[Federal Register Volume 69, Number 79 (Friday, April 23, 2004)]
[Notices]
[Pages 22055-22060]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-9238]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention


Steps to a HealthierUS: National Organization Partnerships; 
Notice of Availability of Funds

    Announcement Type: New.
    Funding Opportunity Number: 04134.
    Catalog of Federal Domestic Assistance Number: 93.283.
    Key Dates:
    Letter of Intent Deadline: May 14, 2004.
    Application Deadline: June 8, 2004.
    Executive Summary: In June 2002, the President of the United States 
launched his HealthierUS initiative, which highlights the influence 
that healthy lifestyles and behaviors--such as making healthful 
nutritional choices, being physically active, and avoiding tobacco use 
and exposure--have in achieving and maintaining good health for persons 
of all ages. In response, the Secretary of the Department of Health and 
Human Services created the Steps to a HealthierUS Initiative (hereafter 
referred to as the Steps Initiative). Steps Initiative activities 
include national roundtables, conferences, publications, and public-
private partnership opportunities.
    The centerpiece of the Steps Initiative is a five-year cooperative 
agreement program (hereafter referred to as the Steps Community Program 
or Steps Communities). This program funds communities to improve the 
lives of Americans through innovative and effective community-based 
health

[[Page 22056]]

promotion and chronic disease prevention and control programs. Steps 
Communities work through public-private partnerships to support 
community-driven programs enabling persons to adopt healthy lifestyles 
that contribute directly to the prevention, delay, and mitigation of 
the consequences of diabetes, asthma, and obesity. Steps Communities 
are implementing community action plans that target diverse populations 
including: Border populations, Hispanics and Latinos, Native Americans, 
African-Americans, Asians, immigrants, low-income populations, people 
with disabilities, children and youth, senior citizens, people who are 
uninsured/underinsured and people at high risk or diagnosed with 
obesity, diabetes, and asthma. Funded communities under the Steps 
initiative are incorporating multiple activities within their 
communities. Examples of community activities include, but are not 
limited to: The development of a multifaceted promotional campaign on 
the ``5 A Day for Better Health Program''; conducting diabetes 
education and self-management classes at community sites; 
implementation of school policies on tobacco use and tribal school 
nutrition programs.
    The Centers for Disease Control, National Center for Chronic 
Disease Prevention and Health Promotion (NCCDPHP) is charged by the 
Department of Health and Human Services (DHHS) to implement the Steps 
Community Program in collaboration with all relevant HHS agencies and 
staff divisions. The relevant HHS agencies and offices include, but are 
not limited to, the Administration for Children and Families, 
Administration on Aging, Agency for Healthcare Research and Quality, 
CDC, Centers for Medicare and Medicaid Services, Food and Drug 
Administration, Health Resources and Services Administration, Indian 
Health Service, National Institutes of Health, Office of Disease 
Prevention and Health Promotion, and the Substance Abuse and Mental 
Health Services Administration hereafter referred to as ``HHS 
agencies''.

I. Funding Opportunity Description

    Authority: This program is authorized under section 301(a) and 
317(k)(2) of the Public Health Service Act, (42 U.S.C. sections 
241(a) and 247b(k)(2)), as amended.
    Purpose: The purpose of the program is to fund one or more national 
organizations to develop and implement strategies for effective 
collaborative action, program development and policy education to 
supplement the President of the United States' Initiative for Americans 
entitled HealthierUS and the Secretary of Health and Human Services' 
initiative for Americans entitled Steps to a HealthierUS. The national 
organization(s) will assist Steps Communities in support of their 
efforts to aid Americans in living longer, better, and healthier lives 
by reducing the burden of diabetes, obesity, and asthma and addressing 
three related risk factors--physical inactivity, poor nutrition, and 
tobacco use.
    Measurable outcomes of the program will be in alignment with one or 
more of the performance goal(s) for the Steps initiative's goals:
     Prevent 75,000 to 100,000 Americans from 
developing diabetes;
     Prevent 100,000 to 150,000 Americans from 
developing obesity;
     Prevent 50,000 Americans from being hospitalized 
for asthma.
    The performance goal for this cooperative agreement is to enhance 
the capacity of Steps Communities to successfully implement their 
Community Action Plan within these larger initiative goals.

Grantee Activities

    Awardee activities for this program are as follows: Awardee(s) 
shall undertake one of the following priority areas each year of a 
four-year program period:
    Priority 1: Policy Academies.
     Conduct four regional policy academies for Steps 
Communities. The national organization(s) will develop and conduct one 
regional policy academy each year of the project period (total of 4 
academies). The academies will focus on the development and 
implementation of community-level strategies to support public actions 
that encourage and support healthier living. Awardee(s) must coordinate 
with state, local and other groups conducting similar activities for 
which funds are awarded.
     The Policy Academy will offer funded communities 
a role in a shared learning system that will provide the foundation for 
public policy innovation that fosters improved performance. The Policy 
Academy will provide technical assistance and workshops to aid 
communities with their Community Action Plans. Examples of what 
participants in the Policy Academy will accomplish are: narrowing their 
priorities, defining outcomes that will move their priorities forward, 
formulating sustainable plans to achieve outcomes, and aiding in the 
implementation and measurement of their plans. The primary audiences 
for participation in the academies are the funded Steps Communities. 
Additional communities in the region can be invited as space and 
resources allow.
    Priority 2: Support Local Chapters in Steps Communities.
     Support the national organizations' local 
chapters/affiliates in Steps Communities to participate fully in the 
local Steps Action Plan. The funded organization(s) should collaborate 
with other organizations and partners in the Steps Communities to 
support the established Steps Action Plan. The organization should 
solicit letters of support from currently funded Steps Communities 
(Appendix A).
     The national organization will provide capacity 
building assistance to the local chapters/affiliates to improve the 
Steps Program's ability to encourage community members to become more 
active, and eat better.
     The organization will be responsible for 
collaborating with partners that include but are not limited to: 
Community-based organizations, faith-based organizations, and 
educational institutions to promote active lifestyles and create 
awareness to address factors contributing to obesity, asthma, and 
diabetes. These activities should include but not be limited to 
community programs that focus on improved fitness and health promotion 
and/or after-school programs.
     Applicants must provide plans for program 
coordination with the existing Steps Community Programs. Such 
coordination must include definition of roles at the community level, 
actions to integrate the program into the existing activities of the 
Steps Community Program and avoid duplication with state health 
agencies. Additionally, the applicant must provide a management plan, 
which describes the local organizational structure, the range of 
programs available, targeting strategies, and efforts to sustain the 
programs. All recipient activities in this section must be done in full 
coordination and collaboration with the local Steps Community Coalition 
and Leadership Team. Examples of the types of activities that the 
funded organization might choose to develop within the Steps 
communities include:
     Develop, implement, and evaluate an innovative 
program that addresses identified need(s) within the communities funded 
under the Steps initiative.
     Develop and implement an effective strategy for 
marketing services to increase public awareness of the Steps Community 
Program.
     Implement a quality assurance strategy that 
ensures the delivery of high quality prevention services for one or

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more elements of the Steps Community Action Plan.
     Develop and implement effective community 
polices, or facilitate their development and implementation.
     Convene forums or town hall meetings or events 
for public education and outreach.
     Develop educational materials for local Steps 
Community activities.
     Provide after school physical activity and 
health education programs.
    In addition to one of the above priorities, the funded organization 
must conduct all of the following activities:
     Collaborate with CDC, key partners and other 
entities to plan and deliver appropriate activities consistent with 
science-based evidence.
     Conduct both process and outcome evaluation to 
determine if annual action plan objectives were met to measure 
effectiveness of major activities.
     Provide at least one full-time employee(s) to 
direct and coordinate proposed activities and additional staff as 
needed.
    In a cooperative agreement, HHS staff is substantially involved in 
the program activities, above and beyond routine grant monitoring. 
Thus, HHS Activities for this program are as follows:
     Advise the funded organization of priorities to 
be considered at the annual regional policy academies.
     Provide consultation and technical assistance in 
the planning, implementation and evaluation of program activities.
     Provide up-to-date information that includes 
diffusion of best practices and current research and data related to 
the Steps initiative.
     Facilitate communication and activities among 
organizations including holding meetings, conferences and conference 
calls.
     Assist in planning workshops, trainings and 
skill building to increase capacity to understand and address issues 
and implement program activities.
     Support the development and maintenance of 
communications and foster the transfer of information and successful 
program models between the funded Steps Communities and the funded 
National Partner Organizations.

II. Award Information

    Type of Award: Cooperative Agreement. CDC involvement in this 
program is listed in the Activities Section.
    Fiscal Year Funds: 2004.
    Approximate Total Funding: $500,000.
    Approximate Number of Awards: 1-2.
    Approximate Average Award: $500,000 (This amount is for the first 
12-month budget period, and includes both direct and indirect costs).
    Floor of Award Range: None.
    Ceiling of Award Range: $500,000 (This ceiling is for the first 12-
month budget period. If additional funding becomes available in future 
years, this ceiling may increase for years two, three, and four.)
    Anticipated Award Date: September 1, 2004.
    Budget Period Length: 12 months.
    Project Period Length: 4 years.
    Throughout the project period, CDC's commitment to continuation of 
awards will be conditioned on the availability of funds, evidence of 
satisfactory progress by the recipient (as documented in required 
reports), and the determination that continued funding is in the best 
interest of the Federal Government.

III. Eligibility Information

III.1. Eligible Applicants

    Applications may be submitted by public and private nonprofit 
organizations with a national reach such as:
     Public nonprofit organizations;
     Private nonprofit organizations;
     Community-based organizations;
     Faith-based organizations.

III.2. Cost Sharing or Matching

    Matching funds are not required for this program.

III.3. Other Eligibility Requirements

    If you request a funding amount greater than the ceiling of the 
award range, your application will be considered non-responsive and 
will not be entered into the review process. You will be notified that 
your application did not meet the submission requirements.
    If your application is incomplete or non-responsive to the 
requirements listed in this section, it will not be entered into the 
review process. You will be notified that your application did not meet 
submission requirements.
    Applicant organization(s) must submit evidence that they can 
operate a nationally recognized program focusing on one or more of the 
six focus areas of Steps (diabetes, obesity, asthma, physical activity, 
nutrition, or tobacco). Eligible applicant organizations must be able 
to operate at local levels, as evidenced by having chapters or 
affiliates in at least 85% of states and at least 1500 communities 
nationwide.


    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 (Title 26) that engages in lobbying activities is not 
eligible to receive Federal funds constituting an award, grant, or 
loan.

IV. Application and Submission Information

IV.1. Address To Request Application Package

    To apply for this funding opportunity use application form CDC 1246 
or PHS 5161. 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: 700-488-2700. Application forms can be mailed to 
you.

IV.2. Content and Form of Submission

    Letter of Intent (LOI): Your LOI must be written in the following 
format:
     Maximum number of pages: 1.
     Font size: 12-point unreduced.
     Single spaced.
     Paper size: 8.5 by 11 inches.
     Page margin size: One inch.
     Printed only on one side of page.
     Written in English, avoid jargon.
    Your LOI must contain the following information:
     Name of national organization.
     Number of local chapters/affiliates.
     Number of currently funded Steps Communities 
with a local chapter of your organization.
     Contact person and information for organization.
    Application: You must submit a project narrative with your 
application forms. The narrative must be submitted in the following 
format:
     Maximum number of pages: 35.
     Font size: 12 point unreduced.
     Paper size: 8.5 by 11 inches.
     Page margin size: One inch.
     Printed only on one side of page.
     Double spaced.
     Held together only by rubber bands or metal 
clips; not bound in any other way.
    Your narrative should address activities to be conducted over the 
entire project period (4 years), and must include the following items 
in order listed:
    1. Executive Summary. The Executive Summary should briefly describe 
the project, include relevant information from other sections, and the 
total budget amount requested. The Executive Summary should be no more 
than 2 pages.
    2. Background information. This should include a description of the

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national and local organizational structure, the relationship between 
the national and local organizations, the types of activities conducted 
by the national and local organizations, and any other information that 
will assist reviewers in understanding the mission, reach and 
activities of the organization.
    3. Understanding. Applicant should include information indicating 
an understanding of the Steps Initiative, the Steps Community Program, 
and the potential relationship of the national organization and its 
local chapters/affiliates to the Steps Community Program.
    4. Objectives. Include budget period and project period objectives 
for your proposed plan.
    5. Detailed plan for required activities. Include details of how 
your organization will accomplish the requirements described in this 
announcement. Include specific details about when and where national or 
regional meetings will occur, proposed curricula/agenda, proposed 
technical assistance activities, etc. Applicant should address Priority 
1 or Priority 2 in addition to all required activities.
    6. Timeline. Include a detailed timeline of activities 
corresponding to the proposed action plan.
    7. Program Evaluation Plan. Identify methods for documenting 
progress toward achieving program goals and objectives, and monitoring 
activities consistent with budget, project period and workplan. The 
evaluation plan should include key evaluation questions, measurable 
objectives linked to program activities, quantitative and/or 
qualitative assessment mechanisms; the specific outcomes expected; the 
minimum information to be collected and the system(s) for reporting the 
information. The plan should follow the CDC's Framework for Program 
Evaluation in Public Health (http://www.cdc.gov/epo/mmwr/preview/mmwrhtml/rr4811a1.htm) and highlight strategies for including program 
stakeholders in the evaluation process. Moreover, evaluation activities 
should be coordinated with performance measurement activities to be 
specified by funded Steps communities.
    8. Budget Justification. Budget Narrative and Justification will be 
counted in the stated page limit. If you are requesting indirect costs 
in your budget, you must include a copy of your indirect cost rate 
agreement. If your indirect cost rate is a provisional rate, the 
agreement should be less than 12 months of age.
    The following types of additional information may be included in 
the application appendices. The appendices will not be counted toward 
the narrative page limit. Information included in appendices is limited 
to:
     Curriculum Vitae;
     Resumes;
     Organizational Charts;
     Letters of Support.
    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.dunaandbradstreet.com or call 1-866-705-
5711.
    For more information, see 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 included your DUNS number in your 
application cover letter.
    Additional requirements that may require you to submit additional 
documentation with your application are listed in section ``V1.2. 
Administrative and National Policy Requirements''.

IV.3. Submission Dates and Times

    LOI Deadline Date: May 14, 2004.
    CDC requests that you send a LOI if you intend to apply for this 
program. Although the LOI is not required, not binding, and does not 
enter into the review of your subsequent application, the LOI will be 
used to gauge the level of interest in this program, and allow CDC to 
plan the application review.
    Application Deadline Date: June 8, 2004.
    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 carriers guarantee. If the documentation 
verifies a carrier problem, CDC will consider the application as having 
been received by the deadline.
    This announcement is the definitive guide on application submission 
address and deadline. It supercedes information provided in the 
application instructions. If the application does not meet the 
deadline, above, it will not be eligible for review, and will be 
discarded. You will be notified that your application did not meet the 
submission requirements.
    CDC will not notify you upon receipt of your application. If you 
have a question about the receipt of your application, first contact 
your courier. If you still have a question, 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 applications to be 
processed and logged.

IV.4. Intergovernmental Review of Applications

    Executive Order 12372 does not apply to this program.

IV.5. Funding Restrictions

    Restrictions, which must be taken into account while writing your 
budget, are as follows:
     Funds may not supplant existing funds from any 
other public or private source.
    Awards will not allow reimbursement of pre-award costs.
    Guidance for completing your budget can be found on the CDC Web 
site, at the following Internet address: http://www.cdc.gov/od/pgo/funding/budgetguide.htm.

IV.6. Other Submission Requirements

    LOI Submission Address: Submit your LOI by express mail, delivery 
service, fax, or e-mail to: Juanika Mainor-Harper, MPH, CDC/NCCDPHP/
Steps, 4770 Buford Highway, Mailstop-K41, Atlanta, GA 30341, telephone: 
770-488-6452, fax: 770-488-6391, e-mail address: [email protected].
    Application Submission Address: Submit the original and two copies 
of your application by mail or express delivery service to: Technical 
Information Management--PA04134, CDC Procurement and Grants Office, 
2920 Brandywine Road, Atlanta, GA 30341.
    Applications may not be submitted electronically at this time.

V. Application Review Information

V.1 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

[[Page 22059]]

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.
    Your application will be evaluated against the following criteria:
1. Plan (30 Points)
     Applicant should effectively address either 
Priority Area 1 or Priority Area 2 and all required activities as 
listed in the Activity section.
     Will the proposed plan accomplish the objectives 
set forth by the applicant?
     Will the plan support the Steps Community 
Program goals?
     Does the plan include collaboration with other 
local organizations in each of the Steps Communities?
     Does the plan account for activities in Steps 
Communities where no local chapters/affiliates of the national 
applicant organization exist?
     Is the timeline feasible?
     Do the activities coincide with the goals and 
objectives?
2. Organization (25 Points)
     Are the national and local organizational 
structures conducive to the support of the Steps Community Program?
     Does the organization have sufficient 
infrastructure and capacity to support and enhance the proposed 
activities?
     Does the organization have a history of success 
in conducting similar activities?
     Does the organization understand the Steps 
Community Program mission and the relationship between the Steps 
Communities and the national and local organizational structures?
     Does the applicant organization have the ability 
to host a national or regional meeting with key partners related to the 
Steps Initiative?
     Does the applicant organization have the ability 
to work within the community to develop viable evidence-based programs, 
interventions and/or programs related to the mission of the Steps 
Initiative that can be evaluated over the project period?
3. Program Evaluation Plan (20 Points)
     Does the program evaluation plan include core 
evaluation questions (both process and outcome), specific, time-phased, 
measurable objectives and indicators of progress?
     Does the program evaluation plan include 
detailed information about data collection, analysis, and reporting?
     Does the evaluation plan adequately speak to 
relevant standards for program evaluation planning, implementation, and 
the use of findings for program accountability and improvement?
4. Leadership or Governing Structure (15 Points)
     Applicant should demonstrate an effective 
governing structure within the organization that provides for effective 
leadership by members and effective day-to-day fiscal and operational 
management by competent full-time management staff, ensuring that 
members constitute the majority of committees and/or workshops 
assembled for the purpose of completing activities under this 
agreement.
5. Objectives (10 Points)
     Do the proposed objectives support the goals of 
the Steps Community Program?
     Are the proposed objectives reasonable and 
appropriate for the organization?
     Are the proposed objectives specific, measurable 
and time phased?
6. Budget (Not Scored)

    Note: CDC may not approve or fund all proposed activities. Be 
precise about the program purpose of each budget item and itemize 
calculations wherever appropriate.

     Is the budget reasonable for accomplishing the 
proposed plan?
     Is there a detailed budget for each proposed 
activity with a justification of all operating expenses in relation to 
the planned activities and stated objectives?
     Is there a detailed explanation and 
justification for the use of contractor and consultants within the 
application budget? Is the organization or parties to be selected, 
method of selection and duties they will perform stated? Is a breakdown 
of and justification for the estimated costs of the contracts and 
consultants and a description of methods to be used for contract 
monitoring.
     Is the job description for each position, 
specifying job title, function, general duties, and activities 
included? Are salary ranges or rates of pay and the levels of effort 
and/or percentages of time to be spent on activities that would be 
funded through this cooperative agreement provided?

V.2. Review and Selection Process

    Applications will be reviewed for completeness by the Procurement 
and Grants Office (PGO) staff and for responsiveness by NCCDPHP. 
Incomplete applications that are non-responsive to the eligibility 
criteria will not advance through the review process. Applicants will 
be notified that their application did not meet submission 
requirements.
    An objective review panel will evaluate complete and responsive 
applications according to the criteria listed in the ``V.1. Review 
Criteria'' section above.

V.3. Anticipated Announcement and Award Dates

    May 1, 2004.

VI. Award Administration Information

VI.1. Award Notices

    Successful applications 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.
    Unsuccessful applicant will receive notification of the results of 
the application review by mail.

VI.2. Administration and National Policy Requirements

    45 CFR parts 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/cfr-table-search.html.
    The following additional requirements apply to this project:
     AR-8--Public Health Systems 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
    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: You must provide CDC with an original, plus 
two copies of the following reports:
    1. Interim progress report, no less than 90 days before the end of 
the budget period. The progress report will serve as your non-competing 
continuation application, and must contain the following elements:
    a. Current Budget Period Activities Objectives.
    b. Current Budget Period Financial Progress.
    c. New Budget Period Program Proposed Activity Objectives.

[[Page 22060]]

    d. Budget.
    e. Additional Requested Information.
    f. Measures of Effectiveness.
    2. Financial status report and annual progress report will be due 
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.
    These reports must be mailed to the Grants Management or Contract 
Specialist listed in the ``Agency Contacts'' section of this 
announcement.

VII. Agency Contacts

    For general questions about this announcement, contact: Technical 
Information Management Section, CDC Procurement and Grants Office, 2920 
Brandywine Road, Atlanta, GA 30341, telephone: 770-488-2700.
    For program technical assistance, contact: Juanika Mainor-Harper, 
MPH, Centers for Disease Control and Prevention, 4770 Buford Highway, 
NE., Mailstop K-41, Atlanta, GA 30341, telephone: 770-488-6452, e-mail: 
[email protected].
    For financial, grants management, or budget assistance, contact: 
Ms. Sylvia Dawson, Procurement and Grants Office, Centers for Disease 
Control and Prevention, 2920 Brandywine Road, Atlanta, GA 30341-4146, 
telephone: 770-488-2771, e-mail address: [email protected].

VIII. Other Information

    Common questions and answers about the Steps to a HealthierUS 
National Partnerships announcement can be found at: http://www.HealthierUS.gov/steps/.
    This announcement, other CDC announcements, and the necessary forms 
for application can be found on the CDC Web site, Internet address: 
http://www.cdc.gov. Click on ``Funding'' then ``Grants and Cooperative 
Agreements''.

    Dated: April 19, 2004.
William P. Nichols,
Acting Director, Procurement and Grants Office, Centers for Disease 
Control and Prevention.
[FR Doc. 04-9238 Filed 4-22-04; 8:45 am]
BILLING CODE 4163-18-P