[Federal Register Volume 71, Number 118 (Tuesday, June 20, 2006)]
[Notices]
[Pages 35424-35433]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-9640]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES


Request for Applications for the Targeting Obesity in Young Women 
to Prevent the Development of Type II Diabetes Program

AGENCY: Office on Women's Health, Office of Public Health and Science, 
Office of the Secretary, DHHS.

ACTION: Notice.

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    Announcement Type: Competitive Cooperative Agreement--FY 2006 
Initial announcement.
    Funding Opportunity Number: Not applicable.
    OMB Catalog of Federal Domestic Assistance: The OMB Catalog of 
Federal Domestic Assistance number is 93.022.

DATES:  Letter of Intent: June 29, 2006.
    Application Deadline: July 20, 2006.
    Anticipated Award Date: August 4, 2006.
SUMMARY: The Office on Women's Health (OWH) is the focal point for 
women's health within the Department of Health and Human Services 
(DHHS). Under the direction of the Deputy Assistant Secretary for 
Women's Health, OWH provides leadership to promote the health equity 
for women and girls through gender-specific approaches. To that end, 
OWH has established public/private partnerships to address critical 
women's health issues nationwide. These include supporting 
collaborative efforts to provide accurate prevention education and 
programs for young women at risk for developing type II diabetes 
because they are overweight or obese.
    These awards focus on the HHS initiative Emphasize Healthy Living 
and Prevention of Disease, Illness, and Disability in the ``One 
Department. One Direction'' Department-wide Objectives.
    This program is authorized by 42 U.S.C. 300u-2(a).

 I. Funding Opportunity Description

A. Populations

    This cooperative grant announcement focuses on the development and 
demonstration of creative and innovative approaches that are effective 
in reducing the prevalence of overweight/obesity in young women, ages 
16-24, by increasing the number of women who adopt positive, healthy, 
lifestyles. Organizations will be provided with funding that will aid 
in the development, expansion, or sustainment of effective obesity-
related programs in order to effect lifestyle changes that will prevent 
the development of type II diabetes in the targeted population. The 
interventions implemented must be substantive in nature, incorporating 
evidenced-based nutrition, physical activity, and health/wellness 
components, while also positively impacting knowledge, attitudes, and 
behaviors.
    Proposals must include programs for women who are members of racial 
and ethnic minority populations who are disproportionately affected by 
overweight/obesity. Grantees will be asked to describe the 
characteristics of its target population. Programs that seek to target 
audiences with a prevalence of overweight/obesity greater than 25% are 
particularly encouraged to submit proposals.

B. Program Planning, Development, and Recruitment

i. Post-Award Orientation
    The grantee shall send two representatives to a two-day post-award 
orientation meeting in Washington, DC. This meeting shall occur within 
2 months of grant award. The project manager of the program and a 
representative who holds a leadership position in the organization must 
attend the meeting. Travel funds for this meeting must come out of the 
total award funding and should be included in the applicant's cost 
proposal.
    The purpose of the post-award orientation meeting will be to 
clarify tasks and requirements and answer any questions that grantees 
may have. Grantees shall also share their program plans, approaches, 
and best practices with each other through presentations and roundtable 
discussions.
ii. Curriculum Development
    A multi-disciplinary planning committee shall be formed consisting 
of representatives from the organizations, health care professionals, 
and educators (one member with at least a B.S. in human nutrition, 
preferably a registered

[[Page 35425]]

dietitian), and high-risk women in the community. The grantee will 
consult with the planning committee to design educational sessions that 
shall educate women on all of the major results of obesity (diabetes, 
hypertension, cholesterol, stroke, CVD), methods to modify risk, and 
the benefits associated with risk modification. The benefits of portion 
control and physical activity shall also be addressed. The format of 
the educational sessions will be specified in subsequent sections of 
this funding opportunity description.
    Existing curriculum from successfully tested and evaluated obesity 
prevention intervention programs should be obtained and adapted for 
this program. DHHS/OWH will offer general resources, such as ``The 
Dietary Guidelines for Americans 2005,'' which incorporates weight 
management information and calorie-lowering strategies, including the 
DASH diet (2,000 calorie maintenance). The curriculum and materials 
must be both culturally and educationally appropriate and women-
centered (see section VIII.2 for definitions).
iii. Interventions
    Each scheduled intervention shall aim to recruit an average of 20 
to 50 participants. High-risk racial and ethnic minority young women 
aged 16-24 shall be targeted; however, all high-risk women shall be 
eligible to participate in the program, regardless of race, religion, 
or age. All participants must read and sign a written consent form 
before starting any intervention programs. The grantee shall prepare 
the draft consent form in lay-language. The grantee will also create 
postcard reminders (or e-mail reminders if participants have easy 
access to the internet) for each educational and maintenance session. 
The grantee will mail or e-mail the reminders to each participant.
    All educational and maintenance sessions shall be focused on mutual 
support for participants in their efforts to reduce the risk associated 
with obesity. Grantees can obtain and distribute incentives for 
attendance (e.g. awards) and incentives to motivate participants to 
modify risk factors during the course of the intervention. Appropriate 
incentives will be offered to the participants who achieve their 
personalized risk modification goals. Positive reinforcement and open 
communication as well as a healthy sense of competition must be 
encouraged. Incentives and awards may be solicited as donations from 
private sources.
iv. Resource Establishment
    The grantee must compile a local directory of obesity, nutrition, 
and physical activity resources (dietitians, diabetes experts, weight 
loss and exercise programs, public health screening and diagnosis 
information) available in the community, including health care 
alternatives for the uninsured and underinsured women. The grantee 
shall establish a national Web site or enhance an existing 
organization's Web site to provide support and information online. 
These Web sites shall be linked to the DHHS/OWH's http://www.womenshealth.gov.

C. Educational Sessions

i. Overview
    Each site will host six educational sessions over a period of 6 
months. The sessions can be physically located at the grantee's site or 
at any other appropriate facility in the community that is accessible 
to the target audience. These sessions shall address the serious 
consequences of obesity [high blood pressure, type II diabetes, 
coronary heart disease (CHD), stroke, gallbladder disease, 
osteoarthritis, sleep apnea, respiratory problems, and some types of 
cancer] and the benefits associated with risk modification. Sessions 
may include lectures, demonstrations, video presentations, activities, 
etc. Each session must also incorporate some form of moderate physical 
activity (such as walking, yoga, or aerobics).
    Additionally, each session shall include a small group discussion 
component that will focus on encouraging participants to incorporate 
weight control strategies and physical activity into their daily lives. 
Participants shall be divided into small groups according to criteria 
chosen by the grantee. During the group discussion component, 
participants should discuss self-monitoring efforts and establish risk 
modification goals. The grantee will consult and incorporate qualified 
health and nutrition professionals in the development and 
implementation of the curriculum and small group discussions.
ii. Educational Session 1: Screening and Program Introduction
    During the first educational session, screening shall be conducted 
for each participant (all measurements must be kept confidential) to 
establish baseline measurements. (Note: Fasting blood tests must be 
used to screen for cholesterol and diabetes.) The grantee may solicit 
local health care organizations, drug stores, and/or other private 
sources to donate or loan screening equipment, giving proper 
acknowledgment for their assistance. Additionally, health professionals 
who volunteer to present at sessions can be asked to bring equipment 
with them and help conduct the screenings. Alternatively, grantees may 
use a small amount (no more than $10,000.00) of grant funds to purchase 
screening equipment and supplies.
    The importance of weight control, good nutrition, recommended 
portion sizes, and physical activity will be introduced and emphasized 
as the primary goal of the program. Daily weight and physical activity 
self-monitoring materials (diaries, logs, etc.) will be distributed and 
explained. The site leader should also discuss the reward system for 
reaching risk modification goals. Moreover, the first session should 
include a basic orientation on how to use the internet. The orientation 
shall include instruction on how participants who do not own computers 
can access computers that are available for public use (e.g. at a 
public library, health center, faith-based or community-based 
organization). The format of the orientation may include a hands-on 
demonstration, pictorial diagrams, and/or written instruction.
    During the first educational session, each participant shall also 
be administered a test to determine baseline knowledge of obesity and 
its risk factors. Additionally, each participant shall assess her own 
personal risk profile.
iii. Educational Sessions 2-6: Risk Factors
    After the first introductory educational session, the following 
five educational sessions will be devoted to educating participants 
about overeating and portion control, good nutrition, and physical 
activity. In addition, key lessons learned at previous sessions will be 
reviewed at each of the proceeding sessions to reinforce risk factor 
knowledge. Interactive guided discussion among participants may help 
identify effective strategies for overcoming obstacles to eating better 
and moving more.
iv. Educational Session 6: Screening and Wrap-up
    During the sixth and final educational session, participants shall 
be screened again and each participant shall assess her own personal 
CVD risk profile. Each participant shall also be administered a test to 
determine knowledge of obesity and its consequences, nutrition, and 
physical activity. Additionally, participants shall be asked to provide

[[Page 35426]]

feedback regarding their experience in the program and evaluate the 
program. Participants will also decide on a plan of action for the two 
maintenance sessions.

D. Maintenance Sessions

    The maintenance sessions will take place 6 months after the last 
educational sessions. Participants can decide on the format of the 
maintenance sessions. The sessions may include any or all of the 
following: Additional educational seminars, screenings, testimonials, 
personal counseling, field trips (e.g. trips to gyms to exercise or 
trips to grocery stores and restaurants to practice selecting healthy 
foods), etc. However, each session must include a physical activity and 
a small group discussion component.
    The format of each maintenance session should be clearly outlined 
and documented (what type of activity, duration of activity, material 
covered, location, etc.). During the last maintenance session, 
participants will be screened again for risk factors and each 
participant shall assess her own personal risk profile. Each 
participant shall also be administered a test to determine knowledge of 
being obese or overweight and its associated risk factors. 
Additionally, participants shall be asked to give feedback and evaluate 
the program.

E. Program Evaluation/Write-Up

    Information on personal risk factors must be obtained from three 
assessment points--the first (baseline) educational session, the last 
educational session, and the last maintenance session. Self-monitoring 
materials and feedback from evaluation forms will also provide 
information. Grantees may choose to use any appropriate tools, survey 
instruments, self-monitoring and evaluation materials to provide 
information on short-term and long-term behavioral changes. All 
materials must be reviewed and approved by the multi-disciplinary 
planning committee. In addition, grantees shall be required to include 
a core set of screening and evaluation items that will be prescribed by 
the DHHS/OWH. These items will be determined during and after the post-
award orientation meeting and will most likely consist of items 
developed by one or more of the grantees.
    The grantee shall design a database, collect all participant data, 
and enter data into the database. This data shall be kept confidential 
through use of unique identifying numbers and an electronic copy of the 
data shall be provided to DHHS/OWH. Baseline and follow-up data must be 
analyzed to quantitatively evaluate the program's effectiveness at two 
different intervals--after the end of the educational sessions and 
after the end of the maintenance sessions. The program evaluation must 
be able to demonstrate, at minimum, the following desired program 
outcomes:
Primary Outcome Measures
    1. Increase the proportion of participants who understand the 
correlation between being obese/overweight and the resulting illnesses 
and major complications.
    2. Increase participant's knowledge of how to correctly measure and 
use the widely accepted portions of food.
    3. Increase the number of participants who use healthier methods to 
prepare foods long after session's end.
    4. Increase the participant's knowledge of resources in the 
community that will enable them to engage in regular physical activity, 
weight control, and healthy nutrition.
    5. Have participants show how they have incorporated physical 
activity into everyday living (using stairs instead of elevators, 
walking instead of riding to work, parking their vehicle further away 
from a destination) long after session's end.
    6. Decrease the Body Mass Index (BMI) from baseline for 
participants who are obese long after session's end.
    7. Decrease the weight by 7-10% of overweight participants long 
after session's end.
    8. Increase the proportion of participants who engage regularly in 
moderate physical activity (e.g. joining a health club, using the gym 
at the YMCA, attending dance classes at the neighborhood recreation 
center) long after session's end.
Secondary Outcome Measures
    1. Increase the proportion of participants who are aware of the BMI 
and their weight status using the BMI scale.
    2. Increase the proportion of participants with high blood pressure 
at baseline whose blood pressure is under control because of weight 
loss.
    3. Decease the proportion of participants with high total blood 
cholesterol because they now engage in regular physical activity and 
practice healthier eating habits.
    4. Were new behaviors sustained or abandoned after the sessions?
    The evaluation should also address the following questions:
    1. Did participants evaluate the program favorably?
    2. Did the program meet the needs and expectations of the 
participants?
    3. What changes do the participants suggest?
    Emphasis should be placed on aligning program outcomes and targets 
with the objectives and targets of Healthy People 2010. More 
information on the Healthy People 2010 objectives may be found at 
http://www.health.gov/healthypeople. Each grantee should also take into 
account the baseline characteristics of the potential program 
participants when setting outcome targets.
    DHHS/OWH shall site visit the five grantees during one of the 2-6 
Educational Sessions. The grantee shall participate in monthly 
conference calls with the DHHS/OWH and other grantees. The grantee 
shall prepare quarterly progress reports that outline the status and 
progress of the project. The grantee shall prepare a final report that 
describes the results from the program evaluation and all project 
activities for the entire 12-month period of the program.
    The purpose of the program is to reduce obesity among high-risk 
young women in the United States through education and risk behavior 
modification. This obesity prevention program will be targeted towards 
high-risk racial and ethnic minority women, ages 16-24; however, all 
high-risk women shall be eligible to participate in the programs 
regardless of race, religion, or age.
    Each grantee shall implement a program in community-based sites 
across the United States, including urban and rural areas. The main 
goals will be for program participants to increase their knowledge of 
obesity risk factors, its cause and effects, to increase their level of 
physical activity and to learn healthier methods of food preparation 
and portion control.

II. Award Information

    The Office on Women's Health (OWH) anticipates making, through the 
cooperative agreement grant mechanism, new annual awards for the 
creation or sustainment of obesity programs for young women, ages 16-
24. Funds to be awarded no later than September 1, 2006. Approximately 
$490,000 is available to make five awards of up to $98,000 total cost 
(direct and indirect) for a 12-month period. The actual number of 
awards made will depend upon the quality of the applications received 
and the amount of funds available for the program. The government is 
not obligated to make any awards as a result of this announcement.
    In order to achieve the goals of the program, the grantee shall 
develop methods to provide effective education and awareness 
interventions and

[[Page 35427]]

messages to at risk young women, ages 16-24, that will positively 
impact behaviors.
    Under this cooperative agreement, the duties of the Federal 
Government and the grantee are described below:
    The DHHS/OWH will provide technical assistance and the oversight 
necessary for the implementation, conduct, and assessment of program 
activities. This program will be a model; as such, the federal 
government may replicate the program and/or use the program materials 
both during and after the period of performance. The grantee may 
copyright any work that is developed, or for which ownership was 
purchased, under the award, but DHHS reserves a royalty-free, 
nonexclusive and irrevocable right to reproduce, publish, or otherwise 
use the work for Federal purposes, and to authorize others to do so. In 
addition, the grantee and/or community partners are encouraged to 
sustain the program after the end of award and expand it to other sites 
within its network.
    The Federal Government will also:
    Review and approve work plan, task outline, and schedule of 
activities.
    Review quarterly progress reports.
    Conduct the monthly conference calls with grantees.
    Conduct the two-day post-award orientation meeting in Washington, 
DC within two months of award.
    Conduct one site visit per grantee.
    Review and approve all educational and instructional materials for 
the six educational sessions.
    Review and approve informed consent document and program 
promotional materials to ensure adherence to DHHS policies.
    The grantee shall complete the requirements described in the 
Funding Opportunity Description. Specifically, the grantee will:
    Provide no less than six educational forums/interventions to 
address obesity issues in the target audience. The location must be 
accessible to the target audience.
    Establish partnerships with local and community-based 
organizations, health clubs, recreation centers, hospitals, clinics, 
etc. to increase access to, or create support groups for overweight/
obese young women. Establish a Memorandum of Understanding (MOU) with 
each urban or rural community-based site willing to participate in the 
program.
    Develop culturally appropriate facilitator education and training 
modules in an effort to sustain awareness and education programs for 
the target audience; and ensure education, awareness and training 
programs are culturally, linguistically, and educationally appropriate 
for the target audience.
    Submit a work plan, task outline, and schedule of activities within 
one month of award.
    Attend a two-day post-award orientation meeting in Washington, DC 
within two months of grant award. (Travel funds for this meeting must 
come out of the total award funding and should be included in the 
applicant's budget justification.)
    Participate in monthly conference calls with the DHHS/OWH and other 
grantees.
    Prepare quarterly progress reports that outline the status and 
progress of the program.
    Form a planning committee consisting of representatives from 
community organization, health care and nutrition professionals and 
educators, and high-risk women in the community.
    Consult with the planning committee to develop six educational 
sessions that address all of the major risk factors of obesity. 
Curriculum should be adapted from existing models of prevention 
intervention curriculum that have been successfully tested and 
evaluated.
    Prepare or obtain educational materials for the six educational 
sessions (e.g. instructional manual, educational and/or exercise 
videos, booklets, etc.).
    Develop small group discussion format for each session focusing on 
encouraging participants to incorporate weight control strategies and 
physical activity into their daily lives.
    Track regular physical activity and weight control behaviors.
    Use pre and post evaluation materials and survey instruments (e.g. 
knowledge tests, risk factor profile assessment tools, and qualitative 
feedback forms).
    Prepare a draft consent form in lay-language, obtain appropriate 
institutional IRB approval, if applicable, and obtain consent from all 
program participants.
    Adhere to all program requirements specified in this announcement 
and the Notice of Grant Award.
    Comply with the DHHS Protection of Human Subjects regulations 
(which require obtaining Institutional Review Board approval), set out 
at 45 CFR part 46, if applicable. General information about Human 
Subjects regulations can be obtained through the Office for Human 
Research Protections (OHRP) at http://www.hhs.gov/ohrp; 
[email protected]; or toll free at (866) 447-4777.

III. Eligibility Information

1. Eligible Applicants

    Eligible entities may include: For profit and not for profit 
community based organizations, national organizations, colleges and 
universities, clinics and hospitals, research institutions, State and 
local government agencies, tribal government and tribal/urban Indian 
entities, and faith-based organizations.
    If funding is requested in an amount greater than the ceiling of 
the award range ($98,000 total cost for a 12-month period), the 
application will be considered non-responsive and will not be entered 
into the review process. The application will be returned with 
notification that it did not meet the submission requirements. 
Applications that are not complete or do not conform to or address the 
criteria of this announcement will be considered non-responsive and 
will not be entered into the review process. The application will be 
returned with notification that it did not meet the submission 
requirements. An organization may submit no more than one proposal for 
the program announced in this notice of funding availability. 
Organizations submitting more than one proposal will be deemed 
ineligible. The proposal will be returned without comment.

2. Cost Sharing or Matching Funds

    Cost sharing and matching funds are not a requirement of this 
grant; however applicants may solicit private sources for donations 
and/or loans of screening equipment, screening personnel, and 
participation incentives.

3. Other

    A Letter of Intent (LOI) is required prior to submission of 
applications. See section IV.2 for formatting and submission 
requirements for the LOI.

IV. Application and Submission Information

1. Address To Request Application Package

    Application kits may be requested by calling (240) 453-8822 or 
writing to: OPHS Office of Grants Management, 1101 Wootton Parkway, 
Suite 550, Rockville, MD 20852. Requests may also be submitted by FAX 
at (240) 453-8823.

2. Content and Form of Application Submission

A. Letter of Intent
    A Letter of Intent (LOI) is required from all potential applicants 
for the purpose of planning the competitive review process. The LOI 
should be no

[[Page 35428]]

more than one page, double-spaced, printed on one side, with one-inch 
margins, and 12-point font. LOIs should include the following 
information: (1) Program announcement title and number; (2) name of the 
applicant agency or organization, the official contact person and that 
person's telephone number, fax number, and mailing and e-mail 
addresses. Do not include a description of your proposed project. 
Submit the LOI to: OPHS Office of Grants Management, 1101 Wootton 
Parkway, Suite 550, Rockville, MD 20852. The LOI must be received by 
the OPHS Office of Grants Management by 5 p.m. Eastern Time on June 29, 
2006. If an applicant does not submit an LOI by the established due 
date and time, the application will not be eligible for the review 
process.
    A Dun and Bradstreet Universal Numbering System (DUNS) number is 
required for all applications for Federal assistance. Organizations 
should verify that they have a DUNS number or take the steps necessary 
to obtain one. Instructions for obtaining a DUNS number are included in 
the application package, and may be downloaded from the Web site 
https://www.dnb.com/product/eupdate/requestOptions.html.
B. Application
    Applications must be submitted using the Form OPHS-1 (Revised 8/04) 
and in the manner prescribed in the application kit. Applicants are 
required to submit an original ink-signed and dated application and 2 
photocopies. The application should be organized in accordance with the 
format presented in the Program Guidelines. The original and each copy 
must be stapled and/or otherwise securely bound. All pages must be 
numbered clearly and sequentially. The application must be typed on 
plain 8\1/2\'' x 11'' white paper, using a 12 point font, and contain 
1'' margins all around. The Project Narrative, excluding the 
appendices, is limited to a total of 50 pages--the fronts and backs of 
25 pieces of paper. The first 50 pages of the proposal will be 
considered; any pages exceeding this length will be removed from the 
proposal and will not be evaluated. Staff resumes, letters of support, 
memorandums of understanding (MOUs), budget justifications, samples of 
existing curriculum, samples of survey instruments and data collection 
forms, and research results and references may be included as part of 
an appendix and will not count toward the 50 pages limit. The 
application must also include a detailed budget justification, 
including a narrative and computation of expenditures for one year. The 
budget justification does not count toward the 50 pages limit.
    An outline for the minimum information to be included in the 
``Project Narrative'' section is presented below.
A. Program Plan
    The applicant must describe, in detail, its approach for 
accomplishing each of the requirements identified in the funding 
opportunity description. The program plan must reference each 
requirement, and the material should be presented in the order in which 
it appears in the funding opportunity description. The applicant should 
demonstrate a full understanding of the need for the program, 
anticipating, prioritizing, and presenting likely components that will 
achieve overall goals and desired outcomes. The applicant should also 
identify potential problems and intended solutions. The applicant is 
free to recommend and describe other procedures that it believes will 
more effectively achieve the stated objectives, but needs to carefully 
relate alternatives and rationales to the approach recommended in the 
funding opportunity description.
    The proposal should include curriculum outlines and sample agendas 
for one or more of the educational sessions described in the funding 
opportunity description. The applicant must provide a detailed 
description of the existing curriculum that will be adapted and used 
for the educational sessions. In addition, samples of the existing 
curriculum and results from any pilot or demonstration projects that 
used the curriculum should be provided. These samples and results may 
be included as part of the appendices.
B. Experience and Commitment of Key Personnel
    The applicant must identify key personnel involved in the project 
based on the requirements described in funding opportunity description 
and other personnel adequate to support the administrative, logistical, 
financial, and scientific coordination aspects of the project within 
the time limits of the grant. The applicant must provide information on 
which task(s) each of the key personnel will perform and the rationale 
for that assignment. Resumes for all proposed personnel must be 
submitted with the application in the appendices.
C. Management Plan
    The applicant should develop and propose a Management Plan. This 
plan includes a program schedule that lays out tasks and a time-line 
and identifies significant milestones for the accomplishment of the 
project. Specific staff responsibilities must be detailed in this 
schedule along with the number of hours that each person will devote to 
each task. The plan must provide, at a minimum, details pertaining to 
the four program phases (Program Planning, Development, and 
Recruitment; Educational Sessions; Maintenance Sessions; Program 
Evaluation/Write-Up) as they are outlined in the funding opportunity 
description.
D. Past Performance
    Each applicant should describe its organization's relevant 
experience and success in managing this type of project. The applicant 
should also include a description of itself, the experience of its 
support personnel, and information about grantees, partners, and 
quality of cooperation between organization, staff, key personnel, and 
clients. Specific descriptions of relevant previous experience that the 
organization has performed within the past five years must be included. 
Include period of performance, dollar amount, name of program sponsor, 
and a letter of support from at least three different program sponsors. 
Letters of support may be included as part of the appendices.
    Relevant previous experience may include, but is not limited to, 
the development of: Comprehensive campaigns or educational programs 
aimed at improving the health of women and/or men; health behavior 
modification programs; programs delivered in a variety of settings 
(e.g., educational, hospital, community, etc.); obesity, physical 
activity, nutrition, chronic disease, or other illness prevention and 
risk modification programs; and previous collaborations with local and 
national organizations.
E. Appendices
    Include documentation and other supporting information in this 
section, including staff resumes, letters of support, memorandums of 
understanding (MOUs), samples of existing curriculum, samples of survey 
instruments and data collection forms, and research results and 
references. The applicant should also include an MOU between the 
applicant and any other organization or entity with which it intends to 
collaborate/partner.

3. Submission Dates and Times

Submission Mechanisms

    The Office of Public Health and Science (OPHS) provides multiple 
mechanisms for the submission of

[[Page 35429]]

applications, as described in the following sections. Applicants will 
receive notification via mail from the OPHS Office of Grants Management 
confirming the receipt of applications submitted using any of these 
mechanisms. Applications submitted to the OPHS Office of Grants 
Management after the deadlines described below will not be accepted for 
review. Applications which do not conform to the requirements of the 
grant announcement will not be accepted for review and will be returned 
to the applicant.
    Applications may only be submitted electronically via the 
electronic submission mechanisms specified below. Any applications 
submitted via any other means of electronic communication, including 
facsimile or electronic mail, will not be accepted for review. While 
applications are accepted in hard copy, the use of the electronic 
application submission capabilities provided by the OPHS eGrants system 
or the Grants.gov Web site Portal is encouraged.
    Electronic grant application submissions must be submitted no later 
than 5 p.m. Eastern Time on the deadline date specified in the DATES 
section of the announcement using one of the electronic submission 
mechanisms specified below. All required hard copy original signatures 
and mail-in items must be received by the OPHS Office of Grants 
Management no later than 5 p.m. Eastern Time on the next business day 
after the deadline date specified in the DATES section of the 
announcement.
    Applications will not be considered valid until all electronic 
application components, hard copy original signatures, and mail-in 
items are received by the OPHS Office of Grants Management according to 
the deadlines specified above. Application submissions that do not 
adhere to the due date requirements will be considered late and will be 
deemed ineligible.
    Applicants are encouraged to initiate electronic applications early 
in the application development process, and to submit early on the due 
date or before. This will aid in addressing any problems with 
submissions prior to the application deadline.

Electronic Submissions via the Grants.gov Web Site Portal

    The Grants.gov Web site Portal provides organizations with the 
ability to submit applications for OPHS grant opportunities. 
Organizations must successfully complete the necessary registration 
processes in order to submit an application. Information about this 
system is available on the Grants.gov Web site, http://www.grants.gov.
    In addition to electronically submitted materials, applicants may 
be required to submit hard copy signatures for certain program related 
forms, or original materials as required by the announcement. It is 
imperative that the applicant review both the grant announcement, as 
well as the application guidance provided within the Grants.gov 
application package, to determine such requirements. Any required hard 
copy materials, or documents that require a signature, must be 
submitted separately via mail to the OPHS Office of Grants Management, 
and, if required, must contain the original signature of an individual 
authorized to act for the applicant agency and the obligations imposed 
by the terms and conditions of the grant award.
    Electronic applications submitted via the Grants.gov Web site 
Portal must contain all completed online forms required by the 
application kit, the Program Narrative, Budget Narrative and any 
appendices or exhibits. All required mail-in items must received by the 
due date requirements specified above. Mail-In items may only include 
publications, resumes, or organizational documentation.
    Upon completion of a successful electronic application submission 
via the Grants.gov Website Portal, the applicant will be provided with 
a confirmation page from Grants.gov indicating the date and time 
(Eastern Time) of the electronic application submission, as well as the 
Grants.gov Receipt Number. It is critical that the applicant print and 
retain this confirmation for their records, as well as a copy of the 
entire application package.
    All applications submitted via the Grants.gov Website Portal will 
be validated by Grants.gov. Any applications deemed ``Invalid'' by the 
Grants.gov Web site Portal will not be transferred to the OPHS eGrants 
system, and OPHS has no responsibility for any application that is not 
validated and transferred to OPHS from the Grants.gov Web site Portal. 
Grants.gov will notify the applicant regarding the application 
validation status. Once the application is successfully validated by 
the Grants.gov Web site Portal, applicants should immediately mail all 
required hard copy materials to the OPHS Office of Grants Management to 
be received by the deadlines specified above. It is critical that the 
applicant clearly identify the Organization name and Grants.gov 
Application Receipt Number on all hard copy materials.
    Once the application is validated by Grants.gov, it will be 
electronically transferred to the OPHS eGrants system for processing. 
Upon receipt of both the electronic application from the Grants.gov 
Website Portal, and the required hard copy mail-in items, applicants 
will receive notification via mail from the OPHS Office of Grants 
Management confirming the receipt of the application submitted using 
the Grants.gov Web site Portal.
    Applicants should contact Grants.gov regarding any questions or 
concerns regarding the electronic application process conducted through 
the Grants.gov Web site Portal.

Electronic Submissions via the OPHS eGrants System

    The OPHS electronic grants management system, eGrants, provides for 
applications to be submitted electronically. Information about this 
system is available on the OPHS eGrants Web site, https://egrants.osophs.dhhs.gov, or may be requested from the OPHS Office of 
Grants Management at (240) 453-8822.
    When submitting applications via the OPHS eGrants system, 
applicants are required to submit a hard copy of the application face 
page (Standard Form 424) with the original signature of an individual 
authorized to act for the applicant agency and assume the obligations 
imposed by the terms and conditions of the grant award. If required, 
applicants will also need to submit a hard copy of the Standard Form 
LLL and/or certain Program related forms (e.g., Program Certifications) 
with the original signature of an individual authorized to act for the 
applicant agency.
    Electronic applications submitted via the OPHS eGrants system must 
contain all completed online forms required by the application kit, the 
Program Narrative, Budget Narrative and any appendices or exhibits. The 
applicant may identify specific mail-in items to be sent to the Office 
of Grants Management separate from the electronic submission; however 
these mail-in items must be entered on the eGrants Application 
Checklist at the time of electronic submission, and must be received by 
the due date requirements specified above. Mail-In items may only 
include publications, resumes, or organizational documentation.
    Upon completion of a successful electronic application submission, 
the OPHS eGrants system will provide the applicant with a confirmation 
page indicating the date and time (Eastern Time) of the electronic 
application submission. This confirmation page will

[[Page 35430]]

also provide a listing of all items that constitute the final 
application submission including all electronic application components, 
required hard copy original signatures, and mail-in items, as well as 
the mailing address of the OPHS Office of Grants Management where all 
required hard copy materials must be submitted.
    As items are received by the OPHS Office of Grants Management, the 
electronic application status will be updated to reflect the receipt of 
mail-in items. It is recommended that the applicant monitor the status 
of their application in the OPHS eGrants system to ensure that all 
signatures and mail-in items are received.

Mailed or Hand-Delivered Hard Copy Applications

    Applicants who submit applications in hard copy (via mail or hand-
delivered) are required to submit an original and two copies of the 
application. The original application must be signed by an individual 
authorized to act for the applicant agency or organization and to 
assume for the organization the obligations imposed by the terms and 
conditions of the grant award.
    Mailed or hand-delivered applications will be considered as meeting 
the deadline if they are received by the OPHS Office of Grant 
Management on or before 5:00 p.m. Eastern Time on the deadline date 
specified in the DATES section of the announcement. The application 
deadline date requirement specified in this announcement supersedes the 
instructions in the OPHS-1. Applications that do not meet the deadline 
will be returned to the applicant unread.

4. Intergovernmental Review

    This program is subject to the Public Health Systems Reporting 
Requirements. Under these requirements, community-based and faith-
based, non-governmental applicant must prepare and submit a Public 
Health System Impact Statement (PHSIS). 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 PHSIS is 
intended to provide information to State and local health officials to 
keep them apprised of proposed health services grant applications 
submitted by community-based or faith-based, non-governmental 
organizations within their jurisdictions.
    Community-based and faith-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 (PHSIS), not to exceed one page, which 
provides: (1) A description of the population to be served, (2) a 
summary of the services to be provided, and (3) a description of the 
coordination planned with the appropriate state or local health 
agencies. Copies of the letters forwarding the PHSIS to these 
authorities must be contained in the application materials submitted to 
the DHHS/OWH.
    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 
(SPOC) in the State for review. Applicants (other than federally 
recognized Indian tribes) should contact their SPOCs as early as 
possible to alert them to the prospective applications and receive any 
necessary instructions on the State process. For proposed projects 
serving more than one State, the applicant is advised to contact the 
SPOC in each affected State. A complete list of SPOCs 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.)

5. Funding Restrictions

    Grant funds may be used to cover costs of:
    Personnel.
    Consultants.
    Office supplies and software.
    Educational, promotional and evaluation materials.
    Screening supplies and equipment.
    Grant related travel (domestic only).
    Other grant related costs.
    Grant funds may not be used for:
    Building alterations or renovations.
    Computers.
    Construction.
     Food.
    Fund raising activities.
    Medical treatment or therapy.
    Political education and lobbying.
    Other activities that are not grant related.

V. Application Review Information

1. Criteria

    The technical review of applications will consider the following 4 
factors:
A. Factor 1: Program Plan (40 points)
    This factor will be evaluated by rating the applicant's approach to 
accomplishing each of the requirements identified in the funding 
opportunity description as demonstrated by the following:
    Demonstrated understanding of the scope, goals, and objectives of 
the work required and the applicability and clarity of the overall 
approach.
    Discussions detailing how each of the requirements will be 
performed and the appropriateness of all proposed methodologies and 
analyses.
    Identification of potential problems and intended solutions.
    Discussions detailing the criteria used for selecting sites, list 
of selected sites or locations of sites, and letters of support from 
each site, if possible.
    Discussions of curriculum, including samples of the existing 
curriculum that will be adapted for the program and preliminary 
outlines and sample agendas for one or more of the educational sessions 
described in the funding opportunity description.
    Potential for the success of the proposed program plan to improve 
healthy behaviors so as to reduce obesity/overweight of the targeted 
population.
B. Factor 2: Management Plan (30 points)
    The applicant's staffing, scheduling, and logistics plans will be 
evaluated for their effectiveness in committing personnel and resources 
to provide high-quality service and products within the time frames 
set-forth. This evaluation is based on the following:
    Realism of the proposed timeline and the personnel and resources 
assigned to complete each requirement.
    Appropriateness of the proposed number of hours estimated for each 
requirement and each staff member.
    Adequacy of organizational structure.
    Adequacy of proposed plan to identify and solve potential problems.
    Adequacy of proposed plan to monitor and report on program progress 
and ensure effective communication between program staff members and 
the DHHS/OWH.

[[Page 35431]]

C. Factor 3: Experience and Commitment of Key Personnel (20 Points)
    This factor covers the qualifications of key personnel proposed to 
perform the work assigned to them and the amount of effort estimated 
for each person. This evaluation is based on the following:
    Experience, education, and professional credentials of proposed key 
personnel on similar projects and in related fields (similar projects 
must convey similarity in topic, dollar value, workload, duration, and 
complexity).
    Appropriateness of each person's skills and experience for 
performing the requirements in the funding opportunity description.
D. Factor 4: Past Performance (10 Points)
    This factor will be evaluated by considering the number, size, and 
complexity of similar projects that the applicant has previously 
successfully completed. Relevant previous experience may include, but 
is not limited to, the development of: Comprehensive campaigns or 
educational programs aimed at improving the health of women and/or men; 
health behavior modification programs; programs delivered in a variety 
of settings, re. faith-based, clinical, collegiate, or community-based; 
obesity-related, re. diabetes, nutrition, physical activity, CHD; 
disease prevention and risk modification programs; and previous 
collaborations with national or local community organizations.
    Also evaluated will be the applicant's adherence to schedules and 
budgets, effectiveness of program management, willingness to cooperate 
when difficulties arise, general compliance with the terms of the 
contracts, and acceptability of delivered products.

2. Review and Selection Process

    Applications will be screened upon receipt. Those that are judged 
to be incomplete or arrive after the deadline will be returned without 
review or comment. If funding is requested in an amount greater than 
the ceiling of the award range ($98,000 for a 12-month budget period), 
the application will be considered non-responsive and will not be 
entered into the review process. The application will be returned with 
notification that it did not meet the submission requirements.
    Applicants that are judged to be in compliance will be notified by 
the OPHS Office of Grants Management. Accepted applications will be 
evaluated based on the criteria listed in Section V.1 and reviewed for 
technical merit in accordance with DHHS policies. Applicants are 
advised to pay close attention to the specific program requirements and 
general instructions in the application kit and to the definitions 
provided in this notice.
    Applications will be evaluated by an objective technical review 
panel composed of experts in the fields of program management, chronic 
disease, obesity/overweight, minority community outreach, health 
education, and community-based research. Consideration for award will 
be given to applicants that best demonstrate the potential to design a 
program that achieves the program goals stated in this announcement.
    The Federal Government may conduct pre-award site visits of 
applicants with scores in the funding range prior to final selection. 
References may also be requested from these applicants and contacted to 
better evaluate prior relevant experience. Any applicant who believes 
the Government will find derogatory information as a result of checking 
the past performance record may provide an explanation and any remedial 
action taken by its company to address the problem. Funding decisions 
will be made by the DHHS/OWH, and will take into consideration the 
recommendations and ratings of the review panel, pre-award site visits 
and references, program needs, geographic location, and stated 
preferences.
    Guidance for completing the budget can be found in the Program 
Guidelines, which are included with the complete application kits. The 
allowability, allocability, reasonableness, and necessity of direct and 
indirect costs that may be charged to OPHS grants are outlined in the 
following documents: OMB Circular A-21 (Institutions of Higher 
Education); OMB Circular A-87 (State and Local Governments); OMB 
Circular A-122 (Nonprofit Organizations); and 45 CFR part 74, Appendix 
E (Hospitals). Copies of the Office of Management and Budget (OMB) 
Circulars are available on the Internet at http://www.whitehouse.gov/omb/grants/grants_circulars.html. In order to claim indirect costs as 
part of a budget request, an applicant organization must have an 
indirect cost rate which has been negotiated with the Federal 
government. The Health and Human Services Division of Cost Allocation 
(DCA) Regional Office that is applicable to your State can provide 
information on how to receive such a rate. A list of DCA Regional 
Offices is included in the application kit for this announcement. 
Guidance for completing the budget can be found in the Program 
Guidelines, which are included with the complete application kits.

VI. Award Administration Information

    1. Award Notices: Applicants selected for funding support will 
receive a Notice of Grant Award signed by the by the Director of the 
OPHS Office of Grants Management. This is the authorizing document and 
it will be sent electronically and followed up with a mailed copy.
    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 45 CFR parts 74 
and 92, currently in effect or implemented during the period of this 
grant. (2) 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 Officer. Only responses signed 
by the OPHS 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 Office on Women's Health. (3) Responses to reporting 
requirements, conditions, and requests for post award amendments must 
be mailed to the attention and address of the Grants Management Officer 
indicated below in ``Contacts.'' All correspondence should include the 
Federal grant number (item 4 on the Notice of Grant Award) and 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. (4) The HHS Appropriations Act 
requires that, when issuing statements, press releases, requests for 
proposals, bid solicitations, and other documents describing projects 
or programs funded in whole or in part with Federal money, all grantees 
shall clearly state the percentage and dollar amount of the total costs 
of the program or project which will be financed with Federal money and 
the percentage and dollar amount of the total costs of the project or 
program that will be financed by non-governmental sources.
    3. Reporting: Grantees will submit 4 progress reports, a final 
report, and a final Financial Status Report in the format established 
by the DHHS/OWH, in accordance with provisions of the general 
regulations which apply under ``Monitoring and Reporting Program 
Performance,'' 45 CFR parts 74 and 92. The purpose of the progress 
reports and final report is to provide accurate and

[[Page 35432]]

timely program information to program managers and to respond to 
Congressional, Departmental, and public requests for information about 
the program. Grantees shall prepare a progress report that outlines the 
status and progression of the project every 3 months. Grantees will be 
informed of the exact progress report due dates and means of submission 
after the award is made. The final report must describe all project 
activities for the entire 12-month period of the program including data 
analysis and program evaluation. DHHS/OWH shall provide an outline of 
the final report format and templates for required tables. A draft of 
the final report must be submitted six weeks prior to the end date of 
the award. DHHS/OWH will review the draft. Suggested revisions will be 
discussed individually during a conference call with each grantee. The 
mutually agreed upon revisions must be incorporated into the final 
report by the end date of the award.
    The grantee shall assign one staff member to participate in a 
committee with other grantees and DHHS/OWH to prepare a joint 
manuscript suitable for a peer-reviewed journal. This manuscript shall 
combine and summarize data from all programs into one final evaluation. 
The jointly prepared manuscript must be submitted two weeks prior to 
the end date of award.

VII. Agency Contact(s)

    For application kits and information on budget and business aspects 
of the application, please contact: OPHS Office of Grants Management, 
1101 Wootton Parkway, Suite 550, Rockville, MD 20852. Telephone: (240) 
453-8822.
    Questions regarding programmatic information and/or requests for 
technical assistance in the preparation of the ``Project Narrative'' 
should be directed in writing to: Henrietta (Retta) Terry, Public 
Health Advisor, Office on Women's Health, Office of Public Health and 
Science, DHHS, 200 Independence Ave., SW., Rm 712E, Washington, DC 
20201. Telephone: 202-205-1952. E-mail: [email protected].

VIII. Other Information

1. Background

A. Agency
    The Office on Women's Health in the United States Department of 
Health and Human Services (DHHS/OWH) coordinates the efforts of all the 
DHHS agencies and offices involved in women's health. DHHS/OWH works to 
improve the health and well-being of women and girls in the United 
States through its innovative programs by educating health 
professionals and motivating behavior change in consumers through the 
dissemination of health information. To that end, the DHHS/OWH has 
established public/private partnerships to address health problems in 
women.
B. Obesity
    In 2003-2004, 32.2% of adults were obese. If you are overweight or 
obese, carrying this extra weight puts you at risk for developing many 
diseases, especially heart disease, stroke, diabetes, cancer, and 
breathing problems such as asthma and sleep apnea. Ultimately, obesity 
can even be life-threatening. Annually in the United States, more than 
300,000 deaths are linked to obesity. Losing weight helps to prevent 
and control these diseases. The good news is that even a modest weight 
loss can bring health improvements. In many cases, you can accomplish 
this by eating healthier, exercising, and changing behaviors. For 
people who don't respond to lifestyle changes, prescription 
medications, and surgical techniques are available to enhance the 
weight-loss process.
C. Women and Obesity
    More than 65% of U.S. adults are overweight or obese. The 
percentage of obese adults varied little from 1960 to 1980, but 
increased considerably between 1980-1991, from 13-21 percent among men 
and from 17-26 percent among women. Among women, no significant 
increase in obesity was observed in 1999-2000 (33.4%) and 2003-2004 
(33.2%). The prevalence of extreme obesity in women is 6.9%. More adult 
women are obese (33 percent) than men (28 percent). African American 
women (32.9%) had the highest rates of obesity. Faced with a history of 
negative experiences at the doctor's office, many obese women delay 
preventive medical visits, including those for gynecological cancer 
screening. Being overweight increases a woman's chance of developing 
breast, ovarian, cervical, and uterine cancer.
D. Women & Girls Ages 16-24
    In 2003-2004, 17.1% of U.S. children and adolescents were 
overweight. Tests for trend were significant for male and female 
children and adolescents, indicating an increase in the prevalence of 
overweight in female children and adolescents from 13.8% in 1999-2000 
to 16.0% in 2003-2004. Overweight adolescents have a 70% chance of 
becoming overweight or obese adults. Overweight in children/adolescents 
is generally caused by lack of physical activity, unhealthy eating 
patterns, or a combination of the two, with genetics and lifestyle both 
playing important roles. Physical activity levels drop sharply as girls 
become teenagers. By the age of 15 or 16, 28% of Caucasian girls and 
58% of African American girls report no habitual leisure-time activity.
E. Racial and Ethnic Minority Women
    In 2003-2004, significant differences in obesity prevalence 
remained by race/ethnicity and by age. Approximately 30% of non-
Hispanic white adults were obese as were 45.0% of non-Hispanic black 
adults and 36.8% Mexican Americans. About 57% of Hispanic/Latino women, 
56% of American Indians/Alaska Native women, 42.6% of Asian/Pacific 
Islander women and 55% of African American women do not exercise, 
compared to 38% of white women. Hispanic and black individuals, 
especially women, have a greater prevalence of excess weight compared 
to their white counterparts. In the 2003 national survey conducted by 
the American Heart Association, fewer African-American and Hispanic 
women than white women correctly cited heart disease as the leading 
cause of death among women.
F. Genetic Factors
    Obesity tends to run in families, suggesting a genetic cause. Yet 
families also share diet and lifestyle habits that may contribute to 
obesity. Separating these from genetic factors is often difficult. Even 
so, science shows that heredity is linked to obesity. In one study, 
adults who were adopted as children were found to have weights closer 
to their biological parents than to their adoptive parents. In this 
case, the person's genetic makeup had more influence on the development 
of obesity than the environment in the adoptive family home.
G. Environmental Factors
    Genes do not destine people to a lifetime of obesity; however, 
environment also strongly influences obesity. This includes lifestyle 
behaviors such as what a person eats and his or her level of physical 
activity. Americans tend to eat high-fat foods, and put taste and 
convenience ahead of nutrition. Also, most Americans do not get enough 
physical activity. Although you cannot change your genetic makeup, you 
can change your eating habits and levels of activity.
H. Obesity Interventions
    Prevention programs that target high-risk women, particularly 
racial/ethnic minority women, have the potential to

[[Page 35433]]

reduce the incidence of obesity/overweight in the United States. 
Education is an essential component of health promotion efforts, and 
many programs aiming to prevent obesity focus on education as their 
primary goal. However, risk behavior modification, the process of 
translating knowledge into practice, is pivotal to achieving improved 
health outcomes. In particular, interventions that encourage women to 
establish a healthy weight and increase their levels of physical 
activity could dramatically affect obesity rates in the United States. 
These include:
    Personalized risk assessment and screening.
    Daily self-monitoring (log-sheets, exercise diaries, etc.).
    Program and educational materials tailored to stages of the life 
cycle, readiness to change, needs and subgroup affiliation (e.g. racial 
group, low socioeconomic status, obese, etc.).
    Behavioral reinforcement strategies such as contracts, verification 
procedures, incentives, lotteries, and team building.
    Group sessions that incorporate physical activity.
    Frequent contact via mail and phone.
    Resource library on maintaining a health weight, nutrition, 
physical activity.

2. Definitions

    For the purposes of this cooperative agreement program, the 
following definitions are provided:
    Community-based: The locus of control and decision-making powers is 
located at the community level, representing the service area of the 
community or a significant segment of the community.
    Community-based organization: Public and private, nonprofit 
organizations that are representative of communities or significant 
segments of communities.
    Culturally competent/appropriate: Information and services provided 
at the educational level and in the language and cultural context that 
are most appropriate for the individuals for whom the information and 
services are intended. Additional information on cultural competency is 
available at the following Web site: http://www.aoa.dhhs.gov/May2001/factsheets/Cultural-Competency.html.
    Partnership: A collaboration where both parties play a substantive 
role during all stages of the program including development, 
implementation and evaluation. Both parties must also be included and 
consulted when decisions are made on all aspects of the program.
    Racial and Ethnic Minority Women: American Indian or Alaska Native, 
Asian, Black or African American, Hispanic or Latino, and Native 
Hawaiian or Other Pacific Islander. (Revision to the Standards for the 
Classification of Federal Data on Race and Ethnicity, Federal Register, 
Vol. 62, No. 210, pg. 58782, October 30, 1997.)
    Sustainability: An organization's or program's staying power: The 
capacity to maintain both the financial resources and the partnerships/
linkages needed to provide the services demanded from an OWH program. 
It also involves the ability to survive change, incorporate needed 
changes, and seize opportunities provided by a changing environment.
    Target: Put forth effort to ensure that members of a specific group 
of women are aware of the program and that components of the program 
are designed to be effective in reaching those populations. This 
includes creating program materials that are culturally competent for 
that specific group of women. This also includes training staff and 
health professionals to understand the unique needs, behaviors, 
cultures and concerns of members of the specific group of women. 
Targeting does not mean excluding other groups of women from the 
program.
    Women-centered: (1) Taking into account the differences between 
heart disease in men and women and (2) addressing the needs and 
concerns of women in a way that is welcoming to women, fosters a 
commitment to women, treats women with dignity, and empowers women 
through respect and education.

3. Resources

http://www.healthierus.gov; http://www.mypyramid.gov; http://www.healthfinder.gov; http://www.womenshealth.gov.
Aim for a Healthy Weight: http://www.nhlbi.nih.gov/health/public/heart/obesity/lose_wt/patmats.htm.
Body Mass Index Calculator: http://www.nhlbisupport.com/bmi/bmicalc.htm.
Portion Distortion: http://hin.nhlbi.nih.gov/portion.
We Can! Families Finding the Balance--A Parent Handbook (in English or 
Spanish): http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan_mats/parent_hb_en.htm.
Dietary Guidelines for Americans 2005: http://www.usda.gov/cnpp/dietary_guidelines.html.
Allison DB, Fontaine KR, Manson JE, Stevens J, VanItallie TB. Annual 
deaths attributable to obesity in the United States. Journal of the 
American Medical Association; 1999; 282(16):1530-1538.
NAASO Obesity Society. Web site: http://www.nasso.obesity.org.
National Heart, Lung, and Blood Institute. Clinical Guidelines on the 
Identification, Evaluation, and Treatment of Overweight and Obesity in 
Adults. Department of Health and Human Services, National Institutes of 
Health; 1998. NIH Publication No. 98-4083.
National Heart, Lung, and Blood Institute. Working Group on 
Competencies for Overweight and Obesity Identification, Prevention and 
Treatment, 2005.
National Task Force on Prevention and Treatment of Obesity. Overweight, 
obesity, and health risk. Archives of Internal Medicine. 2000; 
160(7):898-904.
Partnership for Healthy Weight Management. Weight Loss: Finding a 
Weight Loss Program that Works for You. 2000. Phone: 1-888-8-PUEBLO. 
Web site: www.consumer.gov/weightloss/brochures.htm.
Partnership for Healthy Weight Management. Setting Goals for Healthy 
Weight Loss. 1999. Phone: 1-888-8-PUEBLO. Web site: http://www.consumer.gov/weightloss/brochures.htm.
The President's Council on Physical Fitness and Sports, Department of 
Health and Human Services. Exercise and Weight Control. Web site: 
http://www.fitness.gov/Reading_Room/reading_room.html.
Surgeon General's Call to Action to Prevent and Decrease Overweight and 
Obesity. Web site: http://www.surgeongeneral.gov/topics/obesity.
U.S. Department of Agriculture and U.S. Department of Health and Human 
Services. Dietary Guidelines for Americans. 2000. Phone: 1-888-878-
3256. Web site: http://www.usda.gov/cnpp or http://www.health.gov/dietaryguidelines.

    Dated: June 7, 2006.
Wanda K. Jones,
Deputy Assistant Secretary for Health (Women's Health).
[FR Doc. E6-9640 Filed 6-19-06; 8:45 am]
BILLING CODE 4150-33-P