[Federal Register Volume 69, Number 131 (Friday, July 9, 2004)]
[Notices]
[Pages 41492-41496]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-15599]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention


Capacity Building To Support Local and Indigenous Organizations 
Providing HIV Prevention and Care in Kenya

    Announcement Type: New.
    Funding Opportunity Number: PA 04261.
    Catalog of Federal Domestic Assistance Number: 93.941.
    Key Dates: Application Deadline: August 9, 2004.

I. Funding Opportunity Description

    Authority: This program is authorized under sections 307 and 
317(k)(2) of the Public Health Service Act, (42 U.S.C. Sections 242l 
and 247b(k)(2)), as amended, and under Public Law 108-25 (United States 
Leadership Against HIV/AIDS, Tuberculosis and Malaria Act of 2003) (22 
U.S.C. 7601).
    Purpose: The Centers for Disease Control and Prevention (CDC) 
announces the availability for Fiscal Year (FY) 2004 funds for a 
cooperative agreement program to improve the capacity of, and provide 
support to, local and indigenous organizations in Kenya to enable them 
to provide a range of services, including: Voluntary counseling and 
testing (VCT); prevention of mother-to-child transmission (PMTCT); on-
going treatment of HIV+ mothers (PMTCT+); prevention education and 
outreach, including abstinence and faithfulness education; anti-
retroviral treatment (ART); and palliative care.
    The Global AIDS Program (GAP) has established field operations to 
support national HIV/AIDS control programs in 25 countries. The CDC's 
GAP exists to help prevent HIV infection, improve care and support, and 
build capacity to address the global AIDS pandemic. GAP provides 
financial and technical assistance through partnerships with 
governments, community- and faith-based organizations, the private 
sector, and national and international entities working in the 25 
resource-constrained countries. CDC/GAP works with the Health Resources 
and Services Administration (HRSA), the National Institutes of Health 
(NIH), the U.S. Agency for International Development (USAID), the Peace 
Corps, the Departments of State, Labor and Defense, and other agencies 
and organizations. These efforts complement multilateral efforts, 
including UNAIDS, the Global Fund to Combat HIV, TB and Malaria, World 
Bank funding, and other private sector donation programs.
    The U.S. Government seeks to reduce the impact of HIV/AIDS in 
specific countries within sub-Saharan Africa, Asia, and the Americas 
through the Presidential Emergency Plan for AIDS Relief (PEPFAR). 
Through this new initiative, CDC's GAP will continue to work with host 
countries to strengthen capacity and expand activities in the areas of: 
(1) Primary HIV prevention; (2) HIV care, support, and treatment; and 
(3) capacity and infrastructure development, especially for 
surveillance and training. Targeted countries represent those with the 
most severe epidemics where the potential for impact is greatest and 
where U.S. government agencies are already active. Kenya is one of 
these targeted countries.
    To carry out its activities in these countries, CDC is working in a 
collaborative manner with national governments and other agencies to 
develop programs of assistance to address the HIV/AIDS epidemic. CDC's 
program of assistance to Kenya focuses on several areas of national 
priority, including scaling up of activities and funding for HIV 
prevention, care, and treatment; improvement of the national blood 
safety program; and support for the National AIDS and STD Control 
Program.
    CDC Kenya has already been supporting a number of local, 
indigenous, faith-based, and international organizations to provide HIV 
prevention education, VCT, PMTCT, and AIDS care services in their 
communities. Under PEPFAR, CDC

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Kenya plans to provide support and capacity building to these 
organizations, and expand the number of such organizations to extend 
and strengthen their programs and services.
    The measurable outcomes of the program will be in alignment with 
goals of the GAP to reduce HIV transmission and improve care of persons 
living with HIV/AIDS (PLWHA). They also will contribute to the goals of 
the PEPFAR which are: Within five years treat more than two million 
HIV-infected persons with effective combination anti-retroviral 
therapy; care for ten million HIV-infected and affected persons 
including those orphaned by HIV/AIDS; and prevent seven million 
infections in 14 countries throughout the world.
    Some of the specific measurable outcomes from this program will be: 
The number of local organizations, including community- and faith-based 
organizations, receiving assistance from the awardee; the number of 
clients or patients receiving counseling and testing; the number of 
patients receiving basic care packages; the number of pregnant women 
receiving a comprehensive package of PMTCT and PMTCT+ services; the 
number of new patients served with ART, and those current ART patients 
receiving continuous service for more than 12 months; the number of 
people receiving prevention services including abstinence and 
faithfulness interventions; and the number of clinicians, counselors, 
community or religious leaders trained by these local organizations. An 
additional outcome is the number of these organizations that learn how 
to successfully apply for and manage funding independently, as a result 
of technical assistance provided by the awardee.
    Activities: Awardee activities for this program are as follows:
     Develop a plan to support local organizations to provide a 
range of services, including VCT; PMTCT; ART; palliative care; 
prevention education, including abstinence and faithfulness services; 
and workplace programs.
     Develop a mechanism to identify prospective collaborating 
partners and provide capacity building and financial support to these 
agencies. In year one, these local partners must be consistent with the 
FY 2004 Kenya Country Operational Plan approved by the PEPFAR 
coordinator, though in future years the awardee should also identify 
new potential partners. In all years, activities proposed by these 
local partners must contribute to the achievement of PEPFAR targets for 
Kenya. Approximately 25 local partners are anticipated in year one, 
with total financial support ranging from $25,000 to $300,000 annually. 
Average anticipated funding to local partners will be approximately 
$125,000. Anticipated activities of the local partners include VCT; 
PMTCT; care and treatment, including ART; and prevention activities 
delivered in workplaces, churches, mosques, and communities.
     Provide fiscal oversight and technical assistance to these 
local partners in the areas of program and financial management, 
administration, personnel management, data management, and other 
aspects of institution strengthening.
     Develop and implement a plan to improve the capacity of 
the local partners to become independent and sustainable, and for these 
local groups to become effective contributors in their communities.
     Develop mechanisms for information sharing, including 
sharing of lessons learned among local partners, and referral systems 
between partners, when appropriate.
     Monitor, assess and report on the performance of the local 
partners.
     Assist the local partners to write reports describing 
their programs.
     Provide training and technical assistance to the local 
partners so they may develop the skills to apply for funds 
independently and manage funds effectively after the completion of the 
program.
    Awardee should ensure that all of the above activities integrate 
into the national HIV/AIDS strategy.
    In a cooperative agreement, CDC staff is substantially involved in 
the program activities, above and beyond routine grant monitoring.
    CDC Activities for this program are as follows:
     Assist awardee in identifying prospective local partners. 
In particular, in year one, those partners must be consistent with the 
Kenya PEPFAR FY 2004 Country Operational Plan.
     Assist awardee in developing strategies and mechanisms to 
identify new partners for years two and three.
     Provide technical assistance in clinical, counseling and 
laboratory issues, training, data management, and program monitoring 
and evaluation.
     Monitor project and budget performance to ensure 
satisfactory progress towards the goals of the project.

II. Award Information

    Type of Award: Cooperative Agreement. CDC involvement in this 
program is listed in the Activities Section above.
    Fiscal Year Funds: 2004.
    Approximate Total Funding: $12,000,000. (This amount is the 
approximate total funding amount for the entire three-year project 
period.)
    Approximate Number of Awards: One or two.
    Approximate Average Award: $4,000,000. (This amount is for the 
first 12-month budget period, and includes both direct and indirect 
costs.)
    Floor of Award Range: $2,000,000.
    Ceiling of Award Range: $4,000,000.
    Anticipated Award Date: September 1, 2004.
    Budget Period Length: 12 months.
    Project Period Length: Three years.
    Throughout the project period, CDC's commitment to continuation of 
awards will be conditioned on the availability of funds, evidence of 
satisfactory progress by the recipient (as documented in required 
reports), and the determination that continued funding is in the best 
interest of the Federal Government.

III. Eligibility Information

III.1. Eligible Applicants

    Applications may be submitted by public nonprofit organizations, 
private nonprofit organizations, for-profit organizations, and faith-
based organizations that meet the following criteria:
    1. Have at least five years of documented experience in building 
the capacity of local and indigenous organizations, and in managing 
sub-grants to local organizations.
    2. Have an existing program or office in Kenya. It is critical that 
this activity commence quickly, and that the applicant is not delayed 
by procedures required for programs to operate in Kenya.

III.2. Cost Sharing or Matching

    Matching funds are not required for this program.

III.3. Other

    If you request a funding amount greater than the ceiling of the 
award range, your application will be considered non-responsive, and 
will not be entered into the review process. You will be notified that 
your application did not meet the submission requirements.
    If your application is incomplete or non-responsive to the 
requirements listed in this section, it will not be entered into the 
review process. You will be notified that your application did not meet 
submission requirements.

    Note: Title 2 of the United States Code Section 1611 states that 
an organization

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described in section 501(c)(4) of the Internal Revenue Code that 
engages in lobbying activities is not eligible to receive Federal 
funds constituting an award, grant, or loan.

IV. Application and Submission Information

IV.1. Address To Request Application Package

    To apply for this funding opportunity use application form PHS 
5161. Application forms and instructions are available on the CDC Web 
site, at the following Internet address: www.cdc.gov/od/pgo/forminfo.htm.
    If you do not have access to the Internet, or if you have 
difficulty accessing the forms on-line, you may contact the CDC 
Procurement and Grants Office Technical Information Management Section 
(PGO-TIM) staff at: (770) 488-2700. Application forms can be mailed to 
you.

IV.2. Content and Form of Submission

    Application: You must include a project narrative with your 
application forms. The narrative must be submitted in the following 
format:
     Maximum number of pages: 15. If your narrative exceeds the 
page limit, only the first pages which are within the page limit will 
be reviewed.
     Font size: 12 point unreduced.
     Double Spaced.
     Paper size: 8.5 by 11 inches.
     Page margin size: One inch.
     Printed only on one side of page.
     Held together only by rubber bands or metal clips; not 
bound in any other way.
     All pages should be numbered, and a complete index to the 
application and any appendices must be included.
     Submitted in English.
    Your narrative should address activities to be conducted over the 
entire project period, and should consist of, as a minimum, a plan; 
objectives; activities; methods; an evaluation framework; and a budget 
highlighting any supplies mentioned in the Program Requirements, and 
any proposed capital expenditure. The budget justification will not be 
counted in the page limit stated above.
    Additional information is optional and may be included in the 
application appendices. The appendices will not be counted toward the 
narrative page limit. Additional information could include, but is not 
limited to: Organizational charts, curriculum vitas, letters of 
support, etc.
    You are required to have a Dun and Bradstreet Data Universal 
Numbering System (DUNS) number to apply for a grant or cooperative 
agreement from the Federal Government. The DUNS number is a nine-digit 
identification number, which uniquely identifies business entities. 
Obtaining a DUNS number is easy and there is no charge. To obtain a 
DUNS number, access http://www.dunandbradstreet.com or call 1-866-705-
5711.
    For more information, see the CDC Web site at: http://www.cdc.gov/od/pgo/funding/pubcommt.htm.
    If your application form does not have a DUNS number field, please 
write your DUNS number at the top of the first page of your 
application, and/or include your DUNS number in your application cover 
letter.
    Additional requirements that may require you to submit additional 
documentation with your application are listed in section ``VI.2. 
Administrative and National Policy Requirements.''

IV.3. Submission Dates and Times

    Application Deadline Date: August 9, 2004.
    Explanation of Deadlines: Applications must be received in the CDC 
Procurement and Grants Office by 4 p.m. eastern time on the deadline 
date. If you send your application by the United States Postal Service 
or commercial delivery service, you must ensure that the carrier will 
be able to guarantee delivery of the application by the closing date 
and time. If CDC receives your application after closing due to: (1) 
Carrier error, when the carrier accepted the package with a guarantee 
for delivery by the closing date and time, or (2) significant weather 
delays or natural disasters, you will be given the opportunity to 
submit documentation of the carriers guarantee. If the documentation 
verifies a carrier problem, CDC will consider the application as having 
been received by the deadline.
    This announcement is the definitive guide on application submission 
address and deadline. It supersedes information provided in the 
application instructions. If your application does not meet the 
deadline above, it will not be eligible for review, and will be 
discarded. You will be notified that your application did not meet the 
submission requirements.
    CDC will not notify you upon receipt of your application. If you 
have a question about the receipt of your application, first contact 
your courier. If you still have a question, contact the PGO-TIM staff 
at: (770) 488-2700. Before calling, please wait two to three days after 
the application deadline. This will allow time for applications to be 
processed and logged.

IV.4. Intergovernmental Review of Applications

    Executive Order 12372 does not apply to this program.

IV.5. Funding Restrictions

    Restrictions, which must be taken into account while writing your 
budget, are as follows:
     Funds may be used for: Establishing a program to improve 
the capacity of local organizations; provide sub-grants to local 
organizations; provide technical assistance to these organizations; and 
for procurement of equipment and supplies needed by these 
organizations.
     Antiretroviral Drugs--The purchase of antiretrovirals, 
reagents, and laboratory equipment for antiretroviral treatment 
projects require pre-approval from the GAP headquarters.
     Needle Exchange--No funds appropriated under this Act 
shall be used to carry out any program of distributing sterile needles 
or syringes for the hypodermic injection of any illegal drug.
     Funds may be spent for reasonable program purposes, 
including personnel, training, travel, supplies and services. Equipment 
may be purchased and renovations completed if deemed necessary to 
accomplish program objectives; however, prior written approval by CDC 
officials must be requested in writing.
     All requests for funds contained in the budget shall be 
stated in U.S. dollars. Once an award is made, CDC will not compensate 
foreign grantees for currency exchange fluctuations through the 
issuance of supplemental awards.
     The costs that are generally allowable in grants to 
domestic organizations are allowable to foreign institutions and 
international organizations, with the following exception: With the 
exception of the American University, Beirut, and the World Health 
Organization, Indirect Costs will not be paid (either directly or 
through sub-award) to organizations located outside the territorial 
limits of the United States or to international organizations 
regardless of their location.
     The applicant may contract with other organizations under 
this program, however, the applicant must perform a substantial portion 
of the activities relating to the management of sub-grants to local 
organizations and improving their capacity.
     An annual audit of these funds is required by a U.S. based 
audit firm with international branches and current licensure/authority 
in-country, and in accordance with International

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Accounting Standards or equivalent standard(s) approved in writing by 
CDC. The audit should specify the use of funds and the appropriateness 
and reasonableness of expenditures.
     A fiscal Recipient Capability Assessment may be required 
with the potential awardee, pre or post award, in order to review their 
business management and fiscal capabilities regarding the handling of 
U.S. Federal funds.
     Prostitution and Related Activities. The U.S. Government 
is opposed to prostitution and related activities, which are inherently 
harmful and dehumanizing, and contribute to the phenomenon of 
trafficking in persons.
    Any entity that receives, directly or indirectly, U.S. Government 
funds in connection with this document (``recipient'') cannot use such 
U.S. Government funds to promote or advocate the legalization or 
practice of prostitution or sex trafficking. Nothing in the preceding 
sentence shall be construed to preclude the provision to individuals of 
palliative care, treatment, or post-exposure pharmaceutical 
prophylaxis, and necessary pharmaceuticals and commodities, including 
test kits, condoms, and, when proven effective, microbicides. A 
recipient that is otherwise eligible to receive funds in connection 
with this document to prevent, treat, or monitor HIV/AIDS shall not be 
required to endorse or utilize a multisectoral approach to combating 
HIV/AIDS, or to endorse, utilize, or participate in a prevention method 
or treatment program to which the recipient has a religious or moral 
objection. Any information provided by recipients about the use of 
condoms as part of projects or activities that are funded in connection 
with this document shall be medically accurate and shall include the 
public health benefits and failure rates of such use.
    In addition, any foreign recipient must have a policy explicitly 
opposing, in its activities outside the United States, prostitution and 
sex trafficking, except that this requirement shall not apply to the 
Global Fund to Fight AIDS, Tuberculosis and Malaria, the World Health 
Organization, the International AIDS Vaccine Initiative or to any 
United Nations agency, if such entity is a recipient of U.S. government 
funds in connection with this document.
    The following definitions apply for purposes of this clause:
     Sex trafficking means the recruitment, harboring, 
transportation, provision, or obtaining of a person for the purpose of 
a commercial sex act. 22 U.S.C. 7102(9).
     A foreign recipient includes an entity that is not 
organized under the laws of any State of the United States, the 
District of Columbia or the Commonwealth of Puerto Rico. Restoration of 
the Mexico City Policy, 66 FR 17303, 17303 (March 28, 2001).
    All recipients must insert provisions implementing the applicable 
parts of this section, ``Prostitution and Related Activities,'' in all 
subagreements under this award. These provisions must be express terms 
and conditions of the subagreement, acknowledge that each certification 
to compliance with this section, ``Prostitution and Related 
Activities,'' are a prerequisite to receipt of U.S. Government funds in 
connection with this document, and must acknowledge that any violation 
of the provisions shall be grounds for unilateral termination of the 
agreement prior to the end of its term. In addition, all recipients 
must ensure, through contract, certification, audit, and/or any other 
necessary means, all the applicable requirements in this section, 
``Prostitution and Related Activities,'' are met by any other entities 
receiving U.S. Government funds from the recipient in connection with 
this document, including without limitation, the recipients' sub-
grantees, sub-contractors, parents, subsidiaries, and affiliates. 
Recipients must agree that HHS may, at any reasonable time, inspect the 
documents and materials maintained or prepared by the recipient in the 
usual course of its operations that relate to the organization's 
compliance with this section, ``Prostitution and Related Activities.''
    All primary grantees receiving U.S. Government funds in connection 
with this document must certify compliance prior to actual receipt of 
such funds in a written statement referencing this document (e.g., 
``[Recipient's name] certifies compliance with the section, 
`Prostitution and Related Activities.' '') addressed to the agency's 
grants officer. Such certifications are prerequisites to the payment of 
any U.S. government funds in connection with this document.
    Recipients' compliance with this section, ``Prostitution and 
Related Activities,'' is an express term and condition of receiving 
U.S. Government funds in connection with this document, and any 
violation of it shall be grounds for unilateral termination by HHS of 
the agreement with HHS in connection with this document prior to the 
end of its term. The recipient shall refund to HHS the entire amount 
furnished in connection with this document in the event it is 
determined by HHS that the recipient has not complied with this 
section, `Prostitution and Related Activities.'
    Awards will not allow reimbursement of pre-award costs.
    Guidance for completing your budget can be found on the United 
States Government Web site at the following address: http://www.cdc.gov/od/pgo/funding/budgetguide.htm.

IV.6. Other Submission Requirements

    Application Submission Address: Submit the original and two hard 
copies of your application by mail or express delivery service to: 
Technical Information Management-PA 04261, CDC Procurement and Grants 
Office, 2920 Brandywine Road, Atlanta, GA 30341. Applications may not 
be submitted electronically at this time.

V. Application Review Information

V.1. Criteria

    You are required to provide measures of effectiveness that will 
demonstrate the accomplishment of the various identified objectives of 
the cooperative agreement. Measures of effectiveness must relate to the 
performance goals stated in the ``Purpose'' section of this 
announcement. Measures must be objective and quantitative, and must 
measure the intended outcome. These measures of effectiveness must be 
submitted with the application and will be an element of evaluation.
    Your application will be evaluated against the following criteria:
1. Ability To Carry Out the Project (30 points)
    Does the applicant document demonstrate capability to achieve the 
purpose of the project? Does the applicant have demonstrated and prior 
experience with providing capacity building and support to local and 
indigenous organizations in developing countries? Does the applicant 
demonstrate an understanding of the issues and problems facing local 
and indigenous organizations implementing HIV prevention and care 
services in Kenya?
2. Plans for Administration and Management of the Project (30 points)
    Are there adequate plans for administering the project? Does the 
applicant have the capacity to award at least five to ten sub-grants 
within the first three months after the award, and at least 10 to 20 
sub-grants by March 31, 2005? Does the applicant have the capacity to 
assist the local partners to achieve measurable outcomes to contribute 
to PEPFAR targets? Does the applicant describe activities which are

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realistic, achievable, time-framed and appropriate to complete this 
program?
3. Personnel (25 points)
    Are the professional personnel involved in this project qualified, 
with evidence of experience in working to support local, indigenous, 
faith-based, and small international organizations? Do the personnel 
have prior experience with improving the capacity of local and 
indigenous organizations in Kenya and elsewhere in developing 
countries? Do the personnel have appropriate technical qualifications?
4. Administrative and Accounting Plan (15 points)
    Is there a plan to account for, prepare reports for, monitor, and 
audit expenditures under this agreement; manage the resources of the 
program; and produce, collect and analyze performance data?
5. Budget (not scored)
    Is the itemized budget for conducting the project, along with 
justification, reasonable and consistent with stated objectives and 
planned program activities? Does the budget reflect a commitment to 
ensure that local organizations receive an adequate percentage of the 
total award so that they can achieve their targets? Is the percentage 
of funds designated for administration and capacity building, including 
technical oversight from a head office, reasonable?

V.2. Review and Selection Process

    Applications will be reviewed for completeness by the Procurement 
and Grants Office (PGO) staff, and for responsiveness by the National 
Center for HIV, STD and TB Prevention (NCHSTP). Incomplete applications 
and applications that are non-responsive to the eligibility criteria 
will not advance through the review process. Applicants will be 
notified that their application did not meet submission requirements.
    An objective review panel will evaluate complete and responsive 
applications according to the criteria listed in the ``V.1. Criteria'' 
section above.
    No award will be made without the concurrence of the U.S. Embassy 
and the CDC representative in Kenya.

V.3. Anticipated Announcement Award Date

    September 1, 2004.

VI. Award Administration Information

VI.1. Award Notices

    Successful applicants will receive a Notice of Grant Award (NGA) 
from the CDC Procurement and Grants Office. The NGA shall be the only 
binding, authorizing document between the recipient and CDC. The NGA 
will be signed by an authorized Grants Management Officer, and mailed 
to the recipient fiscal officer identified in the application.
    Unsuccessful applicants will receive notification of the results of 
the application review by mail.

VI.2. Administrative and National Policy Requirements

    45 CFR part 74 and part 92.
    For more information on the Code of Federal Regulations, see the 
National Archives and Records Administration at the following Internet 
address: http://www.access.gpo.gov/nara/cfr/cfr-table-search.html.
    The following additional requirements apply to this project:
     AR-1 Human Subjects Requirements.
     AR-4 HIV/AIDS Confidentiality Provisions.
     AR-6 Patient Care.
     AR-8 Public Health System Reporting Requirements.
     AR-10 Smoke-Free Workplace Requirements.
     AR-14 Accounting System Requirements.
    Additional information on these requirements can be found on the 
CDC Web site at the following Internet address: http://www.cdc.gov/od/pgo/funding/ARs.htm.

VI.3. Reporting Requirements

    You must provide CDC with an original, plus two hard copies of the 
following reports:
    1. Semi-annual reports are required 30 days after the end of the 
budget period.
    2. Interim progress report, no less than 90 days before the end of 
the budget period. The progress report will serve as your non-competing 
continuation application, and must contain the following elements:
    a. Current Budget Period Activities Objectives.
    b. Current Budget Period Financial Progress.
    c. New Budget Period Program Proposed Activity Objectives.
    d. Budget.
    e. Additional Requested Information.
    f. Measures of Effectiveness.
    3. Financial status report, no more than 90 days after the end of 
the budget period.
    4. Final financial and performance reports, no more than 90 days 
after the end of the project period.
    These reports must be mailed to the Grants Management or Contract 
Specialist listed in the ``Agency Contacts'' section of this 
announcement.

VII. Agency Contacts

    For general questions about this announcement, contact: Technical 
Information Management Section, CDC Procurement and Grants Office, 2920 
Brandywine Road, Atlanta, GA 30341, telephone: (770) 488-2700.
    For program technical assistance, contact: Elizabeth Marum, Ph.D., 
Project Officer, Global Aids Program (GAP), Kenya Country Team, 
National Center for HIV, STD and TB Prevention, Centers for Disease 
Control and Prevention [CDC], PO Box 606 Village Market, Nairobi, 
Kenya, telephone: 256-20-271-3008, e-mail: 
[email protected].
    For budget assistance, contact: Diane Flournoy, Contract 
Specialist, CDC Procurement and Grants Office, 2920 Brandywine Road, 
Atlanta, GA 30341, telephone: (770) 488-2072, e-mail: [email protected].

    Dated: July 2, 2004.
William P. Nichols,
Acting Director, Procurement and Grants Office, Centers for Disease 
Control and Prevention.
[FR Doc. 04-15599 Filed 7-8-04; 8:45 am]
BILLING CODE 4163-18-U