[Federal Register Volume 69, Number 129 (Wednesday, July 7, 2004)]
[Notices]
[Pages 41114-41118]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-15340]



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Part V





Department of Health and Human Services





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Announcement of Anticipated Availability of Funds for Family Planning 
Service Grants; Notice

  Federal Register / Vol. 69, No. 129 / Wednesday, July 7, 2004 / 
Notices  

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DEPARTMENT OF HEALTH AND HUMAN SERVICES


Announcement of Anticipated Availability of Funds for Family 
Planning Service Grants

AGENCY: Department of Health and Human Services, Office of the 
Secretary, Office of Public Health and Science, Office of Population 
Affairs.

ACTION: Notice.

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    Announcement Type: Initial Competitive Grant.
    CFDA Number: 93.217.

DATES: Application due dates vary. To receive consideration, 
applications must be received by the Office of Public Health and 
Science (OPHS) Office of Grants Management no later than the applicable 
due date listed in Table I, Section IV. 3. Submission Dates and Times, 
and within the time frames specified in this announcement for 
electronically submitted, mailed, and/or hand-carried applications.
    Executive Order 12372 comment due date: The State Single Point of 
Contact (SPOC) has 60 days from the applicable due date as listed in 
Table I of this announcement to submit any comments.

SUMMARY: The Office of Population Affairs (OPA), Office of Family 
Planning (OFP), announces the anticipated availability of funds for 
fiscal year (FY) 2005 family planning service grants under the 
authority of Title X of the Public Health Service Act and solicits 
applications for competing grant awards to serve the areas and/or 
populations listed in Table I. Only applications which propose to serve 
the populations and/or areas listed in Table I will be accepted for 
review and possible funding.

I. Funding Opportunity Description

    This announcement seeks applications from public and nonprofit 
private entities to establish and operate voluntary family planning 
services projects, which shall provide family planning services to all 
persons desiring such services. Family planning services include 
clinical family planning and related preventive health services; 
information, education, and counseling related to family planning, 
including abstinence education; and referral services as indicated.

Program Statute and Regulations

    Requirements regarding the provision of family planning services 
under Title X can be found in the statute (Title X of the Public Health 
Service Act, 42 U.S.C. 300, et seq.), the implementing regulations 
which govern project grants for family planning services (42 CFR part 
59, subpart A), and the ``Program Guidelines for Project Grants for 
Family Planning Services,'' published in January 2001. Title X of the 
Public Health Service Act authorizes the Secretary of Health and Human 
Services (HHS) to award grants for projects to provide family planning 
services to persons from low-income families and others. Section 1001 
of the Act, as amended, authorizes grants ``to assist in the 
establishment and operation of voluntary family planning projects which 
shall offer a broad range of acceptable and effective family planning 
methods and services (including natural family planning methods, 
infertility services, and services for adolescents).'' Title X 
regulations further specify that ``These projects shall consist of the 
educational, comprehensive medical, and social services necessary to 
aid individuals to determine freely the number and spacing of their 
children'' (42 CFR 59.1). In addition, section 1001 of the statute 
requires that, to the extent practicable, Title X service providers 
shall encourage family participation in family planning services 
projects. Section 1008 of the Act, as amended, stipulates that ``none 
of the funds appropriated under this title shall be used in programs 
where abortion is a method of family planning.''
    Copies of the Title X statute, regulations, and Program Guidelines 
may be obtained by contacting the OPHS Office of Grants Management, or 
downloaded from the Office of Population Affairs Web site at http://opa.osophs.dhhs.gov. These documents are also included in the 
application kit. All Title X requirements--including those derived from 
the statute, the regulations, and the Program Guidelines--apply to all 
activities funded under this announcement. For example, projects must 
meet the regulatory requirements set out at 42 CFR 59.5 regarding 
charges to clients, and the funding criteria set out at 42 CFR 59.7 
apply to all applicants under this announcement.

II. Award Information

    The anticipated FY 2005 appropriation for the Title X family 
planning program is approximately $280 million. Of this amount, OPA 
intends to make available approximately $46 million for competing Title 
X family planning service grant awards in 16 states, populations, and/
or areas. (See Table I, Section IV. 3. Submission Dates and Times, for 
competing areas and approximate amount of awards). The remaining funds 
will be used for continued support of grants and activities which are 
not competitive in FY 2005. This program announcement is subject to the 
appropriation of funds and is a contingency action taken to ensure 
that, should funds become available for this purpose, applications can 
be processed in an orderly manner, and funds can be awarded in a timely 
fashion. Grants will be funded in annual increments (budget periods) 
and are generally approved for a project period of three to five years. 
Funding for all approved budget periods beyond the first year of the 
grant is contingent upon the availability of funds, satisfactory 
progress of the project, and adequate stewardship of Federal funds.

III. Eligibility Information

1. Eligible Applicants

    Any public or nonprofit private entity located in a State (which 
includes one of the 50 United States, the District of Columbia, 
Commonwealth of Puerto Rico, U.S. Virgin Islands, Commonwealth of the 
Northern Mariana Islands, American Samoa, Guam, Republic of Palau, 
Federated States of Micronesia, and the Republic of the Marshall 
Islands) is eligible to apply for a grant under this announcement. 
Faith-based organizations are eligible to apply for these Title X 
family planning services grants.

2. Cost Sharing

    Program regulations at 42 CFR 59.7(b) state that ``No grant may be 
made for less than 90 percent of the project's costs, as so estimated, 
unless the grant is to be made for a project that was supported, under 
section 1001, for less than 90 percent of its costs in fiscal year 
1975. In that case, the grant shall not be for less than the percentage 
of costs covered by the grant in fiscal year 1975.'' Furthermore, 
section 59.7(c) stipulates that ``No grant may be made for an amount 
equal to 100 percent for the project's estimated costs.''

3. Other

    Awards will be made only to those organizations or agencies which 
have met all applicable requirements and which demonstrate the 
capability of providing the proposed services.

IV. Application and Submission Information

1. Address to Request Application Package

    Application kits may be requested from, and applications submitted 
to the OPHS Office of Grants Management, 1101 Wootton Parkway, Suite 
550, Rockville, MD 20852; 301-594-0758. Application kits are also 
available

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online at the electronic grants management Web site (e-Grants) at 
https://egrants.osophs.dhhs.gov, or by FAX at 301-594-9399.

2. Content and Form of Application

    Applications must be submitted on the Form OPHS-1 (Revised 6/01) 
and in the manner prescribed in the application kit. Applications 
should be limited to 60 double-spaced pages, not including appendices 
and required forms, using an easily readable serif typeface, such as 
Times Roman, Courier, or GC Times. All pages, charts, figures and 
tables should be numbered. The application narrative should be numbered 
separately and clearly show the 60 page limit. If the application 
narrative exceeds 60 pages, only the first 60 pages of the application 
narrative will be reviewed. Appendices may provide curriculum vitae, 
organizational structure, examples of organizational capabilities, or 
other supplemental information which supports the application. However, 
appendices are for supportive information only. All information that is 
critical to the proposed project should be included in the body of the 
application. Appendices should be clearly labeled.
    A Dun and Bradstreet Universal Numbering System (DUNS) number is 
required for all applications for Federal assistance. Organizations 
should verify that they have a DUNS number or take the steps needed to 
obtain one. Instructions for obtaining a DUNS number are included in 
the application package, and may be downloaded from the OPA Web site.
    Applications must include a one-page abstract of the proposed 
project. The abstract will be used to provide reviewers with an 
overview of the application, and will form the basis for the 
application summary in grants management documents.

3. Submission Dates and Times

    Competing grant applications are invited for the following areas 
(please note, in order to maximize access to family planning services, 
one or more grants may be awarded for each area listed):

                                                     Table I
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                                                               Approximate
              Areas/populations to be served                     funding       Application due     Approximate
                                                                available           date          funding date
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Region I:
    Massachusetts.........................................        $5,217,000          09/01/04          01/01/05
Region II:
    New York State........................................         9,635,000          03/01/05          07/01/05
    Puerto Rico...........................................         2,389,000          03/01/05          07/01/05
Region III:
    Washington, D.C.......................................         1,053,000          09/01/04          01/01/05
Region IV:
    Kentucky..............................................         5,203,000          03/01/05          07/01/05
    South Carolina........................................         5,569,000          03/01/05          07/01/05
    Tennessee.............................................         5,914,000          03/01/05          07/01/05
Region V:
    No areas competitive in FY 2005.......................  ................  ................  ................
Region VI:
    Arkansas..............................................         3,241,000          11/01/04          03/01/05
    New Mexico............................................         2,288,000          09/01/04          01/01/05
Region VII:
    Kansas................................................         2,332,000          03/01/05          07/01/05
Region VIII:
    No areas competitive in 2005..........................  ................  ................  ................
Region IX:
    Gila River Indian Community...........................           251,000          03/01/05          07/01/05
    Government of Guam....................................           452,000          03/01/05          07/01/05
    Republic of Palau.....................................            99,000          03/01/05          07/01/05
    Federated States of Micronesia........................           411,000          03/01/05          07/01/05
Region X:
    Idaho.................................................         1,318,000          03/01/05          07/01/05
    Oregon, Multnomah County..............................           330,000          03/01/05          07/01/05
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Submission Mechanisms
    The OFP provides multiple mechanisms for submission of applications 
as described in the following sections.
Electronic Submission
    The OPHS electronic grants management system, eGrants, provides for 
applications to be submitted electronically. While applications are 
accepted in hard copy, the use of the electronic application submission 
capabilities provided by the eGrants system is encouraged. Information 
about this system is available on the OPA Web site, http://opa.osophs.dhhs.gov, or may be requested from the OPHS Office of Grants 
Management at 301-594-0758. Applications sent via any other means of 
electronic communication, including facsimile or electronic mail, 
outside of the OPHS eGrants system will not be accepted for review.
    The body of the application and required forms can be submitted 
using the e-Grants system. In addition to electronically submitted 
materials, applicants are required to provide a hard copy of the 
application face page (Standard Form 424 [Revised 06/2001]) with the 
original signature of an individual authorized to act for the applicant 
agency or organization and to assume for the organization the 
obligations imposed by the terms and conditions of the grant award. The 
application is not considered complete until both the electronic 
application and the hard copy face page with original signature are 
received.
    Electronic grant application submissions must be submitted no later 
than 5 p.m. eastern time on the deadline date specified in the DATES 
section of the announcement. All required hard copy original signatures 
and mail-in items must be received by the OPHS

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Office of Grants Management no later than 5 p.m. eastern time on the 
next business day after the deadline date specified in the DATES 
section of the announcement.
    Applications will not be considered valid until all electronic 
application components, hard copy original signatures, and mail-in 
items are received by the OPHS Office of Grants Management according to 
the deadlines specified above. Any application submitted electronically 
after 5 p.m. eastern time on the deadline date specified in the DATES 
section of the announcement will be considered late and will be deemed 
ineligible. Failure of the applicant to submit all required hard copy 
original signatures to the OPHS Office of Grants Management by 5 p.m. 
eastern time on the next business day after the deadline date specified 
in the DATES section of the announcement will result in the electronic 
application being deemed ineligible.
    Upon completion of a successful electronic application submission, 
the eGrants system will provide the applicant with a confirmation page 
indicating the date and time (eastern time) of the electronic 
application submission. This confirmation page will also provide the 
receipt status of all indicated signatures and items to be mailed to 
the OPHS Office of Grants Management. As items are received by the OPHS 
Office of Grants Management, the electronic application status will be 
updated to reflect the receipt of mail-in items. It is recommended that 
the applicant monitor the status of their application to ensure that 
all signatures and mail-in items are received.
    Applicants are encouraged to initiate electronic applications early 
in the application development process, and to submit early on the due 
date or before. This will aid in addressing any problems with 
submission prior to the application deadline.
Mailed Hard Copy Applications
    Applications submitted in hard copy are required to submit an 
original and two copies of the application. The original application 
must be signed by an individual authorized to act for the applicant 
agency or organization and to assume for the organization the 
obligations imposed by the terms and conditions of the grant award.
    Mailed applications will be considered as meeting the deadline if 
they are received by the OPHS Office of Grants Management on or before 
5 p.m. eastern time on the deadline date specified in the DATES section 
of the announcement. The application deadline date requirement 
specified in this announcement supercedes the instructions in the OPHS-
1. Applications that do not meet the deadline will be returned to the 
applicant unread.
Hand-Delivered Applications
    Hand-delivered applications must be received by the OPHS Office of 
Grants Management, 1101 Wootton Parkway, Suite 550, Rockville, 
Maryland, 20852, no later than 5 p.m. eastern time on the deadline date 
specified in the DATES section of the announcement. Hand-delivered 
applications must include an original and two copies of the 
application. The original application must be signed by an individual 
authorized to act for the applicant agency or organization and to 
assume for the organization the obligations imposed by the terms and 
conditions of the grant award.

4. Intergovernmental Review

    Applicants under this announcement are subject to the requirements 
of Executive Order 12372, ``Intergovernmental Review of Federal 
Programs,'' as implemented by 45 CFR part 100, ``Intergovernmental 
Review of Department of Health and Human Services Programs and 
Activities.'' As soon as possible, the applicant should discuss the 
project with the State Single Point of Contact (SPOC) for the state in 
which the applicant is located. The application kit contains the 
currently available listing of the SPOCs that have elected to be 
informed of the submission of applications. For those states not 
represented on the listing, further inquiries should be made by the 
applicant regarding the submission to the relevant SPOC. The SPOC 
should forward any comments to the OPHS Office of Grants Management, 
1101 Wootton Parkway, Suite 550, Rockville, Maryland 20852. The SPOC 
has 60 days from the applicable due date as listed in Table I of this 
announcement to submit any comments. For further information, contact 
the OPHS Office of Grants Management at 301-594-0758.

5. Funding Restrictions

    The allowability, allocability, reasonableness and necessity of 
direct and indirect costs that may be charged to OPHS grants are 
outlined in the following documents: OMB Circular A-21 (Institutions of 
Higher Education); OMB Circular A-87 (State and Local Governments); OMB 
Circular A-122 (Nonprofit Organizations); and 45 CFR part 74, Appendix 
E (Hospitals). Copies of the Office of Management and Budget (OMB) 
Circulars are available on the Internet at http://www.whitehouse.gov/omb/grants/grants_circulars.html.
    In order to claim indirect costs as part of a budget request, an 
applicant organization must have an indirect cost rate which has been 
negotiated with the Federal government. The Health and Human Services 
Division of Cost Allocation (DCA) Regional Office that is applicable to 
your State can provide information on how to receive such a rate. A 
list of DCA Regional Offices is included in the application kit for 
this announcement.

6. Other Submission Requirements

    The following priorities represent overarching goals for the Title 
X program. In developing a proposal, each applicant should describe how 
the proposed project will address each priority.
Program Priorities
    1. Assuring continued high quality family planning and related 
preventive health services that will improve the overall health of 
individuals;
    2. Assuring access to a broad range of high quality clinical family 
planning and related preventive health services that include the 
following: Provision of highly effective contraceptive methods; breast 
and cervical cancer screening and prevention; STD and HIV prevention 
education, counseling, and testing; extramarital abstinence education 
and counseling; and other preventive health services. The broad range 
of services does not include abortion as a method of family planning;
    3. Encouraging family participation in the decision of minors to 
seek family planning services, including activities that promote 
positive family relationships;
    4. Improving the health of individuals and communities by 
partnering with community-based organizations (CBOs), faith-based 
organizations (FBOs), and other public health providers that work with 
vulnerable or at-risk populations;
    5. Promoting individual and community health by emphasizing family 
planning and related preventive health services for hard-to-reach 
populations, such as uninsured or under-insured individuals, males, 
persons with limited English proficiency, adolescents, and other 
vulnerable or at-risk populations.
Legislative Mandates
    The following legislative mandates have been part of the Title X 
appropriations for each of the last several years. In developing a 
proposal, each applicant should describe how the

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proposed project will address each of these legislative mandates.
     ``None of the funds appropriated in this Act may be made 
available to any entity under Title X of the Public Health Service Act 
unless the applicant for the award certifies to the Secretary that it 
encourages family participation in the decision of minors to seek 
family planning services and that it provides counseling to minors on 
how to resist attempts to coerce minors into engaging in sexual 
activities;'' and
     ``Notwithstanding any other provision of law, no provider 
of services under Title X of the Public Health Service Act shall be 
exempt from any State law requiring notification or the reporting of 
child abuse, child molestation, sexual abuse, rape, or incest.''
Other Key Issues
    In addition to the Program Priorities and Legislative Mandates, the 
following Key Issues have implications for Title X services projects 
and should be acknowledged in the program plan:
    1. The increasing cost of providing family planning services;
    2. The U.S. Department of Health and Human Service priorities, 
initiatives, and Healthy People 2010 objectives as they relate to 
family planning and reproductive health (http://www.health.gov/healthypeople);
    3. Departmental initiatives and legislative mandates, such as the 
Health Insurance Portability and Accountability Act (HIPAA); Infant 
Adoption Awareness Program; providing adolescents with information, 
skills and support to encourage delay of sexual activity; serving 
persons with limited English proficiency;
    4. Integration of HIV/AIDS services into family planning programs; 
specifically, HIV/AIDS education, counseling and testing either on-site 
or by referral should be provided in all Title X family planning 
services projects. Education regarding the prevention of HIV/AIDS 
should incorporate the ``ABC'' message. That is, for adolescents and 
unmarried individuals, the message should include ``A'' for abstinence; 
for married or individuals in committed relationships, the message is 
``B'' for being faithful; and, for individuals who engage in behavior 
that puts them at risk for HIV, the message should include ``C'' for 
condom use.
    5. Utilization of electronic technologies, such as e-Grants, the 
OPA electronic grants management system (training for grantees will be 
provided as needed);
    6. Data collection and reporting which is responsive to the revised 
Family Planning Annual Report (FPAR) and other information needs for 
monitoring and improving family planning services;
    7. Service delivery improvement through utilization of research 
outcomes focusing on family planning and related population issues; and
    8. Utilizing practice guidelines and recommendations developed by 
recognized professional organizations and other Federal agencies in the 
provision of evidence-based Title X clinical services.
Characteristics of a Successful Proposal
    Proposed projects must adhere to all requirements of the Title X 
statute, regulations, and Program Guidelines. Successful proposals will 
fully describe how the project will address the requirements, and 
should include the following:
    1. A clear description of the need for the services proposed;
    2. A description of the geographic area and population to be 
served;
    3. Evidence that the applicant organization has experience in 
providing clinical health services and the capacity to undertake the 
clinical family planning and related preventive health services 
required;
    4. Evidence that the proposed services are consistent with the 
requirements of Title X. Use of Title X funds is prohibited in programs 
where abortion is a method of family planning;
    5. A project plan which describes the services to be provided, the 
location(s) and hours of clinic operations, and projected number of 
clients to be served;
    6. A staffing plan which is reasonable and adheres to the Title X 
regulatory requirement that family planning medical services will be 
performed under the direction of a physician with special training or 
experience in family planning. Staff providing clinical services should 
be licensed and function within the applicable professional practice 
acts for the State;
    7. Goal statement(s) and related outcome objectives that are 
specific, measurable, achievable, realistic and time-framed 
(S.M.A.R.T.);
    8. Description of how the applicant will address Title X Program 
Priorities and Key Issues.
    9. Evidence of formal agreements for referral services (e.g., 
required clinical services, if not provided by the applicant), and 
collaborative agreements with other service providers in the community, 
where appropriate;
    10. Evidence of the capability of collecting and reporting the 
required program data for the Title X annual data collection system 
(FPAR);
    11. Evidence of a system for assuring quality family planning 
services, including adherence to program requirements; and
    12. A budget and budget justification narrative for year one of the 
project that is detailed, reasonable, adequate, cost efficient, and 
that is derived from proposed activities. Budget projections for each 
of the continuing years should be included.

V. Application Review Information

1. Criteria

    (1) The degree to which the project plan adequately provides for 
the requirements set forth in the Title X regulations at 42 CFR part 
59, subpart A (20 points);
    (2) The extent to which family planning services are needed locally 
(20 points);
    (3) The number of patients, and, in particular, the number of low-
income patients to be served (15 points);
    (4) The adequacy of the applicant's facilities and staff (15 
points);
    (5) The capacity of the applicant to make rapid and effective use 
of the Federal assistance (10 points);
    (6) The relative availability of non-Federal resources within the 
community to be served and the degree to which those resources are 
committed to the project (10 points); and
    (7) The relative need of the applicant (10 points).

2. Review and Selection Process

    Each regional office is responsible for evaluating applications and 
setting funding levels according to the criteria set out in 42 CFR 
59.7(a). Eligible applications will be reviewed by a panel of 
independent reviewers and will be evaluated based on the criteria 
listed above. In addition to the independent review panel, there will 
be staff reviews of each application for programmatic and grants 
management compliance.
    Final grant award decisions will be made by the Regional Health 
Administrator (RHA) for the applicable PHS Region. In making grant 
award decisions, the RHA will fund those projects which will, in his/
her judgement, best promote the purposes of section 1001 of the Act, 
within the limits of funds available for such projects.

VI. Award Administration Information

1. Award Notices

    The OPA does not release information about individual applications 
during the review process. When final funding

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decisions have been made, each applicant will be notified by letter of 
the outcome. The official document notifying an applicant that a 
project application has been approved for funding is the Notice of 
Grant Award, signed by the Director of the OPHS Office of Grants 
Management. This document specifies to the grantee the amount of money 
awarded, the purposes of the grant, the length of the project period, 
terms and conditions of the grant award, and the amount of funding, if 
any, to be contributed by the grantee to project costs.

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 successful applicant will be responsible for the overall 
management of activities within the scope of the approved project plan. 
The OPHS requires all grant recipients to provide a smoke-free 
workplace and to promote the non-use of all tobacco products. This is 
consistent with the OPHS mission to protect and advance the physical 
and mental health of the American people.
    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

    Each grantee is required to submit a Family Planning Annual Report 
(FPAR) each year. The information collections (reporting requirements) 
and format for this report have been approved by the Office of 
Management and Budget and assigned OMB No. 0990-0221. The FPAR contains 
a brief organizational profile and 14 tables to report data on users, 
service use, and revenue for the reporting year.
    In addition to the FPAR, grantees are required to submit an annual 
Financial Status Report within 90 days of the end of each budget 
period. Grantees who receive greater than $500,000 of Federal funds 
must also undergo an independent audit in accordance with OMB Circular 
A-133.

VII. Agency Contacts

Administrative and Budgetary Requirements

    For information related to administrative and budgetary 
requirements, contact the OPHS Office of Grants Management, 1101 
Wootton Parkway, Suite 550, Rockville, MD 20852; 301-594-0758.

Program Requirements

    For information related to family planning program requirements, 
contact the Regional Program Consultant for Family Planning in the 
applicable Regional Office listed below:
    Region I (Connecticut, Maine, Massachusetts, New Hampshire, Rhode 
Island, Vermont)--Suzanne Theroux, 617-565-1063;
    Region II (New Jersey, New York, Puerto Rico, Virgin Islands)--
Robin Lane, 212-264-3935;
    Region III (Delaware, Washington, DC, Maryland, Pennsylvania, 
Virginia, West Virginia)--Donna Garner, 215-861-4624 or Dickie Lynn 
Gronseth, 215-861-4656;
    Region IV (Kentucky, Mississippi, North Carolina, Tennessee, 
Alabama, Florida, Georgia, South Carolina)--Cristino Rodriguez, 404-
562-7900;
    Region V (Illinois, Indiana, Michigan, Minnesota, Ohio, 
Wisconsin)--Janice Ely, 312-886-3864;
    Region VI (Arkansas, Louisiana, New Mexico, Oklahoma, Texas)--
Evelyn Glass, 214-767-3088;
    Region VII (Iowa, Kansas, Missouri, Nebraska)--Elizabeth Curtis, 
816-426-2924;
    Region VIII (Colorado, Montana, North Dakota, South Dakota, Utah, 
Wyoming)--Jill Leslie, 303-844-7856;
    Region IX (Arizona, California, Hawaii, Nevada, Commonwealth of the 
Northern Mariana Islands, American Samoa, Guam, Republic of Palau, 
Federal States of Micronesia, Republic of the Marshall Islands)--Nancy 
Mautone Smith, 415-437-7984;
    Region X (Alaska, Idaho, Oregon, Washington)--Janet Wildeboor, 206-
615-2776.

Alma L. Golden, MD, FAAP
Deputy Assistant Secretary for Population Affairs.
[FR Doc. 04-15340 Filed 7-6-04; 8:45 am]
BILLING CODE 4150-34-P