[Federal Register Volume 70, Number 121 (Friday, June 24, 2005)]
[Notices]
[Pages 36605-36610]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-12518]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES


Request for Applications for the National Centers of Excellence 
in Women's Health (CoE) and the National Community Centers of 
Excellence in Women's Health (CCOE)--Ambassadors for Change Program

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

ACTION: Notice.

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    Announcement Type: Competitive Cooperative Agreement--FY 2005 
Initial announcement.
    Funding Opportunity Number: Not applicable.

    Catalog of Federal Domestic Assistance: The Catalog of Federal 
Domestic Assistance number is 93.013.

    Authority: This program is authorized by 42 U.S.C. 300u-2(a).

DATES: To receive consideration applications must be received by the 
Office of Grants Management, Office of Public Health and Science 
(OPHS), Department of Health and Human Services (DHHS), no later than 5 
p.m. eastern daylight time no later than July 25, 2005.
SUMMARY: The National Centers of Excellence in Women's Health and the 
National Community Centers of Excellence in Women's Health programs 
provide funding to academic health centers and community-based 
organizations to enhance their women's health program through the 
integration

[[Page 36606]]

of these components: (1) Leadership development for women, (2) training 
for lay, allied health, and professional health care providers, (3) 
public education and outreach with special emphasis on outreach to 
minority women, (4) comprehensive health service delivery that includes 
gender and age-appropriate preventive services and allied health 
professionals as members of the comprehensive care team, and (5) basic 
science, clinical and community-based research. In addition, the 
community centers must replicate their National Community Center of 
Excellence in Women's Health (CCOE) model in another community.

I. Funding Opportunity Description

    The goals of the Ambassador for Change program are to:
    1. Increase the number of health professionals, including allied 
health professionals, trained to work with underserved and diverse 
women and to increase their leadership and advocacy skills.
    2. Increase the number of women, especially American Indian or 
Alaska Native, Black or African American, Hispanic or Latino, Asian, or 
Native Hawaiian or Other Pacific Islander who pursue health careers and 
increase the leadership skills and opportunities for women in the 
community and for women faculty in academic settings.
    3. Eliminate health disparities for women who are underserved due 
to age, gender, race/ethnicity, education, income, or disability.
    4. Reduce the fragmentation of women's health services and access 
barriers by using a framework that coordinates and integrates 
comprehensive health services. Comprehensive health services include 
gender and age-appropriate preventive services and allied health 
professionals on the service delivery team.
    5. Increase the women's health knowledge base by conducting gender-
based research and by involving the community in identifying and 
conducting research related to and responsive to the health needs and 
issues of concern to underserved and minority women in the target 
community.
    6. Empower women, especially underserved and minority women, as 
health care consumers and decision-makers.
    The primary purpose of the CoE/CCOE--Ambassadors for Change program 
is the continuation of the ``one-stop shopping'' or ``centers without 
walls'' models of women's health care that have been developed by these 
organizations at a new, more progressive and focused leadership level, 
and the provision of advice and guidance to other organizations 
interested in developing or implementing these unique models of care. 
The success of these programs, the expertise of the Centers' staff, and 
the pool of diverse women who may be available to participate in 
research, including, e.g., improving health education material to their 
communities, behavior studies, clinical trials, make these centers a 
valuable resource to the OWH and other agencies within the Department.
    The Ambassadors for Change must continue to: (1) Develop and/or 
strengthen a framework to bring together a comprehensive array of 
services for women; (2) train a cadre of diverse health care providers 
that include allied health professionals and community health workers; 
(3) promote leadership/career development for diverse women in the 
health professions, including allied health professions and community 
health workers, and women/girls in the community; (4) enhance public 
education and outreach activities in women's health with an emphasis on 
gender-specific and age-appropriate prevention and/or reduction of 
illness or injuries that appear controllable through increased 
knowledge that leads to a modification of behavior; (5) participate in 
any national evaluation of the CoE and/or CCOE program; (6) conduct 
basic, clinical and community-based research in women's health; (7) 
conduct process, impact, and outcome evaluations of their program; and 
(8) provide advice and guidance to other organizations interested in 
learning more about the OWH CoE and CCOE programs.
    At a minimum, each Ambassador for Change awardee must maintain a 
physically-identifiable clinical care center for the delivery of 
comprehensive, interdisciplinary health care that includes gender and 
age-appropriate preventive services for women. The clinical care center 
must have permanent signage that identifies it as a National Center of 
Excellence in Women's Health or a National Community Center of 
Excellence in Women's Health supported by the U.S. Department of Health 
and Human Services. The clinical care center must be devoted to women-
friendly, women-centered, women-relevant care delivered from a 
multidisciplinary, holistic, and culturally and linguistically 
appropriate perspective. The clinical care center must also have a 
women's health clinical intake form, referral and tracking system, and 
procedures for identifying and counting the women served by the program 
and for tracking the cost of services provided to women who receive 
interdisciplinary care through the program. Sites must be able to 
differentiate the care provided to women counted as CoE or CCOE 
patients compared to other patients.

II. Award Information

    The CoE/CCOE--Ambassadors for Change program will be supported 
through the cooperative agreement mechanism. Using this mechanism, the 
OWH anticipates making up to six new 3-year awards in FY 2005. The 
anticipated start date for new awards is September 30, 2005, and the 
anticipated period of performance is September 30, 2005, through 
September 29, 2008. Approximately $225,000 is available to make awards 
between $25,000-$50,000 total cost (direct and indirect) for a 12-month 
budget period. The total amount that may be requested by academic 
health centers is $25,000 and the total amount that may be requested by 
community-based organizations is $50,000. (Note: Noncompeting 
continuation awards (up to the maximum total cost allowed for each type 
of organization per year) will be made subject to satisfactory 
performance and availability of funds.)
    CoE/CCOE--Ambassadors for Change programs will continue to be 
recognized by the OWH as National Centers of Excellence in Women's 
Health and National Community Centers of Excellence in Women's Health 
with all the privileges granted these programs by the OWH. As such, the 
Ambassadors for Change will continue to attend the CoE/CCOE Center 
Directors' meetings, have the opportunity to participate in joint 
projects initiated and funded by the OWH, remain on the list serve to 
continue to have access to information and funding opportunities, be a 
full-participating member of the CoE/CCOE Research Coordinating Center 
(if applicable), be site visited as needed, be listed on the OWH Web 
site with links to their CoE/CCOE Web site, and have their products/
activities listed on the virtual resource center.
    Under previous program announcements, the OWH funded three new CCOE 
programs in FY 2000. These are the CCOE programs eligible to apply for 
this award. The OWH also funded four new CCOE programs in FY 2001, five 
new programs in FY 2002, and two new programs in 2004. A total of 14 
CCOE programs have been funded to date.
    Under the contract mechanism, the OWH also funded six new CoEs in 
1996. The three whose options years were renewed through September 2005 
are eligible to apply for this award. The

[[Page 36607]]

OWH also is currently funding 18 additional CoEs: Four funded since 
1997, five funded since 1998, six funded since 2003 and three funded 
since 2004.
    The OWH will provide the technical assistance and oversight 
necessary for the implementation, conduct, and assessment of the 
Ambassador for Change program activities.
    The applicant shall:
    1. Implement the program described in the application.
    2. Conduct a process, impact, and outcome evaluation of their 
program.
    3. Participate in and pay for attendance at the two annual meetings 
of the CoE and CCOE Center Directors and the joint CoE/CCOE Center 
Directors' meetings.
    4. Participate in any national evaluations of the CoE and CCOE 
programs following the guidance provided by the OWH contractor.
    5. Maintain the CoE or CCOE Web site.
    6. Display permanent signage designating the facility as a National 
Center of Excellence in Women's Health or National Community Center of 
Excellence in Women's Health.
    7. Participate in special meetings (i.e., CoE/CCOE Working Group 
meetings) and projects/funding opportunities identified and/or offered 
by the OWH.
    8. Adhere to all program requirements specified in the Notice of 
Grant Award.
    9. Submit required annual technical and financial reports by the 
due dates stated in this announcement and the Notice of Grant Award. 
The technical report must include a discussion of the process, impact, 
and outcome evaluation of their program.
    10. Participate in the projects of the Research Coordinating Center 
(if applicable).
    The Federal Government will:
    1. Participate in at least two annual meetings with the CoE/CCOE 
Center Directors and/or Program Coordinators.
    2. Participate in a national evaluation of the CoE or CCOE programs 
using guidance provided by the OWH contractor.
    3. Review and decide on requested project modifications.
    4. Site visit CoE/CCOE facilities, as needed.
    5. Review all reports submitted by the grantees.
    6. Facilitate review and clearance of all Center publications to 
insure adherence to DHHS policies.
    The DHHS is committed to achieving the health promotion and disease 
prevention Objectives of Healthy People 2010 and the HealthyUS 
Initiative. Emphasis will be placed on aligning the CoE/CCOE--
Ambassadors for Change activities and programs with the DHHS 
Secretary's four priority areas--heart disease, cancer, diabetes, and 
HIV/AIDS with an increased emphasis on adolescents, elderly women, 
mental health, and violence against women--and with the Healthy People 
2010: Goal 2--eliminating health disparities due to age, gender, race/
ethnicity, education, income, disability, or living in rural 
localities. More information on the Healthy People 2010 objectives may 
be found on the Healthy People 2010 Web site: http://www.health.gov/healthypeople Another reference is the Healthy People 2000 Review--
1998-99. One free copy may be obtained from the National Center for 
Health Statistics (NCHS), 6525 Belcrest Road, Room 1064, Hyattsville, 
MD 20782 or telephone (301) 458-4636 (DHHS Publication No. (PHS) 99-
1256). This document may also be downloaded from the NCHS Web site: 
http://www.cdc.gov/nchs. Also, Steps to a HealthierUS, a program of the 
Department to help implement the Healthy U.S. initiative, advances the 
goal of helping Americans live longer, better, and healthier lives. It 
lays out DHHS priorities and programs for Steps to a HealthierUS, 
focusing attention on the importance of prevention and promising 
approaches for promoting healthy environments.

III. Eligibility Information

    1. Eligible Applicants. Eligible applicants are OWH funded National 
Centers of Excellence in Women's Health (CoE) whose funding ends in 
September 2005 without remaining option years and National Community 
Centers of Excellence in Women's Health (CCOE) programs whose funding 
ends in September 2005.
    2. Cost Sharing or Matching Funds. Cost sharing, matching funds, 
and cost participation is not a requirement of this grant.

IV. Application and Submission Information

    1. Address to Request Application Package: Application kits may be 
requested by calling (301) 594-0758 or writing to Ms. Karen Campbell, 
Director, Office of Grants Management, Office of Public Health and 
Science, Department of Health and Human Services, 1101 Wootten Parkway, 
Suite 550, Rockville, MD 20852. Applications must be prepared using 
Form OPHS-1.
    2. Content and Form of Application and Submission: At a minimum, 
each application for a cooperative agreement grant funded under this 
announcement must:
     Present a plan to continue integrating all components of 
the program. The CCOEs are not required to continue the replication 
component but preference will be given to programs that plan to 
continue to provide technical assistance to their replication site. 
Additionally, CCOEs that actively participate in the Research 
Coordinating Center (RCC) projects will be considered as fulfilling the 
requirements for the research component. A statement of willingness to 
participate in the RCC activities must be included in the application, 
if applicable.
     Discuss a plan to continue the involvement of the CoE or 
CCOE advisory board and their role as it relates to the Ambassadors for 
Change program.
     Be a sustainable organization capable of providing 
coordinated and integrated women's health services in the targeted 
community. The applicant will need to define the components of 
comprehensive, multi-disciplinary care, demonstrate that they are 
culturally, linguistically, and gender and age appropriate, and show 
that they have a clear and sustainable framework for providing those 
services.
     Present a plan to provide support, advice, and guidance to 
CoEs, CCOEs, and the Demonstration CoEs, through a variety of training 
opportunities, such as the ELAM program, promotoras trainings, 
discussions at Center Directors' meetings, etc. These activities may be 
supported by outside funding or sponsors in keeping with the government 
partnership ethics guidance.
     If applicable, detail/specify the roles and resources/
services that each partner organization bring to the program, the 
duration and terms of agreement as confirmed by a signed agreement 
between the applicant organization and each partner, and describe how 
the partner organizations will operate within the Ambassador for Change 
structure. (For the CCOEs only: The partnership agreement(s) must name 
the individual who will work with the Ambassador program, describe 
their function, and state their qualifications. The documents, specific 
to each organization (form letters are not acceptable), must be signed 
by individuals with the authority to represent and bind the 
organization and be submitted as part of the grant application.)
     Describe in detail plans for the local process, impact, 
and outcome evaluation of the program and how information obtained from 
the evaluation will be used to enhance the program. The applicant must 
also

[[Page 36608]]

indicate their willingness to participate in a national evaluation of 
the program to be conducted under the leadership of the OWH contractor.
    The Project Narrative must not exceed a total of 20 double-spaced 
pages, excluding the appendices. The original and each copy must be 
stapled and/or otherwise securely bound. The application should be 
organized in accordance with the format presented in the Program 
Guidelines. An outline for the minimum information to be included in 
the ``Project Narrative'' section is presented below. Applicants must 
pay particular attention to structuring the narrative to respond 
clearly and fully to each review Factor and associated review criteria.

I. Background
    A. Overview of CoE/CCOE program
    B. Primary area(s) of expertise to be offered through the 
Ambassadors for Change program
    C. Goal and purpose of the program
II. Implementation Plan
    A. Describe the level of effort to be maintained for the CoE/
CCOE program components
    B. Describe how will the components be integrated with a reduced 
level of activity
    C. Describe plans to provide support, advice, and guidance to 
the CoEs, CCOEs, and Demonstration CoEs
III. Management Plan
    A. Key project staff, their resumes, and a staffing diversity 
chart for budgeted staff and those affiliated with the new CoE/CCOE 
Ambassador for Change program
    B. Staff responsibilities
    C. CoE or CCOE Advisory Board
IV. Local CoE or CCOE Evaluation Plan
    A. Purpose
    B. Design/methodology
    C. Use of results
Appendices
    A Required Forms (Assurance of Compliance Form, etc.)
    B. Key Staff Resumes
    C. Staffing Diversity Chart
    D. Other attachments

    3. Submission Dates and Times. To be considered for review, 
applications must be received by the Office of Grants Management, 
Office of Public Health and Science, by 5 p.m. eastern daylight time on 
July 25, 2005. Applications will be considered as meeting the deadline 
if they are received on or before the deadline date. The application 
due date requirement in this announcement supercedes the instructions 
in the OPHS-1.
    Applicants are required to submit an original ink-signed and dated 
application and photocopies. All pages must be numbered clearly and 
sequentially. The application must be typed double-spaced on one side 
of plain 8\1/2\'' x 11'' white paper, using at least a 12 point font, 
and contain 1'' margins all around.
    Electronic submissions through the Grants.gov Web site Portal 
provides for applications to be submitted electronically. Information 
about the system is available on the Grants.gov Web site. Applications 
submitted by facsimile transmission (FAX) or any other electronic 
format will not be accepted. OPHS will not acknowledge receipt of 
applications. Applications received after the exact date and time 
specified for receipt will not be accepted. Applications which do not 
meet the deadline will be returned to the applicant unread.
    Applications will be screened upon receipt. Those that are judged 
to be incomplete or arrive after the deadline will not be reviewed. 
Applications that exceed the specified amount for a twelve-month budget 
period may also not be reviewed. Applicants that are judged to be in 
compliance will be reviewed for technical merit in accordance with DHHS 
policies. Applications will be evaluated by a technical review panel 
composed of experts in the fields of program management, service 
delivery, outreach, health education, research, and leadership 
development and evaluation. Consideration for award will be given to 
applicants that best demonstrate progress and/or plausible strategies 
for eliminating health disparities through the integration of training, 
leadership/career development, public education and outreach, 
comprehensive services that include gender and age-appropriate 
preventive services, and research. Applicants are advised to pay close 
attention to the specific program guidelines and general instructions 
in the application kit.
    4. Intergovernmental Review: This program is subject to the Public 
Health Systems Reporting Requirements. Under these requirements, a 
community-based non-governmental applicant must prepare and submit a 
Public Health System Impact Statement (PHIS). Applicants shall submit a 
copy of the application face page (SF-424) and a one page summary of 
the project, called the Public Health System Impact Statement. The PHIS 
is intended to provide information to State and local health officials 
to keep them apprized on proposed health services grant applications 
submitted by community-based, non-governmental organizations within 
their jurisdictions.
    This program is also subject to the requirements of Executive Order 
12372 that allows States the option of setting up a system for 
reviewing applications from within their States for assistance under 
certain Federal programs. The application kit to be made available 
under this notice will contain a listing of States that have chosen to 
set up a review system and will include a State Single Point of Contact 
(SOC) in the State for review. Applicants (other than federally 
recognized Indian tribes) should contact their SPECS 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 
SOC in each affected State. A complete list of SPECS may be found at 
the following Web site: http://www.whitehouse.gov/omb/grants/spoc.html. 
The due date for State process recommendations is 60 days after the 
application deadline. The OWH 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.)
    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), (b) a summary of the 
project (PHIS), 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 PHIS to these authorities must be contained 
in the application materials submitted to the OWH.
    5. Funding Restrictions: A majority of the funds must be used to 
support staff (direct labor) and efforts aimed at coordinating and 
integrating the components of the program and travel to the two Annual 
Center Directors' Meetings per year . The senior person responsible for 
the program shall continue to devote the maximum effort needed to 
maintain program excellence. Funds may also be used for program related 
travel.
    Funds may not be used for construction, building alterations, 
equipment, printing, food, medical treatment, or renovations. All 
budget requests must be justified fully in terms of the proposed goals 
and objectives and include an itemized computational

[[Page 36609]]

explanation/breakout of how costs were determined.
    The CoE and CCOE Center Directors meet twice a year. A portion of 
these meetings will be devoted to the Ambassadors for Change program. 
The budget should include a request for funds to pay for the travel, 
lodging, and meals for the two Center Directors' meetings. The first 
meeting is usually held between mid-November and mid-December and the 
second Center Directors' meeting is usually held in May. This year the 
joint Center Directors' meetings will be held November 7-8, 2005. CCOE 
Center Directors are encouraged to bring the person with primary 
responsibility for the day-to-day management of the Ambassador for 
Change program to these meetings and should include their travel cost 
in the budget.
    6. Other Submission Requirements: Beginning October 1, 2003, all 
applicants are required to obtain a Data Universal Numbering System 
(DUNS) number as preparation for doing business electronically with the 
Federal Government. The DUNS number must be obtained prior to applying 
for OWH 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: http://www.dnb.com/product/eupdate/requestOptions.html.
    Be sure to click on the link that reads, ``DUNS Number Only'' at 
the right 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.

V. Application Review Information

    1. Criteria: The technical review of applications will consider the 
following factors:

Factor 1: Level of Integration of the Components and Gender-Based 
Medicine at the Institution (30%)

    The CoE/CCOE Ambassadors for Change Program model shall include: 
(a) Training for professional, allied health, and lay health care 
workers serving underserved diverse women, (b) leadership/career 
development for women providers and underserved women/girls in the 
community, including American Indian or Alaska Native, Black or African 
American, Hispanic or Latino, Asian, and Native Hawaiian or Other 
Pacific Islander women/girls, (c) outreach and public education, (d) 
comprehensive multi-disciplinary women's health services that include 
gender and age-appropriate preventive services, (e) gender-based 
research originating at the institution or involved with the CoE/CCOE 
Research Coordinating Center. All components shall be in place/
operational and integrated with one another at the time the application 
is submitted. The applicant must discuss/describe the resources 
available to support each component, plans for maintaining components, 
and the relationship of each integrated component to the overall goals 
and objectives of the CoE/CCOE Ambassador for Change program.

Factor 2: Partnerships (25%)

    The CoE or CCOE shall maintain existing partnership and develop new 
ones within their region and neighboring regions and with government-
sponsored agencies and organizations:
     The Regional Women's Health Coordinator in their region. 
The RWHCs and contact information can be found at http://www.4woman.gov/owh/reg/.
     The Minority Women's Health Panel of Experts (if there is 
one in their region). The MWHPEs and contact information can be found 
at http://www.4woman.gov/owh/minority.htm#mwhpe.
     DHHS agencies (HRSA, OMH/OPHS, IHS, NIH, CDC, FDA, etc.).
     Other government agencies and State and local governments.
    The partnerships shall work towards:
     Improving diversity at their institution regarding 
populations served, culturally competent materials and center staff, 
and
     Continuing to transform the programs through leadership, 
outreach especially to adolescents and elderly women, prevention 
programs on heart disease, diabetes/obesity, cancer, HIV/AIDS, mental 
health, and violence against women, and underserved women, including 
the American Indian population.

Factor 3: Agreement to Serve as a Technical Consultant to Other Sites 
on Your Most Successful Component (20%)

    A clear statement of willingness to provide technical consultation 
to other academic health centers interest in the CoE model or other 
community-based organizations interested in the CCOE model could 
include work with the Executive Leadership in Academic Medicine 
Program, a promotoras training program, presentations at CoE and CCOE 
Center Directors' meetings, technical assistance visits to other CoE/
CCOE sites, etc.

Factor 4: Evaluation (15%)

    The CoE or CCOE shall have in place an ongoing program of process, 
impact, and outcome evaluation. In addition, a clear statement of 
agreement to participate fully in any national program evaluations must 
be included in the application.

Factor 5: Degree of Self-Sustainment at the Parent Institution (10%)

    Applicant organization's capability to manage the project as 
determined by the qualifications of the proposed staff; proposed staff 
level of effort; the institutional commitment demonstrated in the 
application; management experience of the staff; and the experience, 
resources and role of each partner organization as it relates to the 
needs and programs/activities of the CoE/CCOE Ambassador for Change 
program, diversity of the CoE/CCOE staff as it relates to and reflects 
the community and populations served, integration of allied health 
professionals into the CoE/CCOE program, and integration of the CoE/
CCOE advisory board into the program's activities. Detailed position 
descriptions, resumes of key staff, a staffing diversity chart, and 
letter of support from key institutional administrator should be 
included in the appendix. The management plan should also describe 
succession planning for key personnel and cross training of 
responsibilities. Thoughtful succession planning and cross training of 
responsibilities should contribute to the sustainability of the program 
and provide promotion potential.
    2. Review and Selection Process: Accepted applications will be 
reviewed for technical merit in accordance with DHHS policies. 
Applications will be evaluated by a technical review panel composed of 
experts in the fields of program management, academic/community service 
delivery, outreach, health education, research, and leadership 
development and evaluation. Consideration for award will be given to 
applicants that meet the goals and review criteria of the CoE/CCOE 
Ambassadors for Change programs.
    Funding decisions will be made by the OWH, and will take into 
consideration the recommendations and ratings of the review panel, 
program needs, stated preferences, and the organization's women's 
health experience.

[[Page 36610]]

VI. Award Administration Information

    1. Award Notices: Within a month of the review of all applications, 
applicants not scoring in the funding range will receive a letter 
stating that they have not been recommended for funding. Applicants 
selected for funding support will receive a Notice of Grant Award 
signed by the grants officer. This is the authorizing document to begin 
performing grant activities and it will be sent electronically and 
followed up with a mailed copy. Pre-award costs are not supported by 
the OWH.
    2. Administrative and National Policy Requirements: (1) In 
accepting this award, the grantee stipulates that the award and any 
activities thereunder are subject to all provisions of the 45 CFR parts 
74 and 92, currently in effect or implemented during the period of this 
grant. Requests that require prior approval from the awarding office 
(see Chapter 8, PHS Grants Policy Statement) must be submitted in 
writing to the OPHS Grants Management Office. Only responses signed by 
the Grants Management Officer are to be considered valid. Grantees who 
take action on the basis of responses from other officials do so at 
their own risk. Such responses will not be considered binding by or 
upon the OWH. (2) Responses to reporting requirements, conditions, and 
requests for post-award amendments must be mailed to the Office of 
Grants Management at the address indicated below in ``Agency 
Contacts.'' All correspondence requires the signature of an authorized 
business official and/or the project director. Failure to follow this 
guidance will result in a delay in responding to your correspondence. 
(3) The DHHS 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, the issuance shall clearly state the percentage and 
dollar amount of the total costs of the program or project that 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 
nongovernmental sources. (4) A notice in response to the President's 
Welfare-to-Work Initiative was published in the Federal Register on May 
16, 1997. This initiative is designed to facilitate and encourage 
grantees to hire welfare recipients and to provide additional training 
and/or mentoring as needed. The text of the notice is available 
electronically on the OMB home page at http://www.whitehouse.gov/wh/eop/omb.
    3. Reporting: In addition to those listed above, a successful 
applicant will submit an annual technical report that includes a 
detailed discussion of the process, impact, outcome evaluation of the 
Ambassador program and a Financial Status Report in accordance with 
provisions of the general regulations which apply under ``Monitoring 
and Reporting Program Performance,'' 45 CFR parts 74 and 92. An 
original and two copies of the annual report must be submitted by 
August 15. The annual report will serve as the non-competing 
continuation application and must cover all activities for the entire 
budget year. Therefore, this report must also include the budget 
request for the next grant year, with appropriate justification, and 
signatures, and be submitted using Form PHS 5161.

VII. Agency Contact(s)

    For application kits and information on budget and business aspects 
of the application, please contact: Office of Grants Management, Office 
of Public Health and Science, Department of Health and Human Services, 
1101 Wootten Parkway, Suite 550, Rockville, MD 20857. Telephone: (310) 
594-0758.
    Questions regarding programmatic information and/or requests for 
technical assistance in the preparation of the grant application by 
CCOEs should be directed in writing to Ms. Barbara James, Director, 
National Community Centers of Excellence in Women's Health Program, 
5600 Fishers Lane, Room 16A-55, Rockville, MD 20859. Telephone: (301) 
443-1402. E-mail: [email protected]. Questions from the CoEs 
should be directed to Ms. Eileen Newman, Public Health Analyst at the 
same address. Her e-mail is [email protected].

VIII. Other Information

    Fourteen (14) CCOE programs are currently funded by the OWH. 
Information about these programs may be found at the following Web 
site: http://www.4woman.gov/owh/CCOE/index.htm. Twenty-one (21) CoE 
programs are currently funded by the OWH. Information about these 
programs may be found at the following Web site: http://www.4woman.gov/COE/index.htm.

    Dated: June 15, 2005.
Wanda K. Jones,
Deputy Assistant Secretary for Health (Women's Health), Office of 
Public Health and Science.
[FR Doc. 05-12518 Filed 6-23-05; 8:45 am]
BILLING CODE 4150-33-P