[Federal Register Volume 68, Number 231 (Tuesday, December 2, 2003)]
[Notices]
[Pages 67566-67575]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-29807]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention


Human Immunodeficiency Virus (HIV) Prevention Projects for 
Community-Based Organizations

    Announcement Type: New.
    Funding Opportunity Number: 04064.
    Catalog of Federal Domestic Assistance Number: 93.939.

Key Dates

    Letter of Intent Deadline: December 22, 2003.
    Application Deadline: February 6, 2004.

I. Funding Opportunity Description

    Authority: This program is authorized under sections 301(a) and 
317(k)(2) of the Public Health Service Act, [42 U.S.C. 241 and 42 
U.S.C. 247b(k)(2)], as amended.

    Purpose: The purpose of the program announcement is consistent with 
CDC's Government Performance and Results Act (GPRA) performance plan 
and the CDC goal to reduce the number of new HIV infections in the 
United States. Funds are available under this announcement for HIV 
prevention projects for Community-Based Organizations (CBOs).
    This program announcement addresses the ``Healthy People 2010'' 
focus area of HIV Prevention.
    Measurable outcomes of this program will be in alignment with one 
(or more) of the following performance goal(s) for the National Center 
for HIV, STD and TB Prevention (NCHSTP):
    [sbull] Decrease the number of persons at high risk for acquiring 
or transmitting HIV.
    [sbull] Increase the proportion of HIV-infected people who know 
they are infected.
    [sbull] Increase the proportion of HIV-infected people who are 
linked to appropriate prevention, care, and treatment services.
    [sbull] Strengthen the capacity nationwide to monitor the epidemic, 
develop and implement effective HIV prevention interventions, and 
evaluate prevention programs.
    The specific objectives of this announcement are to:
    [sbull] Reduce HIV transmission.
    [sbull] Increase the proportion of individuals at high risk for HIV 
infection who receive appropriate prevention services.
    [sbull] Reduce barriers to early diagnosis of HIV infection.
    [sbull] Increase the proportion of individuals at high risk for HIV 
infection who become aware of their serostatus.
    [sbull] Increase access to quality HIV medical care and ongoing 
prevention services for individuals living with HIV.
    [sbull] Address high priorities identified by the state or local 
HIV prevention Community Planning Group (CPG).
    [sbull] Complement HIV prevention activities and interventions 
supported by state and local health departments.

Activities

    Throughout this program announcement, you will be asked to adapt 
and tailor CDC procedures, including Replicating Effective Programs 
(REP) and Diffusion of Effective Behavioral Interventions (DEBI) (see 
Attachment I). This program announcement and all attachments for this 
announcement are located on the CDC Web site http://www.cdc.gov. To 
view CDC procedures, program announcement attachments and other 
available technical assistance visit http://www2a.cdc.gov/hivpra/pa04064.html. Definitions for terms used frequently throughout the 
program announcement can be found in the Program Announcement Glossary 
(see Attachment II). The terms defined below are used frequently 
throughout the program announcement and are also included in the 
Glossary.
    For the purpose of this program announcement, an individual at high 
risk for HIV infection is someone who has had unprotected sex or has 
shared injecting equipment in a high-prevalence setting or with a 
person who is living with HIV.
    A high-prevalence setting is a geographic location or community 
with an HIV seroprevalence greater than or equal to one percent.
    An individual at very high risk for HIV infection is someone who 
(within the past six months) has:
    [sbull] Had unprotected sex with a person who is living with HIV.
    [sbull] Had unprotected sex in exchange for money or drugs.
    [sbull] Had multiple (greater than five) or anonymous unprotected 
sex or needle-sharing partners.

OR
    [sbull] Been diagnosed with a sexually transmitted disease (STD).
    If CDC funds your CBO, you will be responsible for one or more of 
the following activities:
    1. Conducting targeted outreach and providing Health Education/Risk 
Reduction (HE/RR) for high-risk individuals.
    2. Conducting targeted outreach and providing Counseling, Testing, 
and

[[Page 67567]]

Referral (CTR) services for high-risk individuals.
    3. Implementing one or more of the interventions below:
    (a) Prevention for individuals living with HIV and their sex or 
injecting drug-using partners who are HIV negative or unaware of their 
HIV status.
    (b) Prevention for individuals at very high risk for HIV infection.
    (c) Partner Counseling and Referral Services (PCRS).
    You must also:
    4. Set a baseline level, annual targets, and five year overall 
target levels of performance for each core indicator identified by CDC 
(see Attachment III for a description of program performance 
indicators). If your CBO is funded, CDC will meet with you within 60 
days to review the indicators. CDC will help you revise the indicators 
if necessary. If you fail to achieve your target levels of performance, 
CDC will work with you to improve performance. If your performance 
fails to improve, CDC may reduce the award or defund your program.
    5. Collect monitoring and evaluation data and report required data 
to CDC's Program Evaluation and Monitoring System (PEMS) (see 
Attachment IV for a description of PEMS).
    6. Refer individuals living with HIV to prevention services and 
medical care (including STD screening) if your CBO is unable to provide 
them directly.
    7. Refer individuals at very high risk for HIV infection to 
prevention services if your CBO is unable to provide them directly.
    8. Collaborate and participate in the HIV prevention community 
planning process with your local health department.
    9. Identify and address the capacity-building needs of your program 
and participate in mandatory CDC-sponsored training.
    In a cooperative agreement, CDC staff is substantially involved in 
program activities in addition to grant monitoring. If your CBO is 
funded under this announcement, CDC involvement will include:
    1. Providing assistance and consultation on program and 
administrative issues directly or through partnerships with health 
departments, national and regional minority organizations, contractors, 
and other national and local organizations.
    2. Working with you to assess your training needs and ensure that 
those needs are met.
    3. Disseminating current information, including best practices, in 
all areas of HIV prevention.
    4. Helping you to adopt effective intervention models through CDC 
procedures, workshops, conferences, and other written materials.
    5. Providing assistance and information on new rapid HIV testing 
technologies.
    6. Helping you establish partnerships with state and local health 
departments, community planning groups, and other groups who receive 
federal funding to support HIV/AIDS activities.
    7. Ensuring that successful prevention interventions, program 
models, and lessons learned are shared between grantees through 
meetings, workshops, conferences, newsletter development, Internet, and 
other avenues of communication.
    8. Monitoring your success in program and fiscal activities, 
protection of client privacy, and compliance with other organizational 
requirements.
    9. Developing program evaluation guidelines and protocols and 
program monitoring systems (including indicators) and protocols.
    10. Monitoring your progress toward achieving your target level of 
performance for each core indicator, and by working with you if you 
fail to achieve your target levels of performance.
    11. Providing assistance with required program indicators.

II. Award Information

    Type of Award: Cooperative Agreement.
    Fiscal Year Funds: 2004.
    Approximate Total Funding: $49,000,000.
    CDC anticipates the following distribution of funds: $12 million 
for targeted outreach and health education/risk reduction; $14 million 
for targeted outreach and counseling, testing and referral services 
(CTR); and $23 million for prevention interventions.
    Approximate Number of Awards: 160.
    Approximate Average Award: $300,000.
    Floor of Award Range: $100,000.
    Ceiling of Award Range: $500,000.
    Anticipated Award Date: June 1, 2004.
    Budget Period Length: 12 months.
    Project Period Length: Up to 5 years.
    Continuation awards within an approved project period will be 
determined by the availability of funds and the best interest of the 
Federal Government. To be granted a continuation award, you must have:
    [sbull] Completed all recipient requirements.
    [sbull] Achieved your annual target levels of performance for each 
core indicator.
    [sbull] Submitted all required reports.

III. Eligibility Information

Eligible Applicants

    Applications may only be submitted by eligible CBOs, including 
faith-based CBOs. CBOs may apply under one of the following categories:
    Category A: Providing HIV prevention services to members of racial/
ethnic minority communities who are at high risk for HIV infection.
    Category B: Providing HIV prevention services to members of groups 
at high risk for HIV infection regardless of their race/ethnicity.

Other Eligibility Requirements

    To be eligible, your CBO must meet all criteria listed below. Your 
CBO must:
    A. Have tax-exempt status.
    B. Be located in the area(s) where services will be provided or 
have provided services in the area for at least three years.
    C. Have discussed the details of your proposed CTR program with the 
health department and have agreed to follow their guidelines for these 
services if your CBO provides them (see Attachment V for a list of 
requirements).
    D. Not be a government or municipal agency, private or public 
university or college, or private hospital.
    E. Not be a 501(c) (4) organization.

    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.

    F. If applying under Category A, your CBO must:
    1. Have proof that 85 percent of the persons your CBO has served in 
each of the last three years were of racial/ethnic minority 
populations.
    2. Have provided HIV prevention services in each of the last three 
years to your proposed high-risk population.
    G. If applying under Category B, your CBO must:
    1. Have proof that over 50 percent of the persons your program has 
served in each of the last three years were from high-risk groups, 
regardless of their race/ethnicity.
    2. Have a program that has provided HIV prevention or care services 
in each of the last three years to your proposed target population, or 
have access to high-risk populations who do not have the services 
funded under this announcement available in their geographic area, such 
as transgender, drug-injecting women, and Native American populations.

    Note: All information submitted with your application is subject 
to verification during pre-decisional site visits.


[[Page 67568]]


    This program announcement is limited to CBOs due to their 
credibility among individuals living with HIV and those at very high 
risk for HIV infection. CBOs have proven their ability to access hard-
to-reach populations (e.g., Intravenous Drug Users) that have 
traditionally suffered exclusion from mainstream interventions and 
agencies.

Cost Sharing or Matching

    Matching funds are not required for this program.

IV. Application and Submission Information

Letter of Intent (LOI)

    Inform CDC that you plan to apply for funding by filling out the 
form found in Attachment VI. Please fax, mail, or e-mail your LOI to us 
by December 22, 2003. You may also complete this form online at: http://www2a.cdc.gov/hivpra/pa04064.html.
    Although a letter of intent is not required, this information will 
assist CDC in planning for the review process.
    Your LOI must contain:
    [sbull] Your organization name, address, executive director.
    [sbull] A description of your target population.
    [sbull] A statement of your intent to apply and category under 
which you are eligible to apply (e.g., Category A or Category B).
    Your application should not accompany your LOI.
    How to Obtain Application Forms: To apply for funding under this 
program announcement, use application form PHS 5161-1. Application 
forms and instructions are available on the CDC Web site, at the 
following Internet address: http://www.cdc.gov/od/pgo/forminfo.htm.
    If you do not have access to the Internet, or if you have 
difficulty accessing the forms on-line, you may contact the CDC 
Procurement and Grants Office Technical Information Management Section 
(PGO-TIM) staff at 770-488-2700. Application forms can be mailed to 
you.
    This program announcement provides final guidance on application 
format, content, and deadlines. If there are differences between the 
application form instructions and the program announcement, adhere to 
the guidance in the program announcement.
    You are required to have a Dun and Bradstreet Data Universal 
Numbering System (DUNS) number to apply for a grant or cooperative 
agreement from the federal government. The DUNS number is a nine-digit 
identification number, which uniquely identifies business entities. 
Obtaining a DUNS number is easy and there is no charge. To obtain a 
DUNS number, access http://www.dunandbradstreet.com or call 1-866-705-
5711.
    For more information, visit the CDC Web site at: http://www.cdc.gov/od/pgo/funding/pubcommt.htm.
    If your application form does not have a DUNS number field, please 
write your DUNS number at the top of the first page of your 
application, and/or include your DUNS number in your application cover 
letter.

Application Content and Form of Submission

    You must submit a signed original and two copies of your 
application forms.
    You must include a project narrative with your application forms. 
Your narrative should address the activities that that your CBO will 
conduct over the entire five-year project period.
    Your narrative must be submitted in the following format:
    There is a maximum limit of 40 single-spaced pages. If your 
narrative exceeds the page limit, only the first 40 pages will be 
reviewed.
    [sbull] 12 point, unreduced font size.
    [sbull] 8.5 by 11 inch paper.
    [sbull] One-inch margins on each page.
    [sbull] Printed only on one side of paper.
    [sbull] Held together only by rubber bands or metal clips; not 
bound in any other way.
    This section of the program announcement defines program 
requirements. You must describe your plans to address each requirement. 
Your application will be reviewed based on your answers to the 
questions in subsections A through I. Please answer each question with 
complete sentences and provide all requested documents. If you fail to 
provide the required documents, your application will not be considered 
for review.
    This section also lists the core program indicators that will be 
used to measure your program's success. In your application, you are 
required to make an effort to report on the baseline level for each 
indicator, as well as projected one-year interim and five-year overall 
target levels of performance. When you apply for funding continuation, 
you will have the opportunity to revise your baseline, interim, and 
overall levels of performance, as specified in the guidance for 
completing your continuation application. In subsequent reports, you 
will report on the progress your CBO has made toward achieving your 
target level of performance for each core indicator.
    When answering questions for subsections A-I, you must:
    [sbull] Label your application using the subsection title and name 
of the subsection (e.g., A. Eligibility) if applicable.
    [sbull] Use the abbreviation N/A (not applicable), if a question or 
subsection does not apply to your application.
    A. Eligibility
    Suggested length: ten pages or less.
    This section will not count toward the 40 page limit of your 
application, but it will determine if you are eligible for funding. 
Place all documents requested in subsection A in Appendix A, labeled 
Proof of Eligibility.
    In your application, answer the following questions:
    1. Are you applying under Category A: Providing HIV prevention 
services to members of racial/ethnic minority communities who are at 
high risk for HIV infection or Category B: Providing HIV prevention 
services to members of groups at high risk for HIV infection regardless 
of their race/ethnicity?

    Note: For questions two through five, please provide 
documentation. Proof of location, history, and service must include 
at least one copy of a progress report describing services to the 
population served, a letter from one of your funding organizations, 
process monitoring data, service utilization data (which includes 
client characteristics), or a newspaper article.

    2. Does your CBO have a valid Internal Revenue Service (IRS) 
501(c)(3) tax-exempt status or state proof of incorporation as a non-
profit organization? If you answer yes, you must attach a copy of the 
letter from the IRS or a copy of your state proof of incorporation. If 
you answer no, you are not eligible to apply for funding under this 
program announcement.
    3. Are you located in the area in which services will be provided, 
or have you provided services in that area for at least three years?
    4. If your CBO is applying under Category A:
    (a) What proportion of the individuals your organization has served 
during each of last three years were members of racial/ethnic minority 
populations?
    (b) What evidence do you have that your CBO has provided HIV 
prevention services in each of the last three years to your proposed 
high-risk population?
    5. If your CBO is applying under Category B:
    (a) What evidence do you have that your program has provided HIV 
prevention or care services to your proposed target population during 
each of the last three years, or has access to high-risk populations 
who do not have services available in the area?

[[Page 67569]]

    (b) What proportion of individuals served by your program during 
the last three years were from high-risk groups?
    6. Is your organization a governmental or municipal agency, a 
government-affiliated organization or agency (e.g., health department, 
school board, public hospital), or a private or public university or 
college?
    7. Is your organization included in the category described in 
section 501(c)(4) of the Internal Revenue Code of 1986 that engages in 
lobbying activities?
    8. If you plan to offer HIV counseling and testing or partner 
counseling and referral services, have you discussed your proposed 
program with the health department? Have you agreed to follow the 
health department's guidelines for these services? Provide a letter 
from the health department addressing each item included in the sample 
letter. (Use Attachment VII).
    9. Do you have voluntary counseling and testing, or care or 
treatment services, available onsite? If not, please provide a letter 
of intent to provide these services through another agency/agencies.
    10. Is your organization applying as a single CBO, as a member of a 
coalition, or as a lead organization in a coalition, e.g., a 
collaborative contractual partnership? Please indicate which.
    11. Is your organization currently funded under CDC Program 
Announcement 99091, 99092, 99096, 00023, 00100, 01033, 01163 or 03003? 
Please indicate which announcement(s).
B. Justification of Need
    Suggested length: five pages.

    Note: Contact your health department to obtain HIV/AIDS 
statistics and HIV needs assessment data developed for the community 
planning process. This information will help you answer the 
questions in this section.

    In your application, please answer the following questions:
    1. What kind of services does your agency provide?
    2. Which organizations provide similar services in your area?
    3. Who is your proposed target population for this program 
announcement? Complete Attachment VIII and include it in your 
application as Appendix B.
    4. What are the behaviors that place your target population at high 
risk for HIV infection or for transmitting the virus?
    5. How has your proposed target population been affected by the 
HIV/AIDS epidemic? (e.g., HIV incidence or prevalence, AIDS incidence 
or prevalence, AIDS mortality)
    6. What history do you have serving this population? (Please 
explain how long you have provided services, describe what kinds of 
services have been provided, describe the outcomes of services you 
provided, and describe your relationship with the community.)
    7. How do your staff members reflect your proposed target 
population? (Please describe, in aggregate, the characteristics of your 
key program staff in terms of experience working with the target 
population, gender, race/ethnicity, HIV serostatus, area of behavioral 
risk expertise, or other relevant factors.)
    8. How will you involve the target population when planning and 
implementing your proposed services?
    9. How will your proposed activities meet the needs of your target 
population or improve available services?
    10. What services do you plan to provide under this program 
announcement? List all that apply in your application.
    (a) Targeted outreach and HE/RR to high-risk individuals.
    (b) Targeted outreach and CTR.
    (c) Prevention interventions for individuals living with HIV and 
their sex or injection drug-using partners.
    (d) Prevention interventions for individuals at very high risk for 
HIV infection.
    (e) Partner counseling and referral services.
C. Targeted Outreach and Health Education/Risk Reduction for High-Risk 
Individuals
    Suggested length: five pages.
    1. If you are applying for targeted outreach and HE/RR services, 
you must conduct activities listed in sections F, G, H, and I. You must 
also:
    (a) Using CDC procedures including REP and DEBI, (see Attachment 
I), implement targeted strategies to increase the number of high-risk 
individuals who reduce their risk for HIV infection and consent to 
testing. Your strategies should aim to reach high-risk individuals who 
have not tested in the last six months or do not know their HIV 
serostatus. Activities should be conducted in a setting that is 
comfortable and accessible to your clients. Your strategies should also 
improve access to other local HIV prevention services. The following 
strategies will be supported:
    (1) Targeted outreach.
    (2) Individual-level interventions.
    (3) Small group-level interventions.
    (4) Referral networks.
    (b) Offer voluntary HIV counseling and testing to each individual 
identified through your program. If you do not conduct testing, you 
must establish a formal agreement with another agency/agencies to 
provide testing.
    (c) Collect and report process and outcome monitoring data on the 
services you provide, including core performance indicators, as 
directed in the PEMS and the Evaluation Guidance.
    2. In your application, please answer the following questions:
    (a) How will you target your efforts to reach high-risk individuals 
who have not been tested in the last six months or do not know their 
HIV serostatus?
    (b) How will you identify and address barriers to accessing your 
target population?
    (c) How will you involve your target population when planning and 
implementing your proposed services?
    (d) How will you ensure that your activities will reach individuals 
at high risk for HIV infection who are unaware of their HIV serostatus 
or are not receiving prevention or care services?
    (e) How will you adapt and tailor relevant CDC procedures, 
including REP and DEBI, into your existing or proposed program?
    (f) How will you ensure access to voluntary HIV counseling and 
testing services?
    (g) What are your quality assurance strategies?
    (h) How will you train, support, and retain staff to conduct 
interventions?
    (i) How will you ensure client confidentiality?
    (j) How will you ensure that your services are culturally sensitive 
and relevant?
    (k) What are your baseline levels, projected one-year interim, and 
five-year overall target levels of performance for the following core 
program indicators?
    (1) The mean number of outreach contacts required to get one person 
with unknown or negative serostatus to access counseling and testing.
    (2) The proportion of persons who access counseling and testing 
from each of the following interventions: individual-level 
interventions and group-level interventions.
    (3) Proportion of persons that completed the intended number of 
sessions for each of the following interventions: Individual-level 
interventions and group-level interventions.
D. Targeted Outreach and Counseling, Testing, and Referral Services 
(CTR)
    Suggested length: seven pages.
    1. If you are applying for targeted outreach and CTR, you must 
conduct activities listed in sections F, G, H and I. You must also:

[[Page 67570]]

    (a) Use CDC procedures, including REP and DEBI, (see Attachment I) 
to provide counseling and voluntary HIV-testing services to high-risk 
individuals identified through your outreach strategies. CDC encourages 
recipients to use a Clinical Laboratory Improvement Amendments (CLIA) 
waived rapid test when appropriate and to process confirmatory tests at 
the state or local health department laboratory. (Research has shown 
that the use of rapid HIV tests increases the number of individuals who 
receive their results; and knowledge of HIV serostatus promotes safer 
behaviors.) Your proposed activities must meet all local, state, and 
federal requirements for HIV prevention counseling, testing, and 
referral services. If required by state regulations, provide a letter 
of intent from a physician stating his/her involvement in HIV-testing 
activities. This letter must address each item included in the sample 
letter (use Attachment VII).
    Funding may be used to cover testing-related costs. You must share 
your plans with the health department and obtain a letter of support to 
be eligible for funding.
    (b) Provide post-test prevention counseling services for persons 
whose HIV test results are negative, but who are at ongoing very high 
risk for HIV infection. You must also provide appropriate prevention 
interventions for this population. If you cannot provide these services 
directly, you must refer these individuals to appropriate prevention 
interventions. Contact your health department to identify available 
referral services in your area.
    (c) Provide post-test counseling services for persons whose HIV 
test results are positive. You must refer these individuals to the 
health department for Partner Counseling and Referral Services (PCRS).
    (d) Establish a formal agreement with a laboratory and provide a 
plan for ensuring training, oversight, quality assurance, and 
compliance with CLIA requirements and relevant state and local 
regulations applicable to waived testing, if you will be using a waived 
rapid HIV test. Obtain a CLIA Certificate of Waiver or approval to 
operate under that laboratory's CLIA certificate. Submit a letter of 
support from the laboratory. Include this document as Appendix C.
    (e) Implement strategies to reduce your target population's 
barriers to accessing CTR services (e.g., economic barriers, 
environmental barriers, cultural barriers, and social barriers).
    (f) Collect and report counseling and testing data, including core 
performance indicators, as directed in the PEMS and the Evaluation 
Guidance, and follow required health department reporting procedures.
    (g) Report confirmed HIV-positive tests to state and local health 
departments, following all rules and regulations regarding HIV and AIDS 
surveillance.
    2. In your application, please answer the following questions:
    (a) How will you ensure that counseling and testing activities will 
reach high-risk individuals who have not tested in the last six months 
or do not know their HIV serostatus?
    (b) How will you identify and address your target population's 
barriers to accessing voluntary HIV counseling and testing services?
    (c) How will you ensure that clients receive their test results, 
particularly clients who test positive?
    (d) How will you ensure that individuals with initial HIV-positive 
test results will receive confirmatory tests? (If you do not provide 
confirmatory HIV testing, you must provide a letter of intent or 
memorandum of agreement with an external laboratory documenting the 
process through which initial HIV-positive test results will be 
confirmed.)
    (e) How will you involve the target population when planning and 
implementing your proposed services?
    (f) How will you adapt, tailor, and implement relevant CDC 
procedures, including REP and DEBI?
    (g) What are your quality assurance strategies?
    (h) How will you train, support, and retain staff providing 
counseling and testing?
    (i) How will you ensure client confidentiality?
    (j) How will you ensure that your services are culturally sensitive 
and relevant?
    (k) What are your baseline levels and projected one-year interim 
and five-year overall target levels of performance for the following 
core program indicators?
    (1) Percent of newly identified, confirmed HIV-positive test 
results among all tests funded by CDC and reported by your 
organization.
    (2) Percent of newly identified, confirmed HIV-positive test 
results delivered to clients.
E. Prevention Interventions
    Suggested length: seven pages.
    1. If you are applying for funding to provide prevention services, 
you must conduct activities listed in sections F, G, H, and I. You must 
also:
    (a) Implement one or more of the interventions below using standard 
CDC procedures; including REP and DEBI (see Attachment I):
    (1) Prevention interventions for individuals living with HIV, and 
their sex and injection drug-using partners who are HIV negative or are 
unaware of their HIV serostatus.
    (2) Prevention interventions for seronegative individuals at very 
high risk for HIV infection.
    (3) Partner Counseling and Referral Services (PCRS).
    (b) If you want to provide PCRS, you must work with your health 
department and meet all local, state, and federal requirements for 
providing these services. Obtain a letter of agreement from your health 
department which must also state that your CBO meets all local, state, 
and federal requirements. This letter must address each item included 
in the sample letter. (Use Attachment VII.)
    (c) Collect and report process and monitoring data on these 
services, including core performance indicators, as directed in the 
PEMS and Evaluation Guidance.
    2. In your application, for each service you plan to provide, 
please answer the following questions:
    (a) What are your proposed prevention interventions?
    (b) How will you identify and offer services to individuals living 
with HIV, and their sex and injection drug-using partners who are HIV 
negative or who do not know their HIV status?
    (c) How will you identify and offer services to individuals at very 
high risk for HIV infection?
    (d) Where will you provide prevention services? (Please describe 
the setting.)
    (e) How will you maintain and retain individuals in your prevention 
intervention(s)?
    (f) How will you coordinate prevention services with other case 
management and/or treatment providers for individuals living with HIV?
    (g) How will you ensure that prevention services do not duplicate 
services provided by the Ryan White Care Act program?
    (h) How will you address barriers related to partner counseling and 
referral services?
    (i) What are the qualifications of staff providing prevention 
services?
    (j) How will you involve the target population when planning and 
implementing your proposed services?
    (k) How will you adapt, tailor, and implement relevant CDC 
procedures, including REP and DEBI?
    (l) What are your quality assurance strategies?

[[Page 67571]]

    (m) How will you train, support, and retain staff to provide these 
interventions?
    (n) How will you ensure services are culturally sensitive and 
relevant?
    (o) How will you ensure client confidentiality?
    (p) What are your baseline levels, projected one-year interim, and 
five-year target levels of performance for the following core program 
indicators relevant to your program:
    (1) Proportion of persons living with HIV and their sex and 
injection drug-using partners who are HIV negative or who do not know 
their HIV status that completed the intended number of sessions for 
each of the prevention interventions supported by this program 
announcement.
    (2) Proportion of persons at very high risk for HIV infection who 
completed the intended number of sessions for each of the prevention 
interventions supported by this program announcement.
    (3) Percent of HIV infected persons who, after a specified period 
of participation in each of the prevention interventions supported by 
the program announcement, report a reduction in sexual or drug-using 
risk behaviors or maintain protective behaviors with seronegative 
partners or with partners of unknown status.
    (4) Percent of contacts with unknown or negative serostatus 
receiving an HIV test after PCRS notification.
    (5) Percent of contacts with a newly identified, confirmed HIV-
positive test among contacts who are tested.
    (6) Percent of contacts with a known, confirmed HIV-positive test 
among all contacts.
F. Evaluation and Monitoring Intervention Activities
    Suggested length: five pages.
    1. You must:
    (a) Collect and report client-level data.
    (b) Collect and report standardized process and outcome monitoring 
data consistent with CDC requirements.
    (c) Enter and transmit data for CDC-funded services on CDC's 
browser-based system or describe plans to make a local system 
compatible with CDC's system. (There is a description of PEMS in 
Attachment IV.)
    (d) Collect and report data consistent with CDC requirements to 
ensure data quality and security and client confidentiality.
    (e) Collaborate with CDC to assess the impact of HIV prevention 
activities and participate in special projects upon request.
    2. In your application, please describe your:
    (a) Current system of data collection and methods for reporting HIV 
prevention activities including data system specifications and data 
management information systems.
    (b) Capacity to collect and report client-level data for HIV 
prevention services and the effect of those services on client HIV 
risks and health service utilization.
    (c) Plans to identify and address barriers and facilitators to the 
collection of client-level demographic and behavioral characteristics.
    (d) Plans to ensure that data quality and security are consistent 
with CDC requirements and guidelines.
    (e) Willingness to collaborate with CDC in the design and 
implementation of other evaluation projects.
    (f) Technical assistance needs to meet evaluation and monitoring 
requirements.
    (g) Baseline level, one-year interim, and five-year overall target 
levels of performance for the following core indicator: proportion of 
client records with the CDC-required demographic and behavioral risk 
information.
G. Referral Activities
    Suggested length: four pages.
    1. For services not available through your organization, you must:
    (a) Collaborate with other agencies to increase the number of 
persons who receive comprehensive services including prevention, 
testing, medical care, mental health, and drug abuse treatment.
    (b) Develop a formal agreement such as a memorandum of 
understanding with each collaborating agency serving persons identified 
through your program within six months of funding.
    (c) Track referral activities and their outcomes. You must document 
the type of referral (e.g. mental health, housing), date of referral, 
and outcome of referral (such as completion of first appointment).
    (d) Collect and report data on referrals, including core 
performance indicators, as directed in the PEMS and Evaluation 
Guidance.
    2. In your application, you must:
    (a) Describe your plans to develop a referral network to ensure 
that clients identified through your program have access to 
comprehensive services including access to primary care, life-
prolonging medications, and essential support services that will 
maintain HIV-positive individuals in systems of care.
    (b) Provide documentation of any formal agreements with providers 
and other agencies where your clients may be referred.
    (c) Specify baseline levels, projected one-year interim, and five-
year overall performance levels for the following core indicator: The 
mean number of outreach contacts required to get a person living with 
HIV, and their sex and injection drug-using partners, or an individual 
at very high risk for HIV infection, to access referrals made under 
this program announcement.
H. Collaboration and Coordination With the HIV Prevention Community 
Planning Process and Local Health Department
    Suggested length: three pages.
    1. You must:
    (a) Collaborate and coordinate activities with the HIV prevention 
CPG and local health department. Collaboration activities may include 
participating in the needs assessment process, reviewing and commenting 
on plans, presenting an overview of your project activities to the CPG 
in their jurisdiction and making clients available for focus groups and 
other planning activities. Coordination activities may include sharing 
progress reports, program plans, and monthly calendars with state and 
local health departments, CPGs, and other organizations and agencies 
involved in HIV prevention activities serving your target population.
    (b) Participate in the HIV prevention community planning process. 
Participation may include involvement in workshops, attending meetings, 
serving as a member of the CPG, and becoming familiar with and 
utilizing information from the community planning process, such as the 
epidemiologic profile, needs assessment data, and intervention 
strategies. Membership in the CPG is not required, and it is determined 
by the group's bylaws and selection criteria.
    2. In your application, describe your plans to:
    (a) Participate, collaborate, and coordinate with the HIV 
prevention CPG.
    (b) Participate, collaborate, and coordinate with the local health 
department.
    (c) Participate in the HIV prevention community planning process.
I. Capacity Building
    Suggested length: four pages.
    1. You must:
    (a) Conduct a capacity-building needs assessment.
    (b) Develop a comprehensive capacity-building plan based on the 
outcomes of the needs assessment.
    (c) Share any new CBA needs that develop during the project period 
with your project officer.
    (d) Attend a grantee orientation for administrative and 
programmatic staff.

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    (e) Participate in any mandatory training conducted or sponsored by 
CDC.
    (f) Ensure that your CBO's financial manager attends a CDC-
sponsored financial training. If the financial manager leaves your 
agency, his/her replacement must attend training within six months.
    2. In your application, please answer the following questions:
    (a) What are your immediate, intermediate and long term CBA needs; 
and how do you plan to address them?
    (b) How do you plan to share any new CBA needs that develop during 
the project period with your project officer?
J. Guidance on Use of Funds
    You must consider the following funding restrictions when you are 
creating your project budget:
    [sbull] Funds may be used to hire contractors or support coalition 
partners to strengthen program activities. CDC encourages you to 
develop coalitions with other prevention providers, medical providers, 
and health departments to implement your proposed program; however, 
your CBO, not the contract organization(s) or the coalition partner(s), 
must conduct the largest portion of the activities (including managing 
the program and activities) funded by this award.
    [sbull] Funds cannot be used to provide medical or substance abuse 
treatment.
    If you are requesting indirect costs in your budget, you must 
include a copy of your negotiated indirect cost rate agreement. If your 
indirect cost rate is a provisional rate, the agreement must be less 
than 12 months of age.
    For budget guidance, visit the CDC Web site http://www.cdc.gov/od/pgo/funding/budgetguide.htm.

Submission Date, Time, and Address

    LOI Deadline Date: December 22, 2003.
    LOI Submission Address: Submit your LOI by express delivery 
service, or e-mail to: William Bancroft, Public Health Analyst, CDC, 
NCHSTP, DHAP, IR, 1600 Clifton Road, MS E58, Atlanta, GA 30333, 
[email protected].
    Application Deadline Date: February 6, 2004.
    Application Submission Address: Submit your application by mail or 
express delivery service to: Technical Information Management--
PA 04064, CDC Procurement and Grants Office, 2920 Brandywine 
Road, Atlanta, GA 30341.
    Explanation of Deadlines: Applications must be received in the CDC 
Procurement and Grants Office by 4 p.m. Eastern Time on the deadline 
date. If you send your application by the United States Postal Service 
or commercial delivery service, you must ensure that the carrier will 
be able to guarantee delivery of the application by the closing date 
and time. If CDC receives your application after closing due to: (1) 
carrier error, when the carrier accepted the package with a guarantee 
for delivery by the closing date and time, or (2) significant weather 
delays or natural disasters, you will be given the opportunity to 
submit documentation of the carrier's guarantee. If the documentation 
verifies a carrier problem, CDC will consider the application as having 
been received by the deadline.
    If your application does not meet the submission deadline, it will 
not be eligible for review and will be discarded. You will be notified 
that you did not meet the submission requirements.
    CDC will not be sending postcards to confirm application receipt. 
Please contact your mail carrier to confirm delivery. If you still have 
questions, contact the PGO-TIM staff at 770-488-2700. Before calling, 
please wait two to three days after the application deadline. This will 
allow time for the applications to be processed and logged.
    Intergovernmental Review of Applications: Executive Order 12372 
does apply to this program.

V. Application Review Information

    Review Criteria: You 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 goals stated in the 
``Purpose'' section of this announcement. Measures must be objective 
and quantitative, and must measure the intended outcome. These measures 
of effectiveness must be submitted with the application and will be an 
element of evaluation.
    There are 2 steps to the evaluation process.
Step One
    In the first step of the evaluation process, your application will 
be evaluated based on each item referenced in Section IV., entitled, 
``Application and Submission Information.'' Your application will be 
evaluated by an independent review panel assigned by CDC. The panel 
will assign your application a score using scored evaluation criteria 
as specified in Section V., entitled, ``Application Review 
Information,'' and based on your responses to the questions in Section 
IV., entitled, ``Application and Submission Information'' beginning 
with B. Justification of Need. Your application will be ranked based on 
this score. The highest-ranked applications will be considered for a 
pre-decisional site visit (Step two).
Step Two
    The second step of the review process is conducted via pre-
decisional site visits which are worth 100 points. To be considered for 
funding, you must score at least 70 points during this process. If you 
fail to reach 70 points, your CBO will be disqualified. CDC will invite 
health department staff to participate in the site visit.

Criteria for Step One: Application Review

    Your application will be evaluated on the following criteria:
A. Eligibility (not scored)
    This section of your application will be reviewed to determine if 
you are eligible for funding.
B. Justification of Need (200 points)
    This section of your application will be scored based on your 
description of:
    [sbull] The target population's needs.
    [sbull] How your proposed intervention meets the needs of the 
jurisdiction's HIV Prevention Comprehensive Plan.
    [sbull] Your experience and credibility in working with the 
proposed target population.
C. Targeted Outreach and Health Education/Risk Reduction for High-Risk 
Individuals (150 points)
    This section of your application will be scored based on your 
target levels of performance for each core indicator and your plans to:
    [sbull] Increase the number of persons at high risk for HIV 
infection who learn their HIV serostatus.
    [sbull] Identify persons at high risk for HIV infection.
    [sbull] Identify and address your target population's barriers to 
accessing HE/RR.
    [sbull] Involve the target population when planning and 
implementing your program(s).
    [sbull] Adapt and tailor CDC procedures, including REP and DEBI.
    [sbull] Offer voluntary HIV counseling and testing to each 
individual reached by your program.
    [sbull] Ensure that individuals who consent to HIV testing receive 
a test either through your CBO or via referral.
    [sbull] Develop, implement, and maintain quality assurance 
strategies.
    [sbull] Train, support, and retain staff.

[[Page 67573]]

    [sbull] Ensure client confidentiality.
    [sbull] Ensure cultural sensitivity and relevance of your 
interventions.
D. Targeted Outreach and Counseling, Testing, and Referral Services 
(CTR) (150 points)
    This section of your application will be scored based on your 
target levels of performance for each core indicator and your plans to:
    [sbull] Identify high-risk individuals who have not tested within 
the past six months or do not know their HIV serostatus for voluntary 
counseling and testing.
    [sbull] Identify and address your target population's barriers to 
accessing counseling and testing services.
    [sbull] Ensure clients receive their test results.
    [sbull] Ensure confirmatory testing for positive initial test 
results.
    [sbull] Involve your target population when planning and 
implementing your program(s).
    [sbull] Adapt and tailor CDC procedures, including REP and DEBI, to 
your existing or proposed services.
    [sbull] Develop, implement, and maintain quality assurance 
strategies for counseling, testing, and referral services.
    [sbull] Train, support, and retain staff.
    [sbull] Ensure client confidentiality.
    [sbull] Ensure cultural sensitivity and relevance of your 
interventions.
E. Prevention Interventions (175 points)
    This section of your application will be scored based on your 
proposed target levels of performance for each core indicator and your 
plans to:
    [sbull] Identify and offer services to individuals living with HIV, 
and their sex and injection drug-using partners who are HIV negative, 
or who do not know their HIV status.
    [sbull] Identify and offer services to individuals at very high 
risk for HIV infection.
    [sbull] Coordinate prevention services with other case management 
and/or treatment providers for individuals living with HIV.
    [sbull] Ensure that prevention services do not duplicate services 
provided by the Ryan White Care Act program.
    [sbull] Identify and address barriers to retaining persons in 
interventions.
    [sbull] Identify and address barriers to conducting your proposed 
prevention interventions.
    [sbull] Meet all local, State, and Federal requirements for HIV 
prevention services.
    [sbull] Involve your target population when planning and 
implementing your program(s).
    [sbull] Adapt and tailor relevant CDC procedures, including REP and 
DEBI, to your existing services or proposed program.
    [sbull] Develop, implement, and maintain quality assurance 
strategies for prevention interventions.
    [sbull] Train, support, and retain staff.
    [sbull] Ensure client confidentiality.
    [sbull] Ensure cultural sensitivity and relevance of the prevention 
interventions.
F. Evaluation and Monitoring Intervention Activities (100 points)
    This section of your application will be scored based on your 
target levels of performance for each core indicator and the 
description of your:
    [sbull] Current data collection and reporting systems.
    [sbull] Capacity to collect and report client-level data.
    [sbull] Plans to identify and address barriers to client-level 
data.
    [sbull] Plans to ensure data quality and security.
    [sbull] Willingness to collaborate with CDC in special evaluation 
and monitoring projects.
    [sbull] Technical assistance needs to meet evaluation and 
monitoring requirements.

G. Referral Activities (100 points)

    This section of your application will be scored based on your 
baseline and projected target levels of performance for each core 
indicator and your plans to:
    [sbull] Identify and collaborate with other agencies to ensure 
access to comprehensive services, including access to primary care, 
life-prolonging medications, and essential support services that will 
maintain HIV-positive individuals in systems of care.
    [sbull] Track referral activities and outcomes of these activities.
    [sbull] Develop formal agreements with your network of providers.
H. Collaboration and Coordination With the HIV Prevention Community 
Planning Process and Local Health Department (75 Points)
    This section of your application will be scored based on your plans 
to:
    [sbull] Collaborate and coordinate activities with the HIV 
prevention Community Planning Group (CPG).
    [sbull] Collaborate and coordinate activities with the health 
department.
    [sbull] Participate in the HIV prevention community planning 
process.
I. Capacity Building (50 points)
    This section of your application will be scored based on your plans 
to:
    [sbull] Conduct a comprehensive capacity-building needs assessment 
of your agency.
    [sbull] Work with CDC-coordinated capacity-building programs.

Step Two: Pre-Decisional Site Visit

    The following areas will be evaluated during the visit:
A. Proposed Program (250 points)
    The purpose of this section is to assess your CBO's ability to 
effectively implement your proposed HIV prevention interventions. Your 
score will be based on:
    [sbull] Your implementation of CDC protocols and procedures, 
including REP and DEBI.
    [sbull] Your one-year and five-year overall target levels of 
performance
    [sbull] How your target population reflects the priorities 
identified in the HIV Prevention Comprehensive Plan.
    [sbull] How your interventions reflect the needs identified in the 
your jurisdiction's HIV Prevention Comprehensive Plan.
B. Programmatic Infrastructure (200 points)
    The purpose of this section is to assess your CBO's experience and 
ability to identify and address the needs of your proposed target 
population. This section will also assess your ability to effectively 
and efficiently implement your proposed activities. Your score will be 
based on your CBO's:
    [sbull] Organizational structure and planned collaborations.
    [sbull] Experience in developing and implementing effective and 
efficient HIV prevention strategies and activities.
    [sbull] Experience with governmental and non-governmental 
organizations, including other national agencies or organizations, 
state and local health departments, CPGs, and state and local non-
governmental organizations that provide HIV prevention services.
    [sbull] Ability to secure meaningful input and representation from 
members of the target population(s).
    [sbull] Ability to provide culturally competent and appropriate 
services that respond effectively to the characteristics of the target 
population (characteristics may include cultural, gender, sexual 
orientation, HIV serostatus, race/ethnicity, age, environmental, 
social, and linguistic characteristics).
    [sbull] Ability to adequately staff your program.
    [sbull] Ability to collect and report process and monitoring data 
on services provided and use them to plan future interventions and 
improve available services.

[[Page 67574]]

C. Organizational Infrastructure (150 points)
    The purpose of this section is to assess your CBO's ability to 
effectively and efficiently sustain your proposed program. Your score 
will be based on your CBO's:
    [sbull] Organizational bylaws, mission, and vision.
    [sbull] Composition, role, experience, and involvement of the board 
of directors in administering the agency.
    [sbull] Current fiscal systems to track available funding.
    [sbull] Personnel process and procedures.
    [sbull] Organizational protocols and procedures e.g., security, 
confidentiality, and grievances.
    [sbull] Organizational capacity for fundraising.
D. Health Department Review (100 points)
    The purpose of this section is to gather feedback on your proposed 
program plan from the health department. Your score will be based on 
the health department's review of your:
    [sbull] Review of the program plan (e.g., proposed target 
population, proposed intervention(s), number of persons to be served, 
and service location) and your consistency with the HIV Prevention 
Comprehensive Plan.
    [sbull] Rating of past experience with state/city-funded programs.
    [sbull] Letter of support or non-support for funding from the 
health department, addressed to CDC.
    CDC's Procurement and Grants Office (PGO) will conduct a Recipient 
Capability Assessment (RCA) to evaluate your CBO's ability to manage 
CDC funds. This assessment will be conducted by either PGO staff or 
another selected agency.

Review and Selection Process

    In addition to your application content score and the outcome of 
your pre-decisional site visit, the following factors may affect the 
funding decision: Preference for funding will be given to ensure that:
    [sbull] Funded CBOs are balanced in terms of targeted racial/ethnic 
minority groups. (The number of funded CBOs serving each racial/ethnic 
minority group may be adjusted based on the burden of infection in that 
group as measured by HIV or AIDS reporting.)
    [sbull] Funded CBOs are balanced in terms of targeted risk 
behaviors. (The number of funded CBOs serving each risk group may be 
adjusted based on the burden of infection in that group as measured by 
HIV or AIDS reporting.)
    [sbull] Funded CBOs are balanced in terms of geographic 
distribution. (Consideration will be given to both high and lower 
prevalence areas; the number of funded CBOs may be adjusted based on 
the burden of infection in the jurisdiction as measured by HIV or AIDS 
reporting.)
    [sbull] Funded CBOs are balanced in terms of targeted gender. (The 
number of funded CBOs serving each gender group may be adjusted based 
on burden of infection in that group as measured by HIV or AIDS 
reporting.)
    [sbull] Funding opportunities are available for faith-based CBOs 
and CBOs serving rural areas, incarcerated individuals, or high risk 
populations who do not have the services funded under this announcement 
available in their geographic area.

VI. Award Administration Information

    Award Notices: If your CBO is funded, you will receive a Notice of 
Grant Award (NGA) from the CDC Procurement and Grants Office. The NGA 
shall be the only binding, authorizing document between the recipient 
and CDC. The NGA will be signed by an authorized Grants Management 
Officer, and mailed to the recipient fiscal officer identified in the 
application.
    Administrative and National Policy Requirements: 45 CFR part 74 and 
92.
    For more information on the Code of Federal Regulations, see the 
National Archives and Records Administration at the following Internet 
address: http://www.access.gpo.gov/nara/cfr-table-search.html.
    The following additional requirements apply to this project:
    [sbull] AR-4 HIV/AIDS Confidentiality Provisions
    [sbull] AR-5 HIV Program Review Panel Requirements
    [sbull] AR-7 Executive Order 12372
    [sbull] AR-8 Public Health System Reporting Requirements
    [sbull] AR-9 Paperwork Reduction Act Requirements
    [sbull] AR-10 Smoke-Free Workplace Requirements
    [sbull] AR-11 Healthy People 2010
    [sbull] AR-12 Lobbying Restrictions
    [sbull] AR-14 Accounting System Requirements
    [sbull] AR-15 Proof of Non-Profit Status

    Additional information on these requirements can be found on the 
CDC Web site at the following Internet address: http://www.cdc.gov/od/pgo/funding/ARs.htm.

Reporting Requirements

    1. You must provide CDC with an original, plus two copies of the 
following reports:
    (a) Your interim progress report, no later than February 15 of each 
year. The progress report will serve as your non-competing continuation 
application, and must contain the following elements:
    (1) Current budget period activities objectives.
    (2) Current budget period financial progress.
    (3) New budget period proposed program activity objectives.
    (4) Detailed line-item budget and justification.
    (5) Baselines and target levels of performance for core and 
optional indicators.
    (6) New budget period proposed program activities.
    (7) Additional requested information.
    (b) The second semi-annual report will be due August 30 of each 
year. Additional guidance on what to include in this report may be 
provided approximately three months before the due date. It should 
include:
    (1) Baseline and actual level of performance on core and optional 
indicators.
    (2) Current budget period financial progress.
    (3) Additional requested information.
    (c) Financial status report, no more than 90 days after the end of 
the budget period.
    (d) Final financial and performance reports, no more than 90 days 
after the end of the project period.
    (e) Data reports of agency, financial, and HIV interventions 
including, but not limited to, HIV individual and group level; PCM; 
outreach; CTR; and/or partner CTR services are required 45 days after 
the end of each quarter or as specified in the most recent evaluation 
guidance. Project areas may request technical assistance. Submit data 
to the Program Evaluation Research Branch electronically, and then send 
an electronic notification of your data submission to the Grants 
Management Specialist listed in the ``Agency Contacts'' section of this 
announcement.
    2. Submit any newly developed public information resources and 
materials to the CDC National Prevention Information Network (formerly 
the AIDS Information Clearinghouse) so that they can be incorporated 
into the current database for access by other organizations and 
agencies.
    3. HIV Content Review Guidelines. (a) Submit the completed 
Assurance of Compliance with the Requirements for Contents of AIDS-
Related Written Materials Form (CDC form--0.1113) with your application 
as Appendix D. This form lists the members of your program review 
panel. The form is included in your application kit. The

[[Page 67575]]

current Guidelines and the form may be downloaded from the CDC Web 
site: http://www.cdc.gov/od/pgo/forminfo.htm. Please include this 
completed form with your application. This form must be signed by the 
Project Director and authorized business officer.
    (b) You must also include approval by the relevant review panel of 
any CDC-funded HIV educational materials that you are currently using 
by the relevant review panel. Use the enclosed form, ``Report of 
Approval''. If you have nothing to submit, you must complete the 
enclosed form ``No Report Necessary''. You must include either the 
``Report of Approval'' or ``No Report Necessary'' with all progress 
reports and continuation requests.
    (c) Use a Web page notice if your Web site contains HIV/AIDS 
educational information subject to the CDC content review guidelines.
    4. Adhere to CDC policies for securing approval for CDC-sponsored 
conferences. If you plan to hold a conference, you must send a copy of 
the agenda to CDC's Grants Management Office.
    5. If you plan to use materials using CDC's name, send a copy of 
the proposed material to CDC's Grants Management Office for approval.

VII. Agency Contacts

    For general questions about this announcement, contact: Technical 
Information Management Section, CDC Procurement and Grants Office, 2920 
Brandywine Road, MS K14, Atlanta, GA 30341, Telephone: 770-488-2700.
    For program technical assistance, contact: Samuel Martinez, M.D., 
Health Scientist, CDC, NCHSTP, DHAP, IRS, 1600 Clifton Road, MS E58, 
Atlanta, GA 30333, Telephone: 404-639-5219, E-mail: [email protected].
    For budget assistance, contact: Carlos Smiley, Grants Management 
Officer, CDC Procurement and Grants Office, 2920 Brandywine Road, MS 
K14, Atlanta, GA 30341, Telephone: 770-488-2722, E-mail: [email protected].

    Dated: November 21, 2003.
Edward Schultz,
Acting Director, Procurement and Grants Office, Centers for Disease 
Control and Prevention.
[FR Doc. 03-29807 Filed 11-26-03; 11:20 am]
BILLING CODE 4163-18-P