[Federal Register Volume 67, Number 119 (Thursday, June 20, 2002)]
[Notices]
[Pages 42007-42014]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-15547]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Program Announcement 02153]


REACH 2010 Demonstration Programs; American Indian/Alaska Native 
Core Capacity Programs; 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 cooperative agreements 
for Racial and Ethnic Approaches to Community Health 2010 (REACH 2010) 
and American Indian/Alaska Native (AI/AN) Core Capacity. This program 
addresses the ``Healthy People 2010'' focus areas of maternal, infant, 
and child health; diabetes; heart disease and stroke; HIV; immunization 
and infectious Disease; and cancer.
    The Centers for Disease Control and Prevention is issuing this 
program announcement in an effort to simplify and streamline the grant 
pre-award and post-award administrative process, provide increased 
flexibility in the use of funds, measure performance related to each 
grantee's stated objectives and identify and establish the long-term 
goals of the REACH 2010 and AI/AN Core Capacity programs through stated 
performance measures. Some examples of the benefits 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.
    Existing grantees under program announcement numbers 00121, 01123, 
01132, and US002 will have their grant project periods extended to FY 
2007 upon receipt of a technically acceptable application.
    The purpose of this program is to support demonstrations projects 
for

[[Page 42008]]

racial and ethnic minority populations at increased risk for infant 
mortality, diabetes, cardiovascular diseases, HIV infection/AIDS, 
deficits in breast and cervical cancer screening and management, or 
deficits in child and/or adult immunization rates to develop, 
implement, and evaluate innovative community level intervention 
demonstrations that could be effective in eliminating health 
disparities.
    The collective goal of all demonstrations is to advance knowledge 
of and increase the effectiveness of future efforts to eliminate racial 
and ethnic health disparities.
    Measurable outcomes of the program will be in alignment with the 
following performance goal for the National Center for Chronic Disease 
Prevention and Health Promotion: To support prevention research to 
develop sustainable and transferable community-based behavioral 
interventions.

B. Authority and Catalog of Federal Domestic Assistance Number

    This program is authorized under Section 301(a)and 317(k)(2) of the 
Public Health Service Act, [42 U.S.C. Section 241 (a) and 247b(k)(2)], 
as amended. The Catalog of Federal Domestic Assistance number is 
93.945.

C. Eligible Applicants

    Assistance will only be provided to grantees currently receiving 
CDC funds under program announcements 00121 and 01123 REACH 2010 Phase 
II, 01132 entitled AI/AN Core Capacity Building Programs, US002 
entitled REACH 2010 for the Elderly, and who are the Central 
Coordinating Organization (CCO) with direct fiduciary responsibility 
over the administration and management of the project.
    Applications received from applicants that do not meet the CCO 
requirement will not be considered for an award under this program 
announcement. All applications received from current grant recipients 
under program announcement 01121, 01123, 01132 and US002 will be funded 
pending approval of a technically acceptable application. No other 
applications are solicited.

    Note: Public Law 104-65 states that an organization described in 
section 501(c)(4) of the Internal Revenue Code of 1986 which engages 
in lobbying activities shall not be eligible for the receipt of 
Federal funds constituting an award, grant, contract, or any other 
form.

D. Availability of Funds

    Approximately $31,000,000 is available in FY 2002 to fund 
approximately 40 awards. Approximately $28,000,000 million is available 
to fund approximately 31 existing REACH 2010 grantees under Program 
Announcement numbers 00121 and 01123. Approximately $1,500,000 is 
available to fund five existing American Indian/Alaska Native grantees 
under Program Announcement number 01132. Approximately $1,000,000 is 
available to fund four existing REACH 2010 Elderly grantees under 
Program Announcement number US002. It is expected that the awards will 
begin on or about September 30, 2002, and will be made for a 12-month 
budget period within a project period of up to five years.
    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.

Use of Funds

    Funds may not be used for research involving human subjects until 
Protection of Human Subjects Assurance/Certification is approved. Funds 
for research activities involving human subjects will be restricted 
until appropriate requirements are in place.
    Funds may be used for the six health priority areas only. Funds may 
not be used to support direct patient medical care, facilities 
construction, or to supplant or duplicate existing funding.
    Although applicants may contract with other organizations under 
these cooperative agreements, recipients must perform a substantial 
portion of the activities (including program management and operations) 
for which funds are requested.

E. 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. Recipient Activities a. and c. apply to REACH 2010 
applicants only, the remaining recipient activities apply to both REACH 
2010 and REACH 2010 Elderly applicants. REACH 2010/REACH 2010 ELDERLY--
PHASE II

1. Recipient Activities

    a. Implement the Community Action Plan (CAP) that addresses the 
selected health priority area(s) for the target population. The Grantee 
must target one or more specific racial or ethnic minority communities 
that is African American, American Indian or Alaska Native, Hispanic 
American, Asian American, or Pacific Islander. Initiate actions to 
assure the interventions are administered effectively, appropriately 
and in a timely manner. Document how the CAP was modified to address 
contingencies encountered during the developmental process. [REACH 2010 
Only]
    b. Conduct ongoing evaluations that will document innovative 
strategies; monitor coalition activities, community, and environmental 
changes; and assess the effects of the intervention.
    c. Establish data systems to collect data necessary to monitor and 
fully capture the effects of all project activities. [REACH 2010 Only]
    d. Maintain a coalition that develops and sustains linkages and 
collaborations with local, State, and national partners.
    e. Collaborate with academic or other appropriate institutions in 
the collection, analysis, and interpretation of the data.
    f. Establish mechanisms with other public and/or private groups to 
maintain financial support for the program at the conclusion of Federal 
support.
    g. Participate in conferences and workshops to inform and educate 
others regarding the experiences and lessons learned from the project 
and collaborate with appropriate partners to publish the results of the 
project to the public health community.
    h. Participate in up to three yearly CDC workshops for technical 
assistance, planning, evaluation and other essential programmatic 
issues.

2. CDC Activities

    a. Provide consultation and technical assistance in the planning 
and evaluation of program activities.
    b. Provide up-to-date scientific information on the basic 
epidemiology of the priority area(s), recommendations on promising 
intervention strategies, and other pertinent data and information needs 
for the specified priority area(s), including prevention measures and 
program strategies.
    c. Assist in the collection and analysis of data and evaluation of 
program progress.
    d. Assist recipients in collaborating with State and local health 
departments, community planning groups, foundations and other funding 
institutions, and other potential partners.
    e. Foster the transfer of successful prevention interventions and 
program models through convening meetings of grantees, workshops, 
conferences, and communications with project officers.
    f. Assist in the development of a research protocol for 
Institutional Review Board (IRB) review by all

[[Page 42009]]

cooperating institutions participating in the research project.
    g. Monitor recipient compliance with the protection of human 
research subjects requirement.

American Indian/Alaska Native Core Capacity

1. Recipient Activities for Core Capacity Building Programs.

    a. Develop/enhance scientific capacity in epidemiology, statistics, 
surveillance, and data analysis from new or existing data systems 
(e.g., vital statistics, hospital discharges, Survey of AI/AN, 
Behavioral Risk Factor Surveillance System [BRFSS], etc.) to correctly 
identify the AI/AN population(s) and existing health disparity and to 
monitor the effectiveness of public health interventions targeting 
these groups. Scientific capacity should include, but not be limited 
to, efforts to determine:
    (1) Disease trends, including age of onset of disease, age at 
death, etc.
    (2) Geographic distribution of related health priority area 
disparities.
    (3) Behavioral, social, or ecological risk factors related to the 
occurrence of disease.
    (4) Ways to integrate systems to provide comprehensive data needed 
for assessing and monitoring the health of populations and program 
outcomes. Monitoring and program evaluation are considered essential 
components of building scientific capacity. Scientific capacity may 
also extend to developing access to outside databases, such as medical 
care and access to laboratory capacity consistent with the overall 
direction of the program.
    b. Develop and implement a Community Capacity Plan (CCP), which 
includes specific objectives for building capacity to reduce 
disparities in health outcomes for selected health priority area(s)and 
related risk factors.
    The plan should consider culturally appropriate behavioral, policy, 
and community approaches to reducing morbidity and mortality for the 
selected health priority area(s).
    The CCP should include, but not be limited to, understanding the 
context, causes, and solutions for the health disparity; community 
needs assessment to identify and develop training and technical 
assistance; forming partnerships and engaging in community planning; 
accumulating resources; plans to develop and implement a culturally 
appropriate intervention(s) believed to bring about desired effects; 
planning community and systems changes that alter the environmental 
context within which individuals and groups behave; and documenting 
changes in knowledge, attitudes, beliefs, or behaviors among 
influential individuals or groups, with an intent of diffusing similar 
changes to a broader community population.
    c. Design and implement an evaluation plan to track and measure 
process and progress in developing a core capacity program. The plan 
should address measures considered critical to determine the readiness 
or ability of the AI/AN Community and its members to take action aimed 
at protective behaviors or changing risk, transforming community 
conditions and systems so that a supportive context exists to sustain 
behavior changes over time. In addition, the plan should include time-
specific objectives which account for the major activities of the CCP, 
the means of tracking and measuring the collaborative work with 
partners, and any other relevant process measures. Time lines, 
objectives, and other supporting documentation should be included in 
the evaluation plan.

2. CDC Activities

    a. In collaboration with the recipient, provide appropriate 
training on developing prevention strategies (e.g., building scientific 
capacity, collaboration and partnerships, implementing guidelines and 
model programs on disease prevention, etc.), which prepare tribes to 
mobilize and engage in prevention initiatives for the health priority 
area(s) selected.
    b. Provide technical assistance through conference calls, resource 
material, training, and updated information, as needed. Facilitate 
communications locally, regionally, and nationally regarding resources 
and other opportunities involving capacity building activities.
    c. Participate in the evaluation of activities and initiatives.

F. Application Content

    The program announcement title and number must appear in the 
application. 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 when describing your program 
plan. In developing this plan, applicants must describe a community-
based program within at least one of the six following health priority 
areas: (1) infant mortality, (2) diabetes, (3) cardiovascular diseases, 
(4) HIV infection/AIDS, (5) deficits in breast and cervical cancer 
screening and management, or (6) deficits in child and/or adult 
immunizations, that specifically focuses on a geographically defined 
racial or ethnic minority community that is African American, American 
Indian, Alaska Native, Hispanic American, Asian American, or Pacific 
Islander.
    The narrative should be no more than 31 double-spaced pages, 
printed on one side, with one-inch margins, and 12 point font. The 31 
page narrative does not include budget, appended pages, or items placed 
in appended pages (resumes, agency descriptions, etc.). The narrative 
should include:

REACH 2010/REACH 2010 Elderly

1. One Page Abstract
    Describe (a) the existing Central Coordinating Organization; and 
members of the coalition that meet the requirements from Phase I; (b) 
target racial/ethnic minority population(s) to be served, and (c) the 
health priority area(s) to be addressed.
2. Background and Need
    Based on accomplishments from Phase I activities, describe how data 
and community input were coordinated and used to document the level of 
health disparity among the target population and the extent of the 
disparity. Using local data collected, provide adequate documentation 
of the level of health disparity among the target population and the 
extent of the disparity including any data in support of the priority 
area that defines the degree of disparity in terms of mortality or 
morbidity or other measures appropriate to the priority area(s), such 
as risk conditions and social determinants of health. Provide a brief 
summary of the population size of the racial or ethnic group(s) and the 
total population of the catchment area of the applicant and its 
partners, and the geographic boundaries in which the applicant will 
operate.
    It has been calculated that a minimum of 3,000 persons with the 
disease or health priority condition per community will be necessary to 
find statistically significant results between baseline and completion 
of intervention. Since many of the target populations will have 
considerably smaller sample sizes, for the purpose of this 
announcement, a target population size of 3,000 is desirable but not 
mandatory. Applicants are encouraged to include as large a population 
as possible in order to ensure statistically significant results once 
the intervention is completed. All sources of data and information must 
be referenced.

[[Page 42010]]

3. Description and Justification of Community Action Plan (CAP)
    Provide a clear CAP that addresses the following:
    a. Justification/Rationale for the CAP, including identification of 
the intervention strategy, theoretical and empirical rationale that the 
intervention will have the desired effect on the disparity identified, 
and/or if the intervention selected is based on any research conducted 
during Phase I.
    b. A time line detailing initiation and completion of all 
activities in the intervention strategy.
    c. A description of methods that will be used for ongoing program 
documentation and feedback to the program.
    d. Description of how community members and other stakeholders were 
included in the development of the CAP and how they will be involved in 
the implementation of the CAP.
    e. An explanation of how the intervention strategies relate to the 
activities of agencies/organizations outside of the coalition that 
might also effect the outcome in the targeted community.
    f. Measurable impact objectives leading to the desired long-term 
outcome objectives.
    g. Appropriateness and thoroughness of the data collection for 
proposed activities.
    h. Resources needed to carry out proposed activities in the 
intervention strategy.
    i. The proposed plan for the inclusion of women, ethnic, and racial 
minorities in research and proposed justification when representation 
is limited or absent.
4. Ability To Implement the Community Action Plan (CAP)
    This should include:
    a. A description of the members of the coalition, community members 
and other stakeholders and how each relates to implementation of the 
CAP.
    b. A description of how and who will provide resources (e.g., 
financial, in-kind or other) commensurate with roles described in 
``a.''
    c. Examples of accomplishments that occurred during Phase I as a 
result of working with the coalition, community members, and other 
stakeholders.
    d. The potential for the CAP to leverage additional public/private 
resources to support the overall prevention effort.
    e. The potential for the CAP to assure their ability to sustain the 
effort.
5. Evaluation Plan
    The evaluation plan should provide a description of the evaluation 
and monitoring process that the applicant will use to track and measure 
progress in Phase II. Describe who will be conducting and managing the 
evaluation plan. Describe how data will be collected, analyzed, used 
and disseminated to improve the program.
    Items covered in the evaluation plan should address at minimum the 
following stages: (a) Capacity building, (b) targeted action, (c) 
community system change and change among change agents, and (d) 
widespread risk/protective behavior changes.
6. Management Plan
    Briefly describe how the program will be managed effectively, 
including staff, their qualifications, and organizational structure. 
This section should also describe the Memoranda of Agreement, of which 
a copy should be provided in the appendix. In accordance with Phase I, 
coalitions (including the CCO) must have at minimum a community-based 
organization and three other organizations, of which at least one must 
be:
    REACH 2010:
    a. local or state health department.
    b. university or research organization.
    REACH 2010 Elderly:
    a. state and/or area agency on aging.
    b. local or state health department.
    c. national and/or local minority aging organizations.
    d. Indian tribal organizations and national Indian Organizations.
    e. university or research organization.
    The applicant must be able to show strong representation by the 
minority community in the coalition.
7. Budget
    Provide a detailed line-item budget and narrative justification for 
all operating expenses consistent with and clearly related to the 
proposed objectives and planned activities of this cooperative 
agreement. Applicants should budget for out of state travel to attend 
up to three CDC workshops/conferences during the budget year for 
technical assistance, evaluation, and other essential programmatic 
issues.
8. Human Subjects
    Adequately address the requirements of Title 45 CFR Part 46 for the 
protection of human subjects.

American Indian/Alaska Native Core Capacity

    The application should include the following:
1. One Page Abstract
    Describe (a) the applicant's tribe, organization or consortia, (b) 
target racial/ethnic minority population(s) to be served, and (c) the 
health priority area(s) to be addressed.
2. Introduction--Applicant Description
    a. Describe the applicant's tribe, organization or consortia, 
including purpose or mission (if applicable), years of existence (if 
applicable), and experience in representing the health-related 
interests of the represented tribe(s).
    b. Describe the represented tribe(s), including:
    (1) The total population size of the tribe(s) represented.
    (2) The represented tribe's geographical locations, their proximity 
to you and how you plan to reach the tribe(s).
    c. Applicants should describe their experience in community 
development, including, but not limited to:
    (1) Current and past experience in providing leadership in the 
development of health-related programs, training programs or health 
promotion campaigns.
    (2) Current and past experience related to one or more of the 
health priority area(s) or public health disease prevention and control 
programs, including descriptions of activities and initiatives 
developed and implemented.
    (3) Current and past experience in networking and in building 
partnerships and alliances with other organizations.
    (4) Ability to provide support, outreach, and technical assistance 
on health-related matters to the represented tribes.
    d. Submit a letter of commitment from the represented tribe's 
leadership, which indicates the tribe's willingness to participate in 
the program, including a copy of the signed original in the Appendix.
3. Need To Address Health Priority Area(s)
    Describe the specific community's health problem(s) and need for 
building capacity to address the selected health priority area(s) among 
the represented tribe(s). Discuss data needs and how the applicant will 
assist the tribe(s) in addressing these identified needs. The 
information provided should describe the following:
    a. The extent to which the tribe(s) is impacted by the health 
priority area(s), including discussion of prevalence rates and any 
variations in prevalence among represented tribe(s), morbidity and/or 
mortality, and other evidence of the health disparity.

[[Page 42011]]

    b. The need to strengthen existing data and add new data.
    c. The need for disease prevention and control strategies that are 
culturally appropriate for their populations, including discussion of 
the challenges, limitations and/or opportunities for implementing 
effective prevention programs.
    d. The need to develop a comprehensive and sustainable CCP among 
the represented tribe(s).
4. Community Capacity Plan
    Submit a comprehensive and detailed CCP that is realistic and 
achievable over the project period with objectives that are specific, 
measurable, achievable, and time-phased. The CCP should clearly address 
the following:
    a. A description of how the applicant will conduct and use results 
of a community needs assessment to develop local or regional, 
culturally competent training and technical assistance programs to 
increase the skill-level of tribes and partners in areas such as 
epidemiologic investigative methods, surveillance, public health 
policy, and other relevant topics as identified through the needs 
assessment process.
    b. A description of how the applicant will identify and develop 
culturally-competent intervention strategies, designed to enhance 
program efforts to reduce the selected health disparity. Strategies 
should focus on public policy and community approaches, but may include 
interventions that alter the context within which individuals and 
groups behave, increase awareness of the disease burden and risk 
factors, and promote healthy behaviors to reduce the selected 
disparity.
    c. A description of who will be the target of selected activities 
and how each proposed activity will be achieved.
    d. A description of proposed linkages with appropriate partners 
(e.g., tribal, state, local health departments, and other public or 
private organizations) in carrying out the proposed activities in the 
CCP.
    e. A description of how the applicant will include affected 
community members in the development and implementation of the CCP.
    f. A description of how the applicant will communicate and 
disseminate information and guidance to the represented tribes and 
their memberships (e.g., newsletters, conferences, and meeting 
minutes).
    g. A time line detailing initiation and completion of all 
activities in the CCP for the three-year project period.
5. Management Plan
    a. Provide a description of how the applicant will manage the 
project to accomplish all proposed activities.
    b. Provide a description of how the applicant proposes to staff the 
project. Provide job descriptions and indicate if they are existing or 
proposed positions. Staffing should include the commitment of at least 
one full-time staff member to provide direction for the proposed 
activities. Demonstrate that the staff member(s) have the professional 
background, experience, and organizational support needed to fulfill 
the proposed responsibilities. Where possible, identify staff 
responsible for completing each activity.
    c. Describe the letters of commitment from the represented tribe(s) 
leadership which indicates the tribe's willingness to participate in 
the program. Be sure to include the signed original in the Appendix.
    d. Submit a copy of the applicant's organizational chart and 
describe the existing structure and how it supports the development of 
the proposed CCP for the health priority area(s) selected.
6. Evaluation
    a. Applicants should describe how they plan to measure the 
implementation and progression of various capacity building activities 
in achieving the objectives during the project period (e.g., 
understanding the context, causes, and solutions for health 
disparities; transforming community conditions and systems so that a 
supportive context exists to form and maintain an effective 
infrastructure; accumulating resources needed to implement the CCP, 
etc.).
    b. Describe how the applicant will document success in building 
capacity for the tribe(s) (e.g., surveys conducted, group(s) formed, 
number of trainings conducted, level of difficulty of the training and 
their rationale, evidence of acquired skills through application, and 
the impact on program objectives).
    c. Describe how the applicant will assess the quantity and quality 
of networking efforts (e.g., number of planning meetings or meeting 
with leadership, the degree of collaboration with leadership and other 
disease prevention and control programs, and the degree of 
collaboration with other organizations).
7. Budget and Accompanying Justification
    Provide a detailed budget and line-item justification that is 
consistent with the stated objectives and planned activities. To the 
extent possible, applicants are encouraged to include budget items for 
the following:
    a. Travel for a minimum of one or two persons to attend up to one 
national conference on health promotion and disease prevention related 
to the selected health priority area(s).
    b. Up to two trips to Atlanta, GA, for a minimum of one or two 
persons, to attend training and technical assistance workshops.

G. Submission and Deadline

    Submit the original and two copies of PHS form 5161-1. Forms are 
available at the following Internet address: http://www.cdc.gov/od/pgo.forminfo.htm.
    The application must be received on or before 5 p.m. July 27, 2002. 
Submit the application to:
    Technical Information Management-PA02153, 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, will not be considered, and 
will be returned to the applicant.

H. Evaluation Criteria

    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 performance goal stated in section ``A. Purpose'' of this 
announcement. 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.
    Each application will be reviewed by CDC staff utilizing the 
Technical Acceptability Review (TAR) process which is a non-competitive 
process.

REACH 2010/REACH 2010 Eldery

1. Description and Justification of the Community Action Plan (CAP): 
(35 Points) [REACH 2010 Only]
    a. The extent to which the applicant provides a justification/
rationale for the CAP, including identification of the intervention 
strategy, theoretical and empirical rationale that the activity/
intervention will have the desired effect on the disparity identified, 
and/or if the intervention selected is based on any research conducted 
during Phase I. [REACH 2010 Only]

[[Page 42012]]

    b. Extent to which the applicant provides a time line detailing 
initiation and completion of all activities in the intervention 
strategy. [REACH 2010 Only]
    c. Extent to which the applicant describes methods that will be 
used for on-going program documentation and feedback to the program.
    d. Extent to which the applicant demonstrates how community members 
and other stakeholders were included in the development of the CAP and 
how they will be involved in the implementation of the CAP. [REACH 2010 
Only]
    e. Extent to which the applicant explains how the intervention 
strategies relate to the activities of agencies/organizations outside 
the coalition that might also effect the outcome in the targeted 
community.
    f. Extent to which the applicant presents reasonable measurable 
impact objectives leading to the desired long-term outcome objectives.
    g. Extent to which the data collected for the proposed activities 
is appropriate and thorough. [REACH 2010 only]
    h. Adequacy of resources needed to carry out activities in the 
intervention strategy.
    i. The degree to which the applicant has met the CDC policy 
requirements regarding the inclusion of women, ethnic, and racial 
minorities in research and proposed justification when representation 
is limited or absent. This includes:
    (1) The proposed plan for the inclusion of both sexes and racial 
and ethnic minority populations for appropriate representation.
    (2) The proposed justification when representation is limited or 
absent.
    (3) A statement as to whether the design of the study is adequate 
to measure differences when warranted.
    (4) A statement as to whether the plans for recruitment and 
outreach for study participants include the process of establishing 
partnerships with community(ies) and recognition of mutual benefits.
2. Ability to Implement the Community Action Plan: (30 Points) [REACH 
2010 Only]
    a. Extent to which the applicant describes members of the 
coalition, community members and other stakeholders and how each 
relates to implementation of the CAP. [REACH 2010 Only]
    b. Extent to which the applicant describes how and who will provide 
resources (e.g., financial, in-kind, or other) commensurate with roles 
described in ``a.''
    c. Extent to which the applicant provides examples of 
accomplishments that occurred during Phase I as a result of working 
with the coalition, community members, and other stakeholders.
    d. Extent to which the applicant demonstrates the potential for the 
CAP to leverage additional public/private resources to support overall 
prevention effort. [REACH 2010 Only]
    e. Extent to which the applicant demonstrates the potential for the 
CAP to assure sustainability of the effort.
3. Evaluation Plan (15 Points)
    a. The extent to which the applicant provides a description of the 
evaluation and monitoring process that the applicant will use to track 
and measure progress in Phase II.
    b. Extent to which the applicant describes who will be conducting 
and managing the evaluation plan.
    c. Extent to which the applicant describes how data will be 
collected, analyzed, used and disseminated to improve the program.
4. Background and Need: (10 Points)
    a. The extent to which the applicant, based on accomplishments from 
Phase I activities, describes how data and community input were 
coordinated and used to document the level of health disparity among 
the target population and the extent of the disparity.
    b. The extent to which the applicant, using data collected locally, 
provides adequate documentation of the level of health disparity among 
the target population and the extent of the disparity. Provide any data 
in support of the priority area that defines the degree of disparity in 
terms of mortality, morbidity, or other measures appropriate to the 
priority area(s) such as risk conditions and social determinants of 
health.
[REACH 2010 Only]
    c. The extent to which the applicant describes the population size 
of the racial or ethnic group(s) and the total population of the 
catchment area of the applicant and its partners, and the geographic 
boundaries in which the applicant will operate. All sources of data and 
information must be referenced.
5. Management Plan (10 Points)
    Extent to which the applicant adequately describes how the program 
will be managed effectively, including staffing and their 
qualifications and organizational structure. This section should also 
describe the Memoranda of Agreement of which the signed original should 
be provided in the appendix. In accordance with Phase I, Coalition 
(including the CCO) must have at a minimum a community-based 
organization and three other organizations, of which at least one must 
be:
REACH 2010
    a. local or state health department
    b. university or research organization
REACH 2010 Elderly:
    a. state and/or area agency on aging
    b. local or state health department
    c. national and/or local minority aging organizations
    d. Indian tribal organizations and national Indian Organizations
    e. university or research organization
    The applicant must be able to show strong representation by the 
minority community in the coalition.
6. Budget: (Not Scored)
    Extent to which a line-item budget is reasonable, clearly 
justified, and is consistent with the purposes and objectives of the 
cooperative agreement.
7. Human Subjects: (Not Scored)
    The applicant should adequately address the requirements of Title 
45, CFR Part 46 for the protection of human subjects.

American Indian/Alaska Native Core Capacity

1. Community Capacity Plan (25 points) **REACH 2010 Only
    a. The extent to which CCP is realistic and the extent to which the 
objectives are specific, measurable, achievable, relevant, time-phased, 
and likely to be accomplished during the three-year budget period.
    b. Extent to which a community needs assessment will be conducted 
and used to develop culturally-competent training and technical 
assistance programs to increase the skill level of tribes and partners 
in areas such as epidemiologic investigative methods, surveillance, 
public health policy, and other relevant topics as identified through 
the needs assessment process and organizational involvement in program 
activities.
    c. Extent to which the applicant identifies culturally competent 
intervention strategies designed to enhance program efforts to reduce 
the selected health disparity.
    d. Extent to which the applicant describes who the program will 
target and how each proposed activity will be achieved.
    e. Extent to which the applicant describes proposed linkages with 
appropriate partners (e.g., tribal, state,

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local health departments, and other public or private organizations) in 
carrying out the Community Capacity Plan.
    f. Extent to which the applicant describes how affected community 
members will be included in the development and implementation of the 
CCP.
    g. Extent to which the applicant describes how communication and 
dissemination of information and guidance will be conducted with the 
represented tribe(s) and their memberships (e.g., newsletters, 
conferences, and meeting minutes).
    h. Extent to which the applicant provides time lines for initiation 
and completion of all proposed activities for the three-year period.
2. Management Plan (25 points)
    a. Extent to which the applicant describes how the project will be 
managed to accomplish all proposed activities.
    b. Extent to which the applicant provides a description of proposed 
staffing for the project, including providing job descriptions and 
indicating if they are existing or proposed positions. Staffing should 
include the commitment of at least one full-time staff member to 
provide direction for the proposed activities. Demonstrate that the 
staff member(s) have the professional background, experience, and 
organizational support needed to fulfill the proposed responsibilities. 
Where possible, identifying staff responsible for completing each 
activity.
    c. Extent to which the applicant describes the letters of 
commitment from the represented tribe leadership which indicates the 
tribe's willingness to participate in the program. Inclusion of signed 
originals should be provided in the Appendix.
    d. Extent to which the applicant submits a copy of the applicant's 
organizational chart, and describes the existing structure and how it 
supports the development of the proposed CCP for the health priority 
area(s) selected.
3. Need To Address Health Priority Area(s) (20 points)
    The extent to which the applicant documents the need for building 
capacity to address the selected health priority area(s) for an AI/AN 
population, including:
    a. The extent to which the tribe(s) is impacted by the health 
priority area(s), including discussion of prevalence rates and any 
variations in prevalence among represented tribe(s), morbidity and/or 
mortality, and other evidence of the health disparity.
    b. The need to strengthen existing data and add new data.
    c. The need for disease prevention and control strategies that are 
culturally appropriate for their populations, including discussion of 
the challenges, limitations and/or other opportunities for implementing 
effective prevention programs.
    d. The need to develop a comprehensive and sustainable CCP among 
the represented tribe(s).
4. Introduction--Applicant Description (15 points)
    a. The extent to which the applicant clearly describes the tribe, 
organization or consortia, including purpose or mission (if 
applicable), years of existence (if applicable), and experience in 
representing the health-related interests of the represented tribe(s).
    b. The extent to which the applicant describes the population size 
of the total tribe(s) represented, geographic location(s) and proximity 
to the applicant (if applicable).
    c. The extent of the applicant's capacity and ability to conduct 
the activities as evidenced by the:
    (1) Current and past experience in providing leadership in the 
development of health-related programs, training programs or health 
promotion campaigns.
    (2) Current and past experience related to one or more of the 
health priority area(s) or public health disease prevention and control 
programs, including descriptions of activities and initiatives 
developed and implemented.
    (3) Current and past experience in networking and in building 
partnerships and alliances with other organizations.
    (4) Ability to provide support, outreach, and technical assistance 
on health-related matters to the represented tribes.
5. Evaluation (15 points)
    a. The extent to which the applicant describes how they plan to 
measure the implementation and progression of various capacity building 
activities in achieving the objectives during the three-year project 
period (e.g., understanding the context, causes, and solutions for 
health disparities; transforming community conditions and systems so 
that a supportive context exists to form and maintain an effective 
infrastructure; accumulating resources needed to implement the 
Community Capacity Plan, etc.).
    b. Extent to which the applicant documents success in building 
capacity for the tribe(s) (e.g., number of training conducted, level of 
difficulty of the training and their rationale, evidence of acquired 
skills through application, and the impact on program objectives).
    c. Extent to which the applicant describes the quantity and quality 
of networking efforts (e.g., number of planning meetings or meeting 
with leadership, the degree of collaboration with leadership and other 
disease prevention and control programs, and the degree of 
collaboration with other organizations).
6. Budget and Accompanying Justification (Not Scored)
    The extent to which the applicant provides a detailed and clear 
budget consistent with the stated objectives and work plan.

I. Other Requirements

Technical Reporting Requirements

    Provide CDC with the original plus three copies of:
    1. Semi-annual progress reports. The first report is due by April 
30, 2003, and subsequent reports will be due on the 30th of April each 
year through April 30, 2006. The second report is due 90 days after the 
end of the budget period. The 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:
    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 (June 30 through December 31) and 
should consist of no more than 50 pages.
    b. The reason for not meeting established program goals and 
strategies to be implemented to achieve unmet objectives.
    c. A one-year line item budget and budget justification.
    d. 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. The semiannual progress report will be used as 
evidence of the Program's attainment of goals and objectives.

[[Page 42014]]

    2. Financial status report, no more than 90 days after the end of 
the budget period.
    3. Final financial and performance reports, no more than 90 days 
after the end of the project period.

Fiscal Reporting Requirements

    a. Awardee is required to obtain annual audit of these CDC funds 
(program-specific audit) by a United States based audit firm with 
international branches and current licensure/authority in country, and 
in accordance with International Accounting Standards or equivalent 
standard(s) approved in writing by CDC.
    b. A Fiscal Recipient Capability Assessment may be required, pre or 
post award, with potential awardee in order to review their business 
management and fiscal capabilities regarding the handling of U.S. 
funds.
    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 Addendum I in the 
application kit.

AR-1  Human Subjects Requirements (if applicable)
AR-2  Requirements for Inclusion of Women and Racial and Ethnic 
Minorities in Research (if applicable)
AR-4  HIV/AIDS Confidentiality Provisions (if applicable)
AR-5  HIV Program Review Panel Requirements (if applicable)
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-15  Proof of Non-Profit Status
**American Indian/Alaska Native Core Capacity

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 technical assistance may be obtained 
from: Sylvia Dawson, Grants Management Specialist, Grants Management 
Branch, Procurement and Grants Office, Announcement Number 00121, 
Centers for Disease Control and Prevention, Room 3000, 2920 Brandywine 
Road, Mailstop E-18, Atlanta, Georgia 30341-4146, Telephone number: 
770-488-2771, E-mail address: [email protected].
    For program technical assistance, contact: Letitia Presley-
Cantrell, Health Education Specialist, Centers for Disease Control and 
Prevention (CDC), National Center for Chronic Disease Prevention and 
Health Promotion (NCCDPHP), 4770 Buford Hwy, NE, Mailstop K-30, 
Atlanta, Georgia 30341, Telephone: (770) 488-5426, E-mail Address: 
[email protected].

    Dated: June 14, 2002.
Sandra R. Manning, CGFM,
Director, Procurement and Grants Office, Centers for Disease Control 
and Prevention.
[FR Doc. 02-15547 Filed 6-19-02; 8:45 am]
BILLING CODE 4163-18-P