[Federal Register Volume 69, Number 118 (Monday, June 21, 2004)]
[Notices]
[Pages 34356-34365]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-13893]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary


Combined Notice of Funding Availability for Programs To Improve 
Minority Health and Racial and Ethnic Disparities in Health

AGENCY: Department of Health and Human Services, Office of the 
Secretary, Office of Public Health and Science, Office of Minority 
Health.
    Funding Opportunity Titles: This notice of funding availability 
includes three programs for FY 2004: (1) Community Programs to Improve 
Minority Health; (2) Bilingual/Bicultural Service Demonstration Grant 
Program; and (3) HIV/AIDS Health Promotion and Education Program
    Announcement Type: Initial Announcement of Availability of Funds
    Catalog of Federal Domestic Assistance Numbers: (1) Community 
Programs to Improve Minority Health--93.137; (2) Bilingual/Bicultural 
Service Demonstration Program--93.105; and (3) HIV/AIDS Health 
Promotion and Education Program--93.004.

DATES: Application Availability Date: June 21, 2004; Letter of Intent: 
July 6, 2004; Application Deadline: August 5, 2004.

SUMMARY: This announcement is made by the Department of Health and 
Human Services (HHS or Department), Office of Minority Health (OMH) 
located within the Office of Public Health and Science (OPHS), and 
working in a ``One-Department'' approach collaboratively with 
participating HHS agencies and programs (entities). The mission of the 
OMH is to improve the health of racial and ethnic minority populations 
through development of health policies and programs that will address 
health disparities and gaps. OMH serves as the focal point within the 
HHS for leadership, policy exchange, coalition and partnership 
building, and related efforts to address the health needs of racial and 
ethnic minorities. As part of a continuing HHS effort to improve the 
health and well being of racial and ethnic minorities, the Department 
announces availability of FY 2004

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funding for the following three programs: Community Programs to Improve 
Minority Health, Bilingual/Bicultural Service Demonstration Program, 
and HIV/AIDS Health Promotion and Education Program.
    This is the first year that a single notice of funding availability 
has been issued for these three programs. In previous years, separate 
notices of funding availability were issued for each OMH program. The 
purpose of this single announcement is to make it easier for 
organizations such as community-based organizations, minority-serving 
organizations, faith based organizations, and tribal governments and 
organizations, who meet the eligibility criteria for each program, to 
identify and apply for FY 2004 OMH funding. As eligibility criteria 
vary for each program under this announcement, a single notice of 
funding availability may assist potential applicants to better identify 
the programs for which they can compete and to target proposals to the 
program(s) most suitable to the issues faced by their target 
population(s). This announcement should also assist eligible applicants 
to understand the range of issues that may be supported by the three 
programs and encourage collaborations among organizations that provide 
services to racial and ethnic minorities. Sections I (Funding 
Opportunities), II (Award Information), and III (Eligibility 
Information) contain program specific information for each of the 
programs included in this notice of funding availability. Sections IV 
(Application and Submission Information), V (Application Review 
Information), VI (Award Administration Information), and VII (Agency 
Contacts) contains common information that applies to all three 
programs identified in this notice of funding availability. Additional 
background information on each program may be found in Section VIII, 
Other Information.

SUPPLEMENTARY INFORMATION:

I. Funding Opportunity Description

    Authority: These programs are authorized under section 1707 of 
the Public Health Service Act, as amended.

    Purpose:

1. The Community Programs To Improve Minority Health

    A. Purpose: The Community Programs to Improve Minority Health 
program seeks to improve the health status of racial and ethnic 
minority populations through health promotion and disease risk 
reduction intervention programs. It is expected that this program will 
demonstrate the effectiveness of:
     Community-based programs in developing, implementing, and 
conducting projects which integrate community-based screening and 
outreach services;
     Linkages and/or referrals for access and treatment to 
racial and ethnic minorities in high-risk, low-income communities; and
     Addressing sociocultural, linguistic, and other barriers 
to health care on health care outcomes.
    B. Project Outcomes: Applicants requesting support under the 
Community Programs to Improve Minority Health must address project 
outcomes that can decrease the targeted health disparity(ies) as 
demonstrated through any or all of the following:
     Reduction in high-risk behaviors;
     Adoption of health promoting behaviors;
     Connection to a continuum of care;
     Improved access to health care; and/or
     Increased utilization of preventive health care and 
treatment services.
    C. Project Requirements: Each project funded under this 
demonstration must:
    i. Address at least one, but no more than three, of the health 
areas identified in the next section (Health Areas to be Addressed).
    ii. Identify problems, such as gaps in services; or issues, such as 
access to health care, affecting the targeted health area to be 
addressed by the proposed project.
    iii. Identify existing resources in the targeted health area which 
will be linked to the proposed project.
    iv. Implement an approach to address the problem(s).
    v. For those applicants applying as a coalition, the coalition must 
be established prior to submission of the application. The coalition 
must consist of at least three discrete organizations (i.e., community-
based minority-serving organization, health care facility, and other 
community entity) and have the capacity to:
     Plan and coordinate services which reduce existing 
sociocultural and/or linguistic, and other barriers to health care; and
     Provide screening, outreach, health care, and enabling 
services to ensure that clients follow-up with treatment and treatment 
referrals.
    A single signed agreement between the applicant organization and 
coalition member organizations must be submitted with the application. 
The agreement must clearly detail the roles and resources that each 
entity will bring to the project, and the financial responsibility of 
the applicant organization to the coalition member organizations. The 
document must also state the duration and terms of the agreement. The 
agreement must cover the entire project period and be signed by 
individuals with the authority to represent the organizations (e.g., 
president, chief executive officer, executive director).
    D. Health Areas To Be Addressed: Applicants for Community Programs 
to Improve Minority Health projects must address at least one, but no 
more than three, of the following eight health areas which are among 
the Department's priorities.
     Adult Immunizations.
     Asthma.
     Cancer.
     Diabetes.
     Heart Disease and Stroke.
     HIV.
     Infant Mortality.
     Obesity and Overweight.

2. The Bilingual/Bicultural Service Demonstration Program

    A. Purpose: The Bilingual/Bicultural Service Demonstration Program 
seeks to improve and expand the capacity for linguistic and cultural 
competence of health care professionals and paraprofessionals working 
with limited English proficient (LEP) minority communities and improve 
the accessibility and utilization of health care services among LEP 
minority populations. It is expected that this program will demonstrate 
the effectiveness of programs that involve partnerships between 
community-based, minority-serving organizations and health care 
facilities in a collaborative effort to:
     Address cultural and linguistic barriers to effective 
health care service delivery; and
     Increase access to quality and comprehensive health care 
for LEP minority populations living in the United States.
    B. Project Outcomes: Applicants requesting support for projects 
under the Bilingual/Bicultural Service Demonstration Program must 
address project outcomes that can increase access to quality health 
care among LEP minority populations as demonstrated through any or all 
of the following:
     Reduction in high-risk behaviors;
     Adoption of health promoting behaviors;
     Connection to a continuum of care;
     Increased numbers of interpreters and interpretation 
services provided;
     Increased patient knowledge on how best to access care and 
participate in treatment decisions;
     Increased health provider knowledge on health disparities, 
and

[[Page 34358]]

culturally and linguistically appropriate health care services; and/or
     Increased utilization of preventive health care and 
treatment services.
    C. Project Requirements: Each project funded under the Bilingual/
Bicultural Service Demonstration Program must:
    i. Address at least one, but no more than three, of the health 
areas identified in the next section (Health Areas to be Addressed).
    ii. Carry out activities to improve and expand the capacity of 
health care providers and other health care professionals to deliver 
culturally and linguistically appropriate health care services to the 
target population. Examples include training providers on culturally 
competent practices or training interpreters.
    iii. Carry out activities to improve access to health care for the 
LEP minority population. Examples include developing or identifying 
culturally appropriate health education materials, or offering consumer 
education and training on available health services and ways to access 
services.
    iv. Have an established, formal linkage between the community-based 
organization and a health care facility, prior to submission of an 
application. The linkage must involve two separate and distinct 
entities.
    A single signed agreement between the applicant organization and 
the partner organization must be submitted with the application. The 
agreement must specify in detail the roles and resources that each 
entity will bring to the project, and the terms of the linkage. The 
linkage agreement must cover the entire project period. The document 
must be signed by individuals with the authority to represent the 
organization (e.g., president, chief executive officer, executive 
director).
    D. Health Areas To Be Addressed: Applicants for a Bilingual/
Bicultural Service Demonstration Program project must address at least 
one, but no more than three, of the following 12 health areas:
     Cancer
     Child and Adult Immunization
     Diabetes
     Environmental Health
     Heart Disease and Stroke
     HIV/AIDS and Sexually Transmitted Diseases
     Maternal, Infant, and Child Health
     Mental Health
     Obesity and Overweight
     Oral Health
     Substance Abuse
     Tobacco Use

3. HIV/AIDS Health Promotion and Education Program

    A. Purpose: The HIV/AIDS Health Promotion and Education Program 
seeks to improve the health status, relative to HIV/AIDS, of targeted 
minority populations by engaging national minority-serving 
organizations in educational and outreach efforts. It is expected that 
this program will demonstrate that the involvement of national 
minority-serving institutions in the development and implementation of 
national model HIV/AIDS programs can serve a vital role in effectively 
reaching and educating hardly reached minority populations affected by 
and/or infected with HIV/AIDS.
    B. Project Outcomes: Applicants requesting support for projects 
under the HIV/AIDS Health Promotion and Education Program must address 
project outcomes that can decrease the targeted health disparity(ies) 
as demonstrated through any or all of the following:
     Reduction in high-risk behaviors;
     Adoption of health promoting behaviors;
     Increased knowledge of the target population about the 
impact of HIV/AIDS;
     Increased knowledge of methods, such as abstinence, by 
which the transmission of HIV/AIDS can be prevented;
     Increased counseling and testing services for hardly 
reached and high risk minority populations; connection of high risk 
individuals to a continuum of care; increased patient knowledge on how 
best to access care and participate in treatment decisions; and/or
     Improved access to health care for hardly reached and high 
risk minority populations.
    C. Project Requirements: Each project funded under the HIV/AIDS 
Health Promotion and Education Program must:
    i. Identify problems or issues (e.g., gaps in services, access to 
health care) affecting the targeted minority population(s) to be 
addressed by the proposed project.
    ii. Carry out activities to identify unmet needs of the targeted, 
at risk or hardly reached minority population(s).
    iii. Implement an approach to address the problem(s) and needs.
    D. Federal Involvement: The HIV/AIDS Health Promotion and Education 
Program is a cooperative agreement program. Cooperative agreements 
include significant Federal interaction with the recipient organization 
in the implementation of program activities. For this program, this 
interaction includes, but is not limited to:
     Oversight and clearance for the implementation, conduct, 
and assessment of project activities.
     Collaborative work with funding recipients to develop and 
implement evaluation strategies incorporating the required Uniform Data 
Set which is to be used to report program information.
     Review and approval of assessment and evaluation 
instruments and/or plans.
     Direction to funding recipients on the submission of 
project data to OMH.
     Coordination and communication between funding recipients 
and other national organizations.
     Serving in a liaison capacity between funding recipients 
and appropriate federal government agencies.
     Planning and conducting grantee meeting(s).

II. Award Information

1. The Community Programs To Improve Minority Health

    Estimated Funds Available for Competition: $3,400,000.
    Anticipated Number of Awards: 17 to 30.
    Range of Awards: $100,000 to $200,000 per year.
    Anticipated Start Date: September 1, 2004.
    Budget Period Length: 12 months.
    Period of Performance: 3 Years (September 1, 2004 to August 31, 
2007).
    Type of Award: Grant.
    Type of Application Accepted: New.

2. The Bilingual/Bicultural Service Demonstration Program

    Estimated Funds Available for Competition: $2,500,000.
    Anticipated Number of Awards: 16 to 20.
    Range of Awards: $75,000 to $150,000 per year.
    Anticipated Start Date: September 1, 2004.
    Budget Period Length: 12 months.
    Period of Performance: 3 Years (September 1, 2004 to August 31, 
2007).
    Type of Award: Grant.
    Type of Application Accepted: New.

3. HIV/AIDS Health Promotion and Education Program

    Estimated Funds Available for Competition: $3,000,000.
    Anticipated Number of Awards: 20 to 22.
    Range of Awards: $100,000 to $150,000 per year.
    Anticipated Start Date: September 1, 2004.
    Budget Period Length: 12 months.
    Period of Performance: 3 Years (September 1, 2004 to August 31, 
2007).

[[Page 34359]]

    Type of Award: Cooperative Agreement (see Section I for description 
of Federal Involvement).
    Type of Application Accepted: New.

III. Eligibility Information

1. Eligible Applicants

A. The Community Programs To Improve Minority Health
    To qualify for funding, an applicant must be a:
     Private nonprofit, community-based, minority-serving 
organization which addresses health or human services (see 
Definitions);
     Community coalition, consisting of at least three discrete 
organizations with a community-based, minority-serving organization 
(see Definitions) as the lead organization;
     Public (local or tribal government) community-based 
organization which addresses health or human services; or
     Historically Black College or University (HBCU), Hispanic 
Serving Institution (HSI), or Tribal College or University (TCU).
    The OMH is continuing, through this FY 2004 notice of funding 
availability, to promote the utilization of community coalitions and 
grassroots organizations to develop and implement health education, 
health promotion, and disease risk reduction programs. To that end, 
those organizations previously funded, or eligible to be funded, under 
the OMH's Health Disparities to Improve Minority Health Grant Program 
are eligible to apply for funding under the FY 2004 Community Programs 
to Improve Minority Health program.
    Faith-based organizations that meet the above criteria are also 
eligible to apply. Tribal organizations and local affiliates of 
national, State-wide or regional organizations that meet the definition 
of a community-based minority-serving organization are also eligible to 
apply.
    National, State-wide, and regional organizations may not apply for 
these grants. As the focus of the program is at the local, grassroots 
level, OMH is looking for organizations that have ties to the local 
community. National, state-wide, and regional organizations operate on 
a broader scale and are not as likely to effectively access hardly 
reached minority populations in the specific, local neighborhoods and 
communities.
    Funding Priority: A priority in funding will be given to applicants 
that have an established community coalition of at least three discrete 
organizations that include a community-based minority-serving 
organization; a health care facility such as a community health center, 
migrant health center, health department, or medical center to provide 
treatment services; and a community organization such as a social 
service agency, business entity, or civic association.
B. The Bilingual/Bicultural Service Demonstration Program
    To qualify for funding, an applicant must be a:
     Private nonprofit, community-based, minority-serving 
organization which addresses health and human services for LEP minority 
populations (see Definitions);
     Public (local or tribal government) community-based 
organization which addresses health or human services; or
     Tribal entity which addresses health and human services.
    In addition, all applicants must provide services to a targeted LEP 
minority community and have an established linkage which:
     Involves two separate and distinct entities, one of which 
must be a community-based organization and the other a health care 
facility.
     Is documented in writing as specified in the section on 
Project Requirements.
    This linkage is the foundation of this demonstration program to 
address cultural and linguistic barriers to effective health care 
service delivery, and to increase access to quality and comprehensive 
health care for LEP minority populations living in the United States.
    Faith-based organizations that meet the above criteria are also 
eligible to apply for funding. Local affiliates of national 
organizations which have an established link with a health care 
facility are also eligible to apply.
    National, State-wide, and regional organizations, universities, and 
other schools of higher learning may not apply for the Bilingual/
Bicultural Service Demonstration grants. As the focus of the program is 
at the local, grassroots level, OMH is looking for organizations that 
have ties to the local community. National, State-wide, and regional 
organizations operate on a broader scale are not as likely to 
effectively access hardly reached minority populations in the specific, 
local neighborhoods and communities. Universities and other schools of 
higher learning are similarly excluded.
    The organization submitting the application will:
     Serve as the lead agency for the project, responsible for 
its implementation and management; and
     Serve as the fiscal agent for the Federal grant awarded.
C. HIV/AIDS Health Promotion and Education Program
    To qualify for funding, an applicant must be a private, nonprofit 
national minority-serving organization (see Definitions) that addresses 
HIV/AIDS minority health and human services. Examples of national 
minority-serving organizations that may apply include, but are not 
limited to:
     Associations/organizations representing community health 
organizations serving minority populations;
     Associations/organizations that focus on minority health, 
education, leadership development, and/or community partnerships; and
     Minority-focused health professions associations/
organizations.
    Faith-based organizations that meet the above criteria are eligible 
to apply for these HIV/AIDS Health Promotion and Education cooperative 
agreements.
    Eligible organizations must have the capacity and ability to 
conduct HIV/AIDS-focused programs and activities related to health 
promotion and education that can be implemented on a national level. 
Because the intent of this program is to address the HIV/AIDS epidemic 
at the national level, only organizations with a national reach are 
eligible to apply.

2. Cost Sharing or Matching

    Matching funds are not required for the Community Programs to 
Improve Minority Health, Bilingual/Bicultural Service Demonstration, 
and HIV/AIDS Health Promotion and Education Programs.

3. Other

    A Letter of Intent (LOI) is required prior to submission of 
applications. See section IV.2 for formatting and submission 
requirements for the LOI.
    Organizations applying for funds under the Community Programs to 
Improve Minority Health, Bilingual/Bicultural Service Demonstration, 
and HIV/AIDS Health Promotion and Education programs must submit 
documentation of nonprofit status with their applications. If 
documentation is not provided, the application will be considered non-
responsive and will not be entered into the review process. The 
organization will be notified that the application did not meet the 
submission requirements.
    Any of following serves as acceptable proof of nonprofit status:
     A reference to the applicant organization's listing in the 
Internal Revenue Service's (IRS) most recent list of tax-exempt 
organizations described in section 501(c)(3) of the IRS Code.

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     A copy of a currently valid IRS tax exemption certificate.
     A statement from a State taxing body, State Attorney 
General, or other appropriate State official certifying that the 
applicant organization has a nonprofit status and that none of the net 
earnings accrue to any private shareholders or individuals.
     A certified copy of the organization's certificate of 
incorporation or similar document that clearly establishes nonprofit 
status.
     Any of the above proof for a State or national 
organization and a statement signed by the parent organization that the 
applicant organization is a local nonprofit affiliate.
    If funding is requested in an amount greater than the ceiling of 
the award range, the application will be considered non-responsive and 
will not be entered into the review process. The application will be 
returned with notification that it did not meet the submission 
requirements.
    Applications that are not complete or that do not conform to or 
address the criteria of this announcement will be considered non-
responsive and will not be entered into the review process. The 
application will be returned with notification that it did not meet the 
submission requirements.
    An organization may submit no more than one proposal for each of 
the three programs announced in this notice of funding availability. 
Organizations submitting more than one proposal for the same grant 
program will be deemed ineligible. The proposals will be returned 
without comment.
    Organizations are not eligible to receive funding from more than 
one OMH grant program to carry out the same project and/or activities.

IV. Application and Submission Information

1. Address To Request Application Package

    Application kits may be obtained:
     At http://www.omhrc.gov.
     By writing to Ms. Karen Campbell, Director, OPHS Office of 
Grants Management, Tower Building, 1101 Wootton Parkway, Suite 550, 
Rockville, MD 20852; or contact the Office of Grants Management at 
(301) 594-0758. Please specify the OMH program(s) for which you are 
requesting an application kit.

2. Content and Form of Application Submission

A. Letter of Intent
    A Letter of Intent (LOI) is required from all potential applicants 
for the purpose of planning the competitive review process. The 
narrative should be no more than one page, double-spaced, printed on 
one side, with one-inch margins, and unreduced 12-point font. LOIs 
should include the following information: (1) Program announcement 
title and number; (2) program that the application is being submitted 
under (e.g., Community Programs to Improve Minority Health, Bilingual/
Bicultural Service Demonstration Program, or HIV/AIDS Health Promotion 
and Education Program); (3) health areas to be addressed; and (4) name 
of the applicant agency or organization, the official contact person 
and that person's telephone number, fax number, and mailing and e-mail 
addresses. Do not include a description of your proposed project.
    On or before July 6, 2004, submit the LOI to: Ms. Karen Campbell, 
Director, OPHS Office of Grants Management, 1101 Wootton Parkway, Suite 
550, Rockville, MD 20852. The LOI must be received by the OPHS Office 
of Grants Management by 5 p.m. e.d.t. on July 6, 2004. If an applicant 
does not submit an LOI by the established due date and time, the 
application will not be eligible for the review process.
B. Application
    Applicants must use Grant Application PHS 5161-1 (Revised July 2000 
and approved by OMB under Control Number 0348-0043). Forms to be 
completed include the Face Page/Cover Page (SF424), Checklist, Budget 
Information Forms for Non-Construction Programs (SF424A), Assurances-
Non-Construction Programs (SF424B), and Certifications (pages 17-19 in 
PHS 5161-1). In addition to the application forms, applicants must 
provide a project narrative.
    The project narrative (including summary and appendices) should be 
no more than 45 pages (55 pages for currently funded grantees). 
Currently funded OMH grantees (i.e., Community Programs to Improve 
Minority Health, Bilingual/Bicultural Service Demonstration Program, 
and Health Disparities in Minority Health grantees, and cooperative 
agreement grantees with HIV/AIDS projects) must include a Progress 
Report (maximum of 10 pages) in the appendix.
    The narrative must be printed on one side of 8\1/2\ by 11 inch 
white paper, with one-inch margins, and 12-point font. All pages must 
be numbered sequentially including any appendices. (Do not use decimals 
or letters, such as: 1.3 or 2A). Do not staple or bind the application 
package. Use rubber bands or binder clips.
    The narrative description of the project must contain the 
following:
    i. Table of Contents: Include a Table of Contents with page numbers 
for each of the following sections.
    ii. Project Summary: A project summary should be included that 
briefly describes key aspects of the Statement of Need, Objectives, 
Program Plan, Evaluation Plan, and Management Plan. The summary should 
be no more than 3 pages in length, double spaced.
    iii. Statement of Need: Identify which of the health areas (up to 
3) are being addressed (see Part I, Health Areas to be Addressed). 
Describe and document (with data) demographic information on the 
targeted geographic area, and the significance or prevalence of health 
problem(s) or issue(s) affecting the target minority group(s). Describe 
the minority group(s) targeted by the project (e.g., race/ethnicity, 
age, gender, educational level/income). Describe the applicant 
organization's background, and the background/experience of the 
proposed linkage organization and rationale for inclusion in the 
project.
    iv. Objectives: Include objectives stated in measurable terms and 
time frames for achievement.
    v. Program Plan: Include a plan that clearly describes how the 
project will be carried out. Describe specific activities and 
strategies planned to achieve each objective. For each activity, 
describe how, when, where, by whom, and for whom the activity will be 
conducted. Describe any products to be developed by the project. 
Provide a time line chart.
    vi. Evaluation Plan: Include a plan that identifies the expected 
results for each major objective and activity, and discuss the 
potential for replication. The description should include data 
collection and analysis methods, demographic data to be collected on 
project participants, process measures describing indicators to be used 
to monitor and measure progress toward achieving projected results by 
objectives, outcome measures which will show that the project has 
accomplished planned activities, and impact measures demonstrating 
achievement of the goal to positively affect health disparities.
    vii. Management Plan: Provide a description of proposed program 
staff, including resumes and job descriptions for key staff, 
qualifications and responsibilities of each staff member, and percent 
of time each is committing to the project. Provide a description of 
duties for proposed consultants. Discuss the applicant organization's 
experience in managing projects/activities, especially those targeting 
the population to be served. Include a chart of the

[[Page 34361]]

organization's structure, showing who reports to whom, and of the 
project's structure.
    viii. Appendices: Include documentation and other supporting 
information in this section, including Memorandum of Understanding, 
Progress Report, and other relevant information. (Appendices count 
toward the narrative page limit.)
    In addition to the project narrative, the application must contain 
a detailed budget justification (does not count toward the page 
limitation). The detailed budget justification must include narrative 
and computation of expenditures for each year in which grant support is 
requested. The budget request should include funds to attend an annual 
OMH grantee meeting by key project staff.
    The complete application kit will provide instructions on the 
content of each of these sections.
    Obtaining a Data Universal Numbering System number (DUNS): All 
applicants are required to obtain a DUNS number as preparation for 
doing business electronically with the Federal Government. The DUNS 
number must be obtained prior to applying for OMH funds.
    The DUNS number is a nine-character identification code provided by 
the commercial company Dun & Bradstreet, and serves as a unique 
identifier of business entities. There is no charge for requesting a 
DUNS number, and you may register and obtain a DUNS number by either of 
the following methods:
    Telephone: 1-866-705-5711.
    Web site: https://eupdate.dnb.com/requestoptions.html. Be sure to 
click on the link that reads, ``DUNS Number Only'' at the left hand, 
bottom corner of the screen to access the free registration page. 
Please note that registration via the Web site may take up to 30 
business days to complete.

3. Submission Dates and Times

    Letter of Intent Deadline Date: July 6, 2004.
    Application Deadline Date: August 5, 2004.
    Explanation of Deadlines: To receive consideration, Letters of 
Intent must be received by the OPHS Office of Grants Management by 5 
p.m. e.d.t. on July 6, 2004. If an applicant does not submit a Letter 
of Intent prior to submitting an application, the application will not 
be eligible for review.
    Grant applications must be received by the OPHS Office of Grants 
Management by 5 p.m. e.d.t. on August 5, 2004. OPHS will not 
acknowledge receipt of applications. Applications received after the 
exact date and time specified for receipt will not be accepted. The 
application due date requirement specified in this announcement 
supercedes the instructions in the PHS 5161-1. Applications submitted 
by facsimile transmission (fax) or any other electronic format will not 
be accepted. Applications which do not meet the deadline will be 
returned to the applicant unread.
    Applications will be screened upon receipt. Applications that are 
not complete or that do not conform to, or address, the criteria of the 
applicable program will be considered non-responsive and will not be 
entered into the review process. The application will be returned with 
notification that it did not meet the submission requirements.

4. Intergovernmental Review

    The Community Programs to Improve Minority Health and the 
Bilingual/Bicultural Service Demonstration Programs are subject to the 
requirements of Executive Order 12372 which allows states the option of 
setting up a system for reviewing applications from within their states 
for assistance under certain Federal programs. The application kits 
available under this notice will contain a list of states which have 
chosen to set up a review system and will include a State Single Point 
of Contact (SPOC) in the State for review. The SPOC list is also 
available on the Internet at the following address: http://www.whitehouse.gov/omb/grants/spoc.html. Applicants (other than 
federally recognized Indian tribes) should contact their SPOCs as early 
as possible to alert them to the prospective applications and receive 
any necessary instructions on the State process. For proposed projects 
serving more than one State, the applicant is advised to contact the 
SPOC of each affected State. The due date for State process 
recommendations is 60 days after the application deadline established 
by the OPHS Grants Management Officer. The OMH does not guarantee that 
it will accommodate or explain its responses to State process 
recommendations received after that date. (See ``Intergovernmental 
Review of Federal Programs,'' Executive Order 12372, and 45 CFR Part 
100 for a description of the review process and requirements.)
    The Community Programs to Improve Minority Health and the 
Bilingual/Bicultural Service Demonstration Grant Programs are subject 
to Public Health Systems Reporting Requirements. Under these 
requirements, community-based non-governmental applicants must prepare 
and submit a Public Health System Impact Statement (PHSIS). The PHSIS 
is intended to provide information to State and local health officials 
to keep them apprised of proposed health services grant applications 
submitted by community-based organizations within their jurisdictions.
    Community-based non-governmental applicants are required to submit, 
no later than the Federal due date for receipt of the application, the 
following information to the head of the appropriate State and local 
health agencies in the area(s) to be impacted: (a) A copy of the face 
page of the application (SF 424), and (b) a summary of the project 
(PHSIS), not to exceed one page, which provides: (1) A description of 
the population to be served, (2) a summary of the services to be 
provided, and (3) a description of the coordination planned with the 
appropriate State or local health agencies. Copies of the letters 
forwarding the PHSIS to these authorities must be contained in the 
application materials submitted to the OPHS.

5. Funding Restrictions

    Budget Request: If funding is requested in an amount greater than 
the ceiling of the award range, the application will be considered non-
responsive and will not be entered into the review process. The 
application will be returned with notification that it did not meet the 
submission requirements.
    Grant funds may be used to cover costs of:
     Personnel.
     Consultants.
     Equipment.
     Supplies (including screening and outreach supplies).
     Grant related travel (domestic only), including attendance 
at an annual OMH grantee meeting.
     Other grant related costs.
    Grant funds may not be used for:
     Building alterations or renovations.
     Construction.
     Fund raising activities.
     Job training.
     Medical care, treatment or therapy.
     Political education and lobbying.
     Research studies involving human subjects.
     Vocational rehabilitation.
    Guidance for completing the budget can be found in the Program 
Guidelines, which are included with the complete application kits.

6. Other Submission Requirements

    Applications may only be submitted in hard copy. Send an original, 
signed in blue ink, and two copies of the complete grant application to 
Ms. Karen Campbell, Grants Management Officer,

[[Page 34362]]

Office of Grants Management, Office of Public Health and Science, Tower 
Building, 1101 Wootton Parkway, Suite 550, Rockville, MD 20852. 
Applications submitted by e-mail, facsimile transmission (fax) or any 
other electronic format will not be accepted.

V. Application Review Information

1. Criteria

    The technical review of Community Programs to Improve Minority 
Health, Bilingual/Bicultural Service Demonstration Program, and HIV/
AIDS Health Promotion and Education Program applications will consider 
the following five generic factors.
A. Factor 1: Program Plan (35%)
     Appropriateness of proposed approach and specific 
activities for each objective.
     Logic and sequencing of the planned approaches in relation 
to the objectives and program evaluation.
     Soundness of the established partnerships (e.g., 
coalition, linkages).
     Likelihood of successful implementation of the project.
B. Factor 2: Evaluation (20%)
     Appropriateness of the proposed data collection, analysis 
and reporting procedures.
     Clarity of the intent and plans to document the activities 
and their outcomes.
     Potential for the proposed project to impact the health 
status of, and barriers to health care experienced by the targeted 
minority populations.
     Potential for replication of the project for similar 
target populations and communities.
C. Factor 3: Statement of Need (15%)
     Demonstrated knowledge of the problem at the national and/
or local level as applicable.
     Significance and prevalence of the identified health 
problem(s) or health issue(s) in the proposed community and target 
population.
     Extent to which the applicant demonstrates access to the 
target community(ies), and whether it is well positioned and accepted 
within the community(ies) to be served.
     If applicable, demonstrated support and established 
linkage(s) in order to conduct the proposed model.
     Extent and documented outcome of past efforts and 
activities with the target population (Currently funded OMH grantees 
[i.e., Community Programs to Improve Minority Health, Bilingual/
Bicultural Service Demonstration Program, and Health Disparities in 
Minority Health grantees, and cooperative agreement grantees with HIV/
AIDS projects] must attach a progress report describing project 
accomplishments and outcomes.)
D. Factor 4: Objectives (15%)
     Merit of the objectives.
     Relevance to the program purpose, project outcomes and 
stated problem.
     Attainability of the objectives in the stated time frames.
E. Factor 5: Management Plan (15%)
     Applicant organization's capability to manage and evaluate 
the project as determined by:

--Qualifications and appropriateness of proposed staff or requirements 
for ``to be hired'' staff and consultants
--Proposed staff level of effort
--Management experience of the applicant
--The applicant's organizational structure

     Appropriateness of defined roles including staff reporting 
channels and that of any proposed contractors.
     Clear lines of authority among the proposed staff within 
and between participating organizations.

2. Review and Selection Process

    Accepted Community Programs To Improve Minority Health, Bilingual/
Bicultural Service Demonstration, and HIV/AIDS Health Promotion and 
Education Program applications will be reviewed for technical merit in 
accordance with PHS policies. Applications will be evaluated by an 
Objective Review Committee (ORC). Committee members are chosen for 
their expertise in minority health, health disparities, and their 
understanding of the unique health problems and related issues 
confronted by the racial and ethnic minority populations in the United 
States. Funding decisions will be determined by the Deputy Assistant 
Secretary for Minority Health who will take under consideration:
     The recommendations and ratings of the ORC
     Geographic and racial/ethnic distribution
     Health areas to be addressed
     Funding Priority

3. Anticipated Award Date

    September 1, 2004.

VI. Award Administration Information

1. Award Notices

    Successful applicants will receive a notification letter from the 
Deputy Assistant Secretary for Minority Health and a Notice of Grant 
Award (NGA), signed by the OPHS Grants Management Officer. The NGA 
shall be the only binding, authorizing document between the recipient 
and the Office of Minority Health.
    Notification will be mailed to the Program Director/Principal 
Investigator identified in the application.
    Unsuccessful applicants will receive a notification letter with the 
results of the review of their application from the Deputy Assistant 
Secretary for Minority Health.

2. Administrative and National Policy Requirements

    In accepting this award, the grantee stipulates that the award and 
any activities thereunder are subject to all provisions of 45 CFR parts 
74 and 92, currently in effect or implemented during the period of the 
grant.
    The Buy American Act of 1933, as amended (41 U.S.C. 10a-10d), 
requires that Government agencies give priority to domestic products 
when making purchasing decisions. Therefore, to the greatest extent 
practicable, all equipment and products purchased with grant funds 
should be American-made.
    A Notice providing information and guidance regarding the 
``Government-wide Implementation of the President's Welfare-to-Work 
Initiative for Federal Grant Programs'' was published in the Federal 
Register on May 16, 1997. This initiative was designated to facilitate 
and encourage grantees and their sub-recipients to hire welfare 
recipients and to provide additional needed training and/or mentoring 
as needed. The text of the Notice is available electronically on the 
OMB home page at http://www.whitehouse.gov/omb.
    The HHS Appropriations Act requires that when issuing statements, 
press releases, requests for proposals, bid solicitations, and other 
documents describing projects or programs funded in whole or in part 
with Federal money, grantees shall clearly state the percentage and 
dollar amount of the total costs of the program or project which will 
be financed with Federal money and the percentage and dollar amount of 
the total costs of the project or program that will be financed by non-
governmental sources.

3. Reporting Requirements

    A successful applicant under this notice will submit: (1) Semi-
annual progress reports; (2) an annual Financial Status Report; and (3) 
a final progress report and Financial Status Report in the format 
established by the OMH, in accordance with provisions of the general 
regulations which apply under ``Monitoring and Reporting Program

[[Page 34363]]

Performance'', 45 CFR Part 74-51-74.52, with the exception of State and 
local governments to which 45 CFR Part 92, Subpart C reporting 
requirements apply.
    Uniform Data Set: The Uniform Data Set (UDS) system is designed to 
assist in evaluating the effectiveness and impact of grant and 
cooperative agreement projects. All OMH grantees are required to report 
program information, using the Web-based UDS. Training will be provided 
to all new grantees (including cooperative agreement grantees) on the 
use of the UDS system, during the annual grantee meeting.
    Grantees will be informed of the progress report due dates and 
means of submission. Instructions and report format will be provided 
prior to the required due date. The Annual Financial Status Report is 
due no later than 90 days after the close of each budget period. The 
final progress report and Financial Status Report are due 90 days after 
the end of the project period. Instructions and due dates will be 
provided prior to required submission.

VII. Agency Contacts

    For questions on budget and business aspects of the application, 
contact Ms. Karen Campbell, Director, OPHS Office of Grants Management, 
Tower Building, 1101 Wootton Parkway, Suite 550, Rockville, MD 20852. 
Ms. Campbell can be reached by telephone at (301) 594-0758.
    For questions related to the Community Programs to Improve Minority 
Health, Bilingual/Bicultural Service Demonstration Program, and/or HIV/
AIDS Health Promotion and Education Program or assistance in preparing 
a grant proposal, contact Ms. Cynthia Amis, Director, Division of 
Program Operations, Office of Minority Health, Tower Building, Suite 
600, 1101 Wootton Parkway, Rockville, MD 20852. Ms. Amis can be reached 
by telephone at (301) 594-0769.
    For additional technical assistance, contact the OMH Regional 
Minority Health Consultant for your region listed in your grant 
application kit.
    For health information, call the OMH Resource Center (OMHRC) at 1-
800-444-6472.

VIII. Other Information

1. Background

A. The Community Programs To Improve Minority Health
    The mission of the OMH is to improve the health of racial and 
ethnic minority populations through the development of health policies 
and programs that will help to address disparities in health. Racial 
and ethnic minorities, as well as low income families and individuals 
in geographically isolated communities, suffer disproportionately from 
preventable chronic conditions and may experience poorer health 
outcomes than other Americans due to differences in access to health 
care and disparities in health care delivery. For example:
     In the U.S., rates of asthma deaths and hospitalizations 
have been decreasing; however, African Americans continue to have 
higher rates compared to whites. In 1999, the average age-adjusted 
asthma death rate for blacks was almost 39%, nearly 3 times that of 
whites (14%). Asthma also continues to be one of the leading causes of 
school absenteeism, limitations of activity, and disruption of family 
life in the U.S.\1\
     Cancer incidence and death rates vary by race, with blacks 
having a 10% higher cancer incidence rate and a 30% higher cancer death 
rate compared to whites, and lower cancer survival rates regardless of 
site or stage. Compared to whites, Hispanics have higher rates of 
cervical cancer; and Asians have higher rates of stomach and liver 
cancer.\2\
     American Indians, blacks and Hispanics have higher 
diabetes death rates, while blacks have a higher rate of serious 
complications from diabetes.\3\
---------------------------------------------------------------------------

    \1\ Centers for Disease Control and Prevention. Morbidity and 
Mortality Weekly Report Surveillance for Asthma--United States, 
1980-1999. 51(SS01); 1-13. March 29, 2002.
    \2\ National Cancer Institute. ``SEER Cancer Statistics Review 
1975-2001.''
    \3\ National Center for Health Statistics. Health, United 
States, 2003. Hyattsville, Maryland: 2003.
---------------------------------------------------------------------------

     Mortality due to coronary heart disease is higher among 
blacks as compared with whites. Although high blood pressure, high 
cholesterol and smoking are the three most important risk factors for 
heart disease, Asian, Hispanic, and less educated adults are less 
likely to have their blood pressure monitored and their cholesterol 
checked.\4\
---------------------------------------------------------------------------

    \4\ Centers for Disease Control and Prevention. Data 2010: 
Healthy People 2010 Database. 2004.
---------------------------------------------------------------------------

     Hispanics have higher incidence rates of AIDS compared to 
whites. While blacks make up 12% of the U.S. population, they account 
for 50% of the new HIV cases reported in year 2002; and deaths from 
HIV/AIDS are highest among black women age 25 to 44 and black men age 
45 to 64.\5\ \6\
---------------------------------------------------------------------------

    \5\ Centers for Disease Control and Prevention. HIV/AIDS 
Surveillance Report--U.S. HIV and AIDS cases reported through 
December 2002, Vol. 14.
    \6\ National Center for Health Statistics. Health, United 
States, 2003. Hyattsville, Maryland: 2003.
---------------------------------------------------------------------------

     American Indian, black and Hawaiian mothers are more 
likely to have low birth weight infants compared to white mothers. With 
respect to mortality, black, Other Pacific Islander, American Indian 
and Alaska Native infants and infants of less educated mothers are more 
likely to die at birth than white infants.\7\
---------------------------------------------------------------------------

    \7\ Ibid.
---------------------------------------------------------------------------

     In 1999, approximately 50% of black adults age 65 and 
over, and 55% of Hispanic adults in the same age category received 
influenza vaccines compared with 68% of whites.\8\
---------------------------------------------------------------------------

    \8\ Centers for Disease Control and Prevention. National Health 
Interview Survey--1999.
---------------------------------------------------------------------------

     The problem of obesity is greatest among black women (50%) 
and Mexican American women (40%) compared to white women (30%). Also, 
black and Mexican American adolescents ages 12 to 19 are more likely to 
be overweight (24%) than white adolescents (13%).\9\
---------------------------------------------------------------------------

    \9\ National Health and Nutrition Examination Survey, 
``Prevalence of Overweight and Obesity Among Adults: United States, 
1999--2000,'' U.S. Department of Health and Human Services, Centers 
for Disease Control, National Center for Health Statistics, 2002.
---------------------------------------------------------------------------

    In an effort to make a difference for those populations 
experiencing health disparities, The Department launched the Closing 
the Health Gap Initiative, targeting the following six health issue 
areas: infant mortality, cancer screening and management, 
cardiovascular disease and stroke, diabetes, HIV/AIDS, and child and 
adult immunizations. The Secretary of HHS, through the Healthy 
Lifestyles and Disease Prevention Initiative, is focusing efforts on 
obesity and overweight. In addition, asthma continues to be a 
Departmental priority. In support of these initiatives/priorities, the 
OMH is focusing its FY 2004 programs on the eight health issues 
identified above.
B. The Bilingual/Bicultural Service Demonstration Program
    OMH is charged with carrying out programs to improve access to 
health care services for individuals with limited English proficiency, 
many of whom are members of racial or ethnic populations. OMH is 
committed to working with community-based organizations to improve and 
enhance access to quality and comprehensive health services for these 
populations. Limited English proficiency (LEP) and other barriers which 
inhibit interaction with health care providers or social service 
agencies, often result in delays or denial of care, and/or provision of 
inaccurate or incomplete health information to LEP minority 
individuals. To that end, OMH supports the Bilingual/ Bicultural 
Service Demonstration Program to build communication bridges and reduce 
the

[[Page 34364]]

linguistic, cultural and social barriers the LEP minority populations 
encounter when accessing health services.
    According to the 2000 Census, more than 300 different languages are 
spoken in the United States, and 18% of the nation speak a language 
other than English at home. This percentage is an increase from the 
1990 Census which reported that 14% of persons spoke a language other 
than English at home. In addition, the 2000 Census reported that 4.4 
million households encompassing 11.9 million people are linguistically 
isolated, meaning that no person in the household speaks English ``very 
well.'' This is a significant increase from 1990 which reported that 
2.9 million households encompassing 7.7 million people were 
linguistically isolated.
    To improve services for LEP minority populations, it is essential 
that health care providers, health care professionals, and other staff 
become better informed about the diverse linguistic, cultural and 
medical backgrounds of the clientele. Enhancement of cultural and 
linguistic competency among providers not only improves the ability of 
providers to care for diverse populations, but also allows patients to 
better navigate the health care system.
    To insure that all people entering the health care system receive 
equitable and effective treatment in a culturally and linguistically 
appropriate manner, the OMH published the National Standards on 
Culturally and Linguistically Appropriate Services (CLAS) in Health 
Care (U.S. Department of Health and Human Services, Office of Public 
Health and Science, Office of Minority Health. National Standards for 
Culturally and Linguistically Appropriate Services in Health Care Final 
Report, Washington, DC, March 2001). While these 14 standards are 
primarily directed at health care organizations, the principles and 
activities of culturally and linguistically appropriate services should 
be undertaken in partnership with communities being served. OMH 
encourages community-based minority-serving organizations to partner 
with health care facilities to implement activities addressing those 
CLAS standards that have applicability to the purposes of the 
Bilingual/Bicultural Service Demonstration Program. Potential 
applicants for the Bilingual/Bicultural Service Demonstration Program 
are encouraged to incorporate such activities into project plans. 
Additional information on CLAS standards may be found on the OMH Web 
site: http://www.omhrc.gov/cultural.
C. HIV/AIDS Health Promotion and Education Program
    The Census 2000 Brief \10\ reports the U.S. population as 281.4 
million, with 36.4 million \11\ Blacks or African Americans, or 12.9 
percent; 35.3 million Hispanics, or 12.5 percent; approximately 12.8 
million Asians/Native Hawaiians and Other Pacific Islanders, or 4.5 
percent; and approximately 4 million American Indians/Alaska Natives or 
1.5 percent of the total population. HIV/AIDS remains a 
disproportionate threat to minorities. As of December 31, 2002, the 
Centers for Disease Control and Prevention (CDC) received reports of 
886,575 (cumulative) cases of persons with AIDS in the U.S.,\12\ of 
whom 39 percent were Black or African American, and 18 percent were 
Hispanic.
---------------------------------------------------------------------------

    \10\ U.S. Census Bureau, The Black Population: 2000--Census 2000 
Brief, August 2001.
    \11\ This number includes individuals who self-reported as 
Black, or as Black and one or more other race on the Census 2000 
questionnaire.
    \12\ HIV/AIDS Surveillance Report--U.S. HIV and AIDS cases 
reported through December 2002, Vol. 14.
---------------------------------------------------------------------------

    Of the 43,950 AIDS cases reported to CDC during 2002, 43,792 were 
adult/adolescent and 158 were children (<13 years of age). For the 
adult/adolescent population, an estimated 76% were Black or African 
American, and 26% were Hispanic. Of the children reported with AIDS, an 
estimated 59 percent were Black non-Hispanic, and 19 percent were 
Hispanic.\13\
---------------------------------------------------------------------------

    \13\ Centers for Disease Control and Prevention. HIV/AIDS 
Surveillance Report--U.S. HIV and AIDS Cases Reported Through 
December 2002, Vol. 14.
---------------------------------------------------------------------------

    Through December 2002, the most common exposure category reported 
for AIDS cases among minority males was men who have sex with men; 
among the cumulative AIDS cases for males, 37% of Blacks, 42% of 
Hispanics, 70% of Asians and Pacific Islanders, and 55% of American 
Indian/Alaska Natives were in this exposure category.\14\
---------------------------------------------------------------------------

    \14\ Ibid.
---------------------------------------------------------------------------

    HIV infection among U.S. women has increased significantly over the 
last decade, especially in communities of color. Between 1985 and 1999, 
the proportion of all AIDS cases reported among adult and adolescent 
women more than tripled, from 7 to 23 percent. African American and 
Hispanic women account for more than three-fourths, or 82 percent, of 
the new HIV/AIDS cases reported among women in the U.S. Through 
December 2002, the most common exposure categories for AIDS cases among 
African American and Hispanic females were heterosexual contact (48%, 
Hispanic; 40%, African American) and injection drug use (38%, African 
American; 38%, Hispanic).\15\
---------------------------------------------------------------------------

    \15\ Ibid.
---------------------------------------------------------------------------

    The number of estimated deaths among persons with AIDS in 2002 
represented a 14% decline since 1998; however, African Americans and 
Hispanics represented 52% and 19% of those deaths, respectively, 
compared to 28% for whites.\16\
---------------------------------------------------------------------------

    \16\ Ibid.
---------------------------------------------------------------------------

    The OMH is initiating the HIV/AIDS Health Promotion and Education 
program to support health promotion and education activities to reduce 
high risk behaviors, promote healthy behaviors, increase counseling and 
testing services, and improve access to health care for hardly reached 
or at-risk minority populations.

2. Healthy People 2010

    The Public Health Service (PHS) is committed to achieving the 
health promotion and disease prevention objectives of Healthy People 
2010, a PHS-led national activity announced in January 2000 to 
eliminate health disparities and improve years and quality of life. 
More information may be found on the Healthy People 2010 Web site: 
http://www.healthypeople.gov and copies of the document may be 
downloaded. Copies of the Healthy People 2010: Volumes I and II can be 
purchased by calling (202) 512-1800 (cost $70.00 for printed version; 
$20.00 for CD-ROM). Another reference is the Healthy People 2000 Final 
Review--2001. For 1 free copy of the Healthy People 2010, contact: The 
National Center for Health Statistics, Division of Data Services, 3311 
Toledo Road, Hyattsville, MD 20782, or by telephone at (301) 458-4636. 
Ask for HHS Publication No. (PHS) 99-1256. This document may also be 
downloaded from: http://www.heatlhypeople.gov.

3. Definitions

    For purposes of this grant program, the following definitions 
apply:
    Community-Based Organizations--Private, nonprofit organizations and 
public organizations (local or tribal governments) that are 
representative of communities or significant segments of communities 
where the control and decisionmaking powers are located at the 
community level.
    Community-Based, Minority-Serving Organization--A community-based 
organization that has a history of service to racial/ethnic minority 
populations. (See definition of Minority Populations below.)
    Community Coalition--At least 3 discrete organizations and 
institutions

[[Page 34365]]

in a given community. The organizations work together on specific 
community concerns, and seek resolution of those concerns. A formalized 
relationship documented by written memoranda of understanding/agreement 
signed by individuals with the authority to represent the organizations 
(e.g., chief executive officer, executive director, president/
chancellor) is required.
    Cooperative Agreement--A financial assistance mechanism used in 
lieu of a grant when substantial Federal programmatic involvement with 
the recipient during performance is anticipated by the awarding office.
    Cultural Competency--Having the capacity to function effectively as 
an individual and an organization within the context of the cultural 
beliefs, behaviors and needs presented by consumers and their 
communities.
    Funding Priority--A factor(s) that causes a grant application to 
receive a fixed amount of extra rating points which may place that 
application ahead of others without the priority on a list of 
applicants recommended for funding by a review committee.
    Health Care Facility--A private nonprofit or public facility that 
has an established record for providing comprehensive health care 
services to a targeted, racial/ethnic minority community.
    A health care facility may be a hospital, outpatient medical 
facility, community health center, migrant health center, or a mental 
health center. Facilities providing only screening and referral 
activities are not included in this definition.
    Limited-English-Proficient (LEP) Minority--People from Minority 
Populations (see definition below) with a primary language other than 
English. These individuals must communicate in their main language in 
order to participate effectively in and benefit from any aid, service 
or benefit provided by the health provider.
    Minority Populations--American Indian or Alaska Native, Asian, 
Black or African American, Hispanic or Latino, and Native Hawaiian or 
Other Pacific Islander. (Revision to the Standards for the 
Classification of Federal Data on Race and Ethnicity, Federal Register, 
Vol. 62, No. 210, pg. 58782, October 30, 1997.)
    National Minority-Serving Organization--A national non-profit 
organization whose mission focuses on issues affecting minority 
communities nationwide and that has a history of service to racial/
ethnic minority populations.
    Nonprofit Organizations--Corporations or associations, no part of 
whose net earnings may lawfully inure to the benefit of any private 
shareholder or individual. Proof of nonprofit status must be submitted 
by private nonprofit organizations with the application or, if 
previously filed with PHS, the applicant must state where and when the 
proof was submitting. (See Section III.3. Other, for acceptable 
evidence of nonprofit status.)
    Sociocultural Barriers--Policies, practices, behaviors and beliefs 
that create obstacles to health care access and service delivery. 
Examples of sociocultural barriers include:
     Cultural differences between individuals and institutions;
     Cultural differences of beliefs about health and illness;
     Customs and lifestyles;
     Cultural differences in languages or nonverbal 
communication styles.

    Dated: June 8, 2004.
Nathan Stinson,
Deputy Assistant Secretary for Minority Health.
[FR Doc. 04-13893 Filed 6-18-04; 8:45 am]
BILLING CODE 4150-29-P