaluation and Development of Tools:
    Evaluate current consumer educational tools and develop new tools: 
Documentation should include a description of the evaluation and 
development processes.
Program Area 2: Epilepsy
    1. Develop diverse and active partnerships: documentation should 
include materials (i.e., minutes of meetings that delineate partners' 
roles, lists of work group members, outcomes or products of 
partnerships, communication vehicles developed or expanded to 
facilitate idea sharing among partners) that demonstrate collaboration 
on epilepsy program activities. Partners should include state and local 
health departments, organizations other than epilepsy affiliates/
chapters that promote or address epilepsy issues; organizations that 
improve health and quality of life for those with chronic disease, and 
organizations that address the health care and support needs of 
minority populations.
    2. Develop multifaceted outreach activities to expand epilepsy 
awareness at national and local levels. Extend educational outreach to 
under served groups: Documentation should include listings of network 
activities from at least 15 grantee affiliates, an outline of the 
elements of the current national media campaign, types of educational 
and promotional materials developed and disseminated, communication 
channels developed or expanded, and target populations reached. Provide 
measurable outputs that demonstrate that the target populations have 
been reached.
    3. Develop, disseminate and/or evaluate at least five types of 
targeted consumer and/or provider education materials that focus on 
epilepsy and seizures: Documentation should include type of materials 
(i.e., fact sheets, articles, brochures, exhibits, presentations, 
training modules, audio/video materials) target populations reached, 
and evaluation methods used.
Program Area 3: Prevention Activities
    1. Develop health promotion/disease prevention web-based modules: 
Documentation should include a detailed description of module 
development, including scientific rationale, steps taken to develop 
module

[[Page 34720]]

based on the rationale, intended target audience, intended outcomes for 
participants, and proposed evaluation plans.
    2. Provide information by documenting the response to phone calls, 
email requests, and other referred questions generated by the 
dissemination of web-based materials.
    3. Develop partnerships with at least 30 diverse and active 
national organizations representing health care practitioners that will 
disseminate the web-based modules to their membership: Documentation 
should include communications methods developed or expanded to 
facilitate information exchange, demonstration of feedback from the 
national organizations, dissemination of materials, and signed 
documents of collaboration.
Program Area 4: Arthritis
    1. Document and report the number of training programs offered and 
the number of people trained in Arthritis Foundation evidence-based 
programs (i.e., ASHC, PACE, AF Aquatics).
    2. Develop no more than five innovative self management education 
or physical activity programs by providing detailed descriptions of the 
process and outcome of program development, including scientific 
rationale for the program, steps taken to develop program based on the 
rationale, intended target audience, intended outcomes for program 
participants, theoretical model or framework, results of pilot testing, 
and proposed evaluation plans.
    3. Increase capacity to provide information by documenting an 
increased ability to handle phone and web requests and the development 
and production of new materials.
    The following additional requirements are applicable to these 
programs. For a complete description of each, see Attachment II of the 
announcement.

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 the sections 301(a) and 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 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.''
    If you have questions after reviewing the contents of all the 
documents, business management assistance may be obtained from: 
Michelle Copeland, Grants Management Specialist, Grants Management 
Branch, Procurement and Grants Office, Announcement 02091, Centers for 
Disease Control and Prevention, Room 3000, 2920 Brandywine Road, 
Atlanta, GA 30341-4146, Telephone: 770-488-2686, E-mail: [email protected].
    See also the CDC home page on the Internet to obtain a copy of the 
announcement: http://www.cdc.gov.
    For program technical assistance, contact: Mike Waller, Centers for 
Disease Control and Prevention, Division of Adult and Community Health, 
National Center for Chronic Disease Prevention and Health Promotion, 
4770 Buford Highway NE, Atlanta, GA, 30341-3717, Telephone: (770) 488-
5264, E-mail: [email protected].

    Dated: May 6, 2002.
Sandra R. Manning,
Director, Procurement and Grants Office, Centers for Disease Control 
and Prevention.
[FR Doc. 02-12087 Filed 5-14-02; 8:45 am]
BILLING CODE 4063-18-P