[Federal Register Volume 70, Number 133 (Wednesday, July 13, 2005)]
[Notices]
[Pages 40365-40370]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-13734]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention


Unrealized Opportunities for Clinical Prevention Practices

    Announcement Type: New.
    Funding Opportunity Number: AA060.
    Catalog of Federal Domestic Assistance Number: 93.283.
    Key Dates: Letter of Intent Deadline: July 25, 2005.
    Application Deadline: August 12, 2005.

I. Funding Opportunity Description

    Authority: This program is authorized under the section 317 
(k)(2) of the Public Health Service Act [42 U.S.C. sections 247b 
(k)(2)] as amended.

    Purpose: The purpose of the program is to address unrealized 
opportunities for clinical prevention practices by stimulating 
innovative partnerships and strategies between the private health care 
sector and public health through collaborative efforts with national 
organizations and their affiliated members. This program addresses the 
``Healthy People 2010'' focus areas of heart disease and stroke, 
immunization and infectious diseases, physical activity and fitness, 
nutrition and overweight, public health infrastructure, tobacco use and 
overarching disease prevention, health promotion and preparedness 
goals.
    Measurable outcomes of the program will be in alignment with one or 
more of the following performance goal(s) for the Division of Private 
and Public Partnerships: (a) Develops strategies and innovative 
solutions for the health care sector and CDC partners; (b) identifies 
and provides services, resources, and customer-specific materials; (c) 
create opportunities for collaboration with healthcare delivery system 
stakeholders and public health, including public health preparedness 
and communication.
    This announcement is only for non-research activities supported by 
CDC/ATSDR. If research is proposed, the application will not be 
reviewed. For the definition of research, please see the CDC web site 
at the following Internet address: http://www.cdc.gov/od/ads/opspoll1.htm.
    Activities: Awardee activities for this program are as follows: 
Awardee will propose activities to address unrealized prevention and 
health promotion opportunities.

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    The applicant must consider sub-populations affected by racial/
ethnic disparities in health status, risk factors and/or receipt of 
health services (Institute of Medicine, Unequal Treatment: Confronting 
Racial and Ethnic Disparities in Healthcare, 2002 and Unequal 
Treatment: What Healthcare Providers Need to Know about Racial and 
Ethnic Disparities in Health-Care, 2002).
    In addition applicants are encouraged to consider the unique needs 
of people in various stages of their lives, including children and 
adolescents.
    Applicants should specify if they are applying for Option A, Option 
B or both. Applicants who do not specify which option(s) of activities 
they intend to apply for will not be considered.

Option A--National Partnerships

    The objective of this Option is to foster partnerships between 
public health and national organizations representing the interests of 
health plans/insurers/health care delivery systems and organizations 
that focus on quality improvement. The activities in the Option should 
include:
     Using organizational resources to assist CDC in 
recognizing and understanding important emerging health systems trends 
that affect the public's health. Explore opportunities to use 
mechanisms such as accreditation, performance measurement, and 
financial incentives to improve health outcomes.
     Identify a focus on quality improvement through the above 
mechanisms.
     Develop case examples of effective health plan/health 
organization initiatives that utilize assessment tools (e.g., Health 
Risk Assessments/Appraisals etc.) to identify and stratify explicitly 
preventable health care conditions for a given beneficiary population. 
Using the information from these assessments coupled with other health 
information; describe promotion and deployment of innovative education/
coaching, incentive-based health behavior change programs, prevention-
oriented care/disease-management or similar strategies to reduce 
preventable disease burden and the associated health care costs in a 
beneficiary population. Identify programs that address CDC's Health 
Protection Goals for target areas. (http://www.cdc.gov/futures/Goals). 
Plan and execute a comprehensive plan to assess effectiveness of the 
outlined strategies.
     Propose conferences, meetings, seminars, or symposia that 
can be expected to have beneficial effects on health outcomes. CDC 
representatives will be part of the planning stage of these activities 
and as active participants in the final program.

Option B--Small-Scale Innovation Design and Evaluation

    Using health care organization processes, accreditation, or 
certification as a framework for developing new strategies, propose 
small-scale exploratory activities in a preferred provider or network 
setting that evaluate innovative system interventions to address 
unrealized prevention opportunities in populations, particularly sub-
populations affected by racial/ethnic disparities. Activities should 
incorporate at least one of the following:
     Innovative payment strategies;
     New methods of communicating prevention messages to 
consumers;
     Activities to increase consumer participation in shared 
decision-making for preventive care;
     Use of consumer ``health-coaches'';
     New accreditation strategies;
     Innovations in supporting information technology 
infrastructure in health care settings (e.g., develop innovative 
strategies to improve prevention messages and services using health 
information technology);
     New approaches for linkages of data (e.g., medical/
pharmacy/disability claims and health risk appraisal data);
     Novel incentive systems to improve prevention/health 
promotion; or,
     Community-based participatory models (e.g., community-
based health promotion/clinical practice model) as innovative 
strategies to improve clinical prevention practices.
    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:
     Provide an updated list of CDC goals, priorities and 
mission; technical assistance; and monitoring of the progress of this 
cooperative agreement.
     Foster the formation and growth of national and regional 
public-private partnerships that support prevention research and 
evidence-based prevention practice.
     Assist with the development of conferences, meetings, 
seminars and symposia which explore and expand areas of commonality 
around prevention between public health and health care sectors.

II. Award Information

    Type of Award: Cooperative Agreement.
    Fiscal Year Funds: 2005.
    Approximate Total Funding: $500,000-$700,000.
    Approximate Number of Awards: three to five.
    Approximate Average Award: It is expected that the average award 
will range from approximately $100,000 to $230,000.
    Floor of Award Range: None.
    Ceiling of Award Range: $230,000.
    Anticipated Award Date: August 30, 2005.
    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 Private and Public nonprofit 
organizations such as:
     Public nonprofit organizations
     Private nonprofit organizations
    This announcement will be for limited competition. It is in the 
best interest of the government to work with organizations that have 
members who are from or connect to the healthcare delivery system 
through which CDC science is implemented. These applicants will bring 
expertise for collaborative activities that will assist CDC in 
furthering its impact goals.
    Applicants should be able to work with communities and sub-
populations as a non-governmental organization (NGO). Applicants should 
be experienced in developing all aspects of health plan initiatives. 
Applicants should demonstrate an expertise in promoting and 
disseminating innovative public education and public information 
interventions through health care organizations. Applicants should 
directly address CDC health protection goals, and impact large numbers 
of constituents through private sector initiatives.

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

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did not meet the submission requirements.
    Special Requirements: If your application is incomplete or non-
responsive to the special 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.
     Late applications will be considered non-responsive. See 
section ``IV.3. Submission Dates and Times'' for more information on 
deadlines.
     Please list all Options of activity proposed in the 
application. Applicants failing to specify Option(s) of activities will 
be judged as incomplete or non-responsive to the requirements listed in 
this section, and 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 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 
5161-1.
    Electronic Submission: CDC strongly encourages you to submit your 
application electronically by utilizing the forms and instructions 
posted for this announcement on www.Grants.gov, the official Federal 
agencywide E-grant Web site. Only applicants who apply online are 
permitted to forego paper copy submission of all application forms.
    Paper Submission: Application forms and instructions are available 
on the CDC Web site, at the following Internet address: http://www.cdc.gov/od/pgo/forminfo.htm.
    If you do not have access to the Internet, or if you have 
difficulty accessing the forms on-line, you may contact the CDC 
Procurement and Grants Office Technical Information Management Section 
(PGO-TIM) staff at: 770-488-2700. Application forms can be mailed to 
you.

IV.2. Content and Form of Submission

    Letter of Intent (LOI): Your LOI must be written in the following 
format:
     Maximum number of pages: Two.
     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.
     Written in plain language, avoid jargon.
    Your LOI must contain the following information:
     Your organization's intent to apply for this program 
announcement. Please specify if you are applying for Option A, Option 
B, or both. LOI that do not specify which Option(s) of activities will 
be judged incomplete or non-responsive to the requirements listed in 
this section and will not be considered for a full application review 
process.
    Application: Electronic Submission: You may submit your application 
electronically at: http://www.grants.gov. Applications completed online 
through Grants.gov are considered formally submitted when the applicant 
organization's Authorizing Official electronically submits the 
application to http://www.grants.gov. Electronic applications will be 
considered as having met the deadline if the application has been 
submitted electronically by the applicant organization's Authorizing 
Official to Grants.gov on or before the deadline date and time.
    It is strongly recommended that you submit your grant application 
using Microsoft Office products (e.g., Microsoft Word, Microsoft Excel, 
etc.). If you do not have access to Microsoft Office products, you may 
submit a PDF file. Directions for creating PDF files can be found on 
the Grants.gov Web site. Use of file formats other than Microsoft 
Office or PDF may result in your file being unreadable by our staff.
    CDC recommends that you submit your application to Grants.gov early 
enough to resolve any unanticipated difficulties prior to the deadline. 
You may also submit a back-up paper submission of your application. Any 
such paper submission must be received in accordance with the 
requirements for timely submission detailed in Section IV.3. of the 
grant announcement. The paper submission must be clearly marked: 
``BACK-UP FOR ELECTRONIC SUBMISSION.'' The paper submission must 
conform with all requirements for non-electronic submissions. If both 
electronic and back-up paper submissions are received by the deadline, 
the electronic version will be considered the official submission.
    Paper Submission: If you plan to submit your application by hard 
copy, submit the original and two hard copies of your application by 
mail or express delivery service. Refer to section IV.6. Other 
Submission Requirements for submission address.
    You must submit a project narrative with your application forms. 
The narrative must be submitted in the following format:
     Maximum number of pages: 20. If your narrative exceeds the 
page limit, only the first 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.
    Your narrative should address activities to be conducted over the 
entire project period, and must include the following items in the 
order listed:
    1. The activity Option(s) for which you are applying under this 
Program Announcement.
    2. Organizational description include full description of members/
affiliates and previous experience and full description of any 
coalition and committed co-conveners assembled for this announcement, 
if applicable. (Please see Section III.1. Eligible Applicants for 
specific eligibility information for each Option of activity).
    If you are applying for more than one Option of activity, you must 
submit a separate description of items three to seven (below) for each 
Option of activity (See also allowed adjustment in page length 
described above).
    3. Goals and Objectives
    4. Methods
    5. Evaluation
    6. Plan for Dissemination of findings
    7. Budget Justification (not included in page limit)
    Additional information may be included in the application 
appendices. The appendices will not be counted toward the narrative 
page limit. This additional information can include:
     Curriculum Vitae, Resumes, Organizational Charts, 
Descriptions of other community activities for Option B activities, 
brief examples of previous experience (e.g. products), 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 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/pubcommt1.htm.
    If your application form does not have a DUNS number field, please 
write your DUNS number at the top of the first

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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

    LOI Deadline Date: July 25, 2005.
    CDC requests that you send a LOI if you intend to apply for this 
program. Although the LOI is not required, not binding, and does not 
enter into the review of your subsequent application, the LOI will be 
used to gauge the level of interest in this program and to allow CDC to 
plan the application review.
    Application Deadline Date: August 12, 2005.
    Explanation of Deadlines: LOIs and Applications must be received in 
the CDC Procurement and Grants Office by 4 p.m. Eastern Time on the 
deadline date. If you submit your LOI and application by the United 
States Postal Service or commercial delivery service, you must ensure 
that the carrier will be able to guarantee delivery by the closing date 
and time. If CDC receives your submission 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 submission as having 
been received by the deadline.
    This announcement is the definitive guide on LOI and application 
content, submission address, and deadline. It supersedes information 
provided in the application instructions. If your submission does not 
meet the deadline above, it will not be eligible for review, and will 
be discarded. You will be notified that you did not meet the submission 
requirements.
    Electronic Submission: If you submit your application 
electronically with Grants.gov, your application will be electronically 
time/date stamped which will serve as receipt of submission. In turn, 
you will receive an e-mail notice of receipt when CDC receives the 
application. All electronic applications must be submitted by 4 p.m. 
Eastern Time on the application due date.
    Paper Submission: CDC will not notify you upon receipt of your 
paper submission. If you have a question about the receipt of your LOI 
or 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 submission deadline. This will 
allow time for submissions to be processed and logged.

IV.4. Intergovernmental Review of Applications

    Executive Order 12372 does not apply to this program.

IV.5. Funding Restrictions

    Restrictions, which must be taken into account while writing your 
budget, are as follows:
     Funds may not be used for research.
     Reimbursement of pre-award costs is not allowed.
     Construction costs will not be allowed in this cooperative 
agreement.
     Cooperative agreement funds can not be used for food, 
refreshments or entertaining expenses.
    If you are requesting indirect costs in your budget, you must 
include a copy of your indirect cost rate agreement. If your indirect 
cost rate is a provisional rate, the agreement should be less than 12 
months of age.
    Guidance for completing your budget can be found on the CDC Web 
site, at the following Internet address: http://www.cdc.gov/od/pgo/funding/budgetguide.htm.

IV.6. Other Submission Requirements

    LOI Submission Address: Submit your LOI by express mail, delivery 
service, fax, or E-mail to: Frank Lochner, CDC, National Center for 
Health Marketing, Division of Private and Public Partnerships, 4770 
Buford Highway, NE., MAILSTOP K-39, Atlanta, GA 30341. Telephone: 770-
488-1124. Fax: 770-488-2553. E-mail: [email protected].
    Application Submission Address: Electronic Submission: CDC strongly 
encourages applicants to submit electronically at: http://
www.Grants.gov. You will be able to download a copy of the application 
package from http://www.Grants.gov, complete it offline, and then 
upload and submit the application via the Grants.gov site. E-mail 
submissions will not be accepted. If you are having technical 
difficulties in Grants.gov, they can be reached by E-mail at http://[email protected] or by phone at 1-800-518-4726 (1-800-518-
GRANTS). The Customer Support Center is open from 7 a.m. to 9 p.m. 
Eastern Time, Monday through Friday.
    Paper Submission: If you chose to submit a paper application, 
submit the original and two hard copies of your application by mail or 
express delivery service to: Technical Information Management-RFA 
AA060, CDC Procurement and Grants Office, 2920 Brandywine Road, 
Atlanta, GA 30341.

V. Application Review Information

V.1. Criteria

    Applicants 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:
    Submit your application as one; however, each activity Option that 
is submitted will be evaluated separately. It is possible that in the 
case of an application that includes both Options--one or both Options 
of activities may not be funded. Applicants must submit separate Goals 
and Objectives, Methods (including Timeline and Staffing/Personnel 
needs and descriptions), Evaluation, Dissemination, Letters of Support 
(if applicable), and Budget for each Option of activity in the 
application. The applicant should only include one Organizational 
description, unless additional information is needed for the proposed 
Option of activity.
Methods (35 points)
    Are the proposed methods feasible? Will applicant accomplish the 
program goals? Are the applicant's plans for conducting the required 
activities realistic and feasible within existing programmatic and 
fiscal restrictions? Do program activities use a life-stages approach? 
Is a detailed timeline included which relates to the goals, objectives 
and methods? Does the applicant demonstrate adequate and appropriate 
Staffing/Personnel needs and provide a description of current and 
needed personnel?
Goals and Objectives (25 points)
    Does the applicant clearly re-state their choice of activities 
listed under Option A and/or Option B? Do the proposed goals and 
objectives stated by the applicant meet the required activities 
specified under each Option of activity in the ``Recipient Activities'' 
section of this announcement? Are the goals and objectives listed 
measurable, specific, time-phased and realistic?

[[Page 40369]]

Organizational Description (15 points)
    Does the applicant have an organizational structure, mission, goals 
and objectives, activities, functions and membership/affiliates on a 
national level that are consistent with the purpose of this Program 
Announcement? Does the applicant demonstrate past experience using a 
collaborative approach with health care organizations to evaluate and 
improve the delivery of health services or policy? Does the applicant 
show evidence (past or current) of research, programmatic or broad 
policy development work in the areas of health promotion, disease 
prevention, disease management, care management, quality improvement, 
accreditation of health care organizations, managed care or chronic 
care management? Does the applicant show evidence of work that focuses 
on racial and ethnic minorities in order to reduce health care 
disparities through improved prevention strategies?
Evaluation (15 points)
    Has the applicant developed on-going methods for evaluating project 
activities that are realistic, time-framed and measurable? Does the 
applicant build in capacity for mid-course correction(s) based on those 
evaluations? Does the applicant include plans for evaluation towards 
stated goals and objectives which include partner/co-convener and end-
user feedback? How does the applicant incorporate guidance and feedback 
from CDC in the project's evaluation?
Dissemination (10 points)
    Does the applicant present a clear and timely plan for 
disseminating findings from activities? Will these dissemination plans 
reach members/affiliates, health care organizations, consumers and/or 
public health audiences? Is an array of dissemination strategies 
proposed based on the target audience which uses a life stages 
approach? Will dissemination activities be included in the project 
evaluation?
Statement of Applying for Option A and/or Option B Activities (Not 
Scored)
    Please list all Options of activity proposed in the application. 
Applicants failing to specify Option(s) of activities will be judged as 
incomplete or non-responsive to the requirements listed in this 
section, and it will not be entered into the review process. You will 
be notified that your application did not meet submission requirements.
Budget (Not Scored)
    Is the proposed budget for each Option of activity (and for the 
whole application) reasonable within the amount requested, justified by 
the application content, and consistent with the specifications listed 
in this announcement?

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 Division of 
Private and Public Partnerships. 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 comprised of CDC employees outside the 
funding center will evaluate complete and responsive applications 
according to the criteria listed in the ``V.1. Criteria'' section 
above.
    Applications will be funded in order by score and rank determined 
by the review panel. CDC will provide justification for any decision to 
fund out of rank order.

V.3. Anticipated Announcement and Award Dates

    Award date: August 30, 2005.

VI. Award Administration Information

VI.1. Award Notices

    Successful applicants will receive a Notice of Award (NoA) from the 
CDC Procurement and Grants Office. The NoA shall be the only binding, 
authorizing document between the recipient and CDC. The NoA 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.
    An additional Certifications form from the PHS5161-1 application 
needs to be included in your Grants.gov electronic submission only. 
Refer to http://www.cdc.gov/od/pgo/funding/PHS5161-1-Certificates.pdf. 
Once the form is filled out attach it to your Grants.gov submission as 
Other Attachments Form.
    The following additional requirements apply to this project:
     AR-8 Public Health System Reporting Requirements.
     AR-9 Paperwork Reduction Act Requirements.
     AR-10 Smoke-Free Workplace Requirements.
     AR-11 Healthy People 2010.
     AR-12 Lobbying Restrictions.
     AR-14 Accounting System Requirements.
     AR-15 Proof of Non-Profit Status.
     AR-20 Conference Support.
     AR-21 Small, Minority, and Women-Owned Business.
     AR-25 Release and Sharing of Data.
    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. Interim progress report, due 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. Measures of Effectiveness.
    f. Additional Requested Information.
    2. Financial status report and annual progress report, no more than 
90 days after the end of the budget period.
    3. Final financial and performance reports, no more than 90 days 
after the end of the project period.
    These reports must be mailed to the Grants Management Specialist 
listed in the ``Agency Contacts'' section of this announcement.

VII. Agency Contacts

    We encourage inquiries concerning this announcement. For general 
questions, 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: Frank Lochner, CDC, 
National Center for Health Marketing, Division of Private and Public 
Partnerships, Address: 4770 Buford Highway, MAILSTOP K-39, Atlanta, GA 
30341. Telephone: 770-488-1124/2460. Fax:

[[Page 40370]]

770-488-2553. E-mail: [email protected].
    For financial, grants management, or budget assistance, contact: 
Angela Webb, Grants Management Specialist, CDC Procurement and Grants 
Office, 2920 Brandywine Road, Atlanta, GA 30341. Telephone: 770-488-
2784. Fax: 770-488-2777. E-mail: [email protected].

VIII. Other Information

    This and other CDC funding opportunity announcements can be found 
on the CDC Web site, Internet address: www.cdc.gov. Click on 
``Funding'' then ``Grants and Cooperative Agreements.''

    Dated: July 7, 2005.
William P. Nichols,
Director, Procurement and Grants Office, Centers for Disease Control 
and Prevention.
[FR Doc. 05-13734 Filed 7-12-05; 8:45 am]
BILLING CODE 4163-18-P