State Injury Intervention Programs; Notice of Availability of Funds for Fiscal Year 1994

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Announcement Number 483]

State Injury Intervention Programs; Notice of Availability of

Funds for Fiscal Year 1994

Introduction

The Centers for Disease Control and Prevention (CDC), announces the

availability of fiscal year (FY) 1994 funds for cooperative agreements

for State Injury Intervention Programs. These programs will develop,

implement, and evaluate multi-faceted, injury prevention and/or

surveillance programs to reduce the incidence of injuries and deaths in

the following areas: bicycle-related head injuries, fire-related burn

injuries, motor vehicle injuries, firearm-related injuries, violence

against women, and alcohol-related injuries.

The Public Health Service (PHS) is committed to achieving the

health promotion and disease prevention objectives described in

``Healthy People 2000,'' a PHS-led national activity to reduce

morbidity and mortality and improve the quality of life. This

announcement is related to the priority areas of Violent and Abusive

Behavior and Unintentional Injuries. (For ordering a copy of ``Healthy

People 2000,'' see the Section Where to Obtain Additional Information.)

Authority

This program announcement is authorized under Sections 301, 317,

and 391-394 (42 U.S.C. 241, 247b, and 280b-280b-3) of the Public Health

Service Act as amended.

Smoke-Free Workplace

The Public Health Service strongly encourages all grant recipients

to provide a smoke-free workplace and promote the non-use of all

tobacco products. This is consistent with the PHS mission to protect

and advance the physical and mental health of the American people.

Eligible Applicants

Assistance will be provided only to the official public health

agencies of States or their bona fide agents. This includes the

District of Columbia, American Samoa, the Commonwealth of Puerto Rico,

the Virgin Islands, the Federated States of Micronesia, Guam, the

Northern Mariana Islands, the Republic of the Marshall Islands, and the

Republic of Palau. In addition, official public health agencies of

county or city governments with jurisdictional populations greater than

3,500,000 (based on 1990 census data) are eligible.

Availability of Funds

Approximately $3,500,000 is available in FY 1994 to fund up to

twenty projects to implement and evaluate injury intervention and

surveillance programs in five priority areas: bicycle-related head

injuries (4-5 to be awarded), fire-related burn injuries (4-5 to be

awarded), motor vehicle injuries (4-5 to be awarded), firearm-related

injuries (6 to be awarded), and alcohol-related injuries (1 to be

awarded). Awards are expected to range from $150,000 to $200,000 with

an average award of $175,000 for each 12-month budget period.

In addition, approximately $750,000 will be available to fund up to

three projects to perform activities for the prevention of violence

against women. Awards are expected to range from $225,000 to $275,000,

with an average award of $250,000.

Funds are expected to be awarded on or about September 1, 1994, and

will be made for a 12-month budget period. Programs addressing bicycle-

related head injuries, fire-related burn injuries, motor vehicle

injuries, firearm-related injuries, and alcohol-related injuries will

have a 3-year project period and those addressing violence against

women will have a 5-year project period. Funding estimates may vary and

are subject to change. Continuation awards within the project periods

will be made on the basis of satisfactory progress as evidenced by

required reports and the availability of funds.

Note: At the request of the applicant, Federal personnel may be

assigned in lieu of a portion of the financial assistance.

Purpose

The purpose of this cooperative agreement is to enable State public

health agencies to implement and evaluate priority injury prevention

and control activities. Specifically, State public health agencies may

submit applications to develop programs in EACH OR ANY of six areas:

1. Prevention of bicycle-related head injuries through increased

usage of bicycle helmets;

2. Prevention of fire-related burns through increased installation

and utilization of smoke detectors;

3. Prevention of motor vehicle injuries through increased usage of

occupant protection, including seat belts, child safety seats, and air

bags;

4. Identification of firearm-related injuries;

5. Identification and prevention of violence against women; and

6. Identification and prevention of alcohol-related injuries.

Programs in any of these six areas will develop, implement, and

evaluate targeted activities designed to accurately measure and reduce

morbidity, mortality, severity, disability, and costs associated with

injuries. This funding will allow the applicant to establish or

strengthen a lead capacity for prevention and control of the targeted

injury (e.g., bicycle-related head injuries). It is expected that any

program developed will function as a component of the public health

agency's injury control program, will coordinate related activities

both within the agency and within the jurisdiction, and will mobilize,

seek input from, and utilize broad coalitions.

Bicycle-Related Head Injuries

Awards for prevention of bicycle-related head injuries are to be

used to develop, implement, and evaluate the effectiveness of multi-

faceted bicycle injury prevention programs in increasing helmet use and

reducing morbidity, mortality, severity, disability, and costs

associated with bicycle injuries for which helmets are effective. This

program will facilitate the development, expansion, and improvement of

bicycle injury control programs, and in particular, bicycle helmet

usage programs within State public health agencies. Programs within

State public health agencies are expected to define and monitor the

extent of the bicycle-related injury problem, develop intervention

strategies, including public education programs, and evaluate the

program's effectiveness in terms of reduced morbidity, mortality,

severity, disability, and cost. Specifically, bicycle helmet usage

programs are intended to:

A. Develop or improve injury surveillance activities to identify

bicycle-related head injuries, including data describing the magnitude

of the problem, who is affected, utilization of bicycle helmets, costs

associated with bicycle-related head injuries, and to identify and

monitor health outcomes to measure the impact of the program;

B. Implement and evaluate multifaceted prevention activities to

address and define the bicycle injury problem using evaluation

guidelines for State injury control programs developed by CDC/National

Center of Injury Prevention and Control (NCIPC);

C. Enact legislation and implement community-based prevention

programs (including educational, promotional and legislative

strategies) to encourage the use of bicycle helmets.

D. Determine the effectiveness of strategies for increasing bicycle

helmet use.

Fire-Related Burns

Awards for prevention of fire-related burns are to be used to

develop, implement, and evaluate the effectiveness of smoke detector

promotion programs in increasing installation and utilization of smoke

detectors and in reducing morbidity, mortality, severity, disability,

and costs associated with fire-related burns which are preventable by

utilization of smoke detectors. This program will facilitate the

development, expansion, and improvement of smoke detectors programs

within State public health agencies. Programs within State public

health agencies are expected to define and monitor the fire-related

burn problem, develop and implement intervention strategies, including

public education programs, and evaluate the program's effectiveness in

terms of increased smoke detector installation and use, and reduced

morbidity, mortality, severity, disability, and cost of fire-related

burns.

Specifically, smoke detector usage programs are intended to:

A. Develop or improve injury surveillance activities for fire-

related burn injuries, including data describing the magnitude of the

problem, who is affected, and utilization of smoke detectors;

B. Implement and evaluate multi-faceted prevention activities to

address and define the fire-related burn problem using evaluation

guidelines for State injury control programs developed by CDC/NCIPC.

C. Enact legislation and implement community prevention programs

(including educational, promotional, legislative and maintenance

strategies) to encourage the use of smoke detectors.

D. Determine the effectiveness of strategies for increasing smoke

detector installation and use.

Motor Vehicle Injuries

Awards for prevention of motor vehicle injuries are designed to

develop, implement, and evaluate the effectiveness of occupant

protection programs in increasing occupant protection and reducing

morbidity, mortality, severity, disability, and costs associated with

motor vehicle injuries. This program will facilitate the development,

expansion, and improvement of programs to increase the use of occupant

protection within State public health agencies. Programs within State

public health agencies are expected to define and monitor the motor

vehicle injury problem, develop intervention strategies, including

programs in highway safety, and evaluate the program's effectiveness in

terms of increased usage patterns and reduced morbidity, mortality,

severity, disability, and cost associated with motor vehicle injuries.

Specifically, occupant protection usage programs are intended to:

A. Develop or improve injury surveillance activities to identify

motor vehicle-related injuries, including linkage with other data

systems to describe the magnitude and cost of the problem, who is

affected, and use of occupant protection (seat belts, child safety

seats, air bags, or some combination of these). These data should be

collected in a manner that allows for the evaluation of progress toward

the Year 2000 Objectives for the nation;

B. Implement and evaluate multi-faceted prevention activities to

address and define the motor vehicle injury problem using evaluation

guidelines for State injury control programs developed by CDC/NCIPC;

C. Enact and strengthen legislation to cover all ages and seating

positions and implement community-based interventions (including

education, behavioral change, and policy development) to encourage the

use of occupant protection;

D. Determine the effectiveness of specific interventions in

increasing occupant protection.

Firearm-Related Injury Surveillance

Awards for development of firearm-related injury surveillance

systems are designed to develop, implement, and evaluate such

surveillance systems. This program will enable State public health

agencies to define and monitor the firearm-related injury problem in

their jurisdictions, and to evaluate the program's effectiveness in

terms of surveillance sensitivity, timeliness, representation,

predictive value positive, and ability to measure the impact of

specific interventions on morbidity, mortality, severity, disability,

and cost of firearm-related injury.

Specifically, firearm-related injury surveillance programs are

intended to:

A. Develop or improve injury surveillance activities to identify

firearm-related injuries, including data describing the magnitude of

the problem, who is affected, areas and persons at greatest risk, and

the type and source of the firearm and ammunition used;

B. Link data from various sources to form a more complete picture

of firearm-related injuries (e.g., linkage of emergency department or

hospital discharge data with police data).

C. Measure the effectiveness of specific interventions in reducing

firearm-related injuries.

Violence Against Women

Awards for identification and prevention of violence against women

are designed to develop, implement, and evaluate a surveillance system

for injuries due to violence against women, define the role of the

State public health agency in preventing violence against women, and

develop, implement and evaluate the effectiveness of strategies to

prevent violence against women. Programs will define and monitor this

injury problem and evaluate the surveillance system's effectiveness in

terms of sensitivity, timeliness, representativeness, and predictive

value positive. Programs will evaluate the effectiveness of the

interventions in reducing morbidity, mortality, severity, disability,

and cost of injury.

Specifically, programs to prevent violence against women are

intended to:

A. Identify data sources and develop or improve existing

surveillance systems for violence against women. Field test violence

against women surveillance guidelines developed by a drafting group

convened by CDC/NCIPC.

B. Assess the State public health agency's ability to address

violence against women issues, including conducting inventories of

existing violence against women prevention programs.

C. Develop collaborative relationships with voluntary, community-

based, and public and private organizations already involved in

preventing violence against women.

D. Determine the effectiveness of specific interventions in

preventing violence against women, including evaluation of existing

interventions and development and evaluation of new interventions, and

determine how to combine specific interventions into effective

programs. (Emphasis should be placed on violence against women that is

committed by family members and intimates rather than by strangers.)

Alcohol-Related Injuries

An award for identification and prevention of alcohol-related

injuries is designed to develop, implement, and evaluate a surveillance

system based at acute care hospitals and to increase the effectiveness

of hospital-based screening, intervention, and treatment referral for

injured individuals with alcohol problems. This program will establish

or strengthen the ability of the State public health agency to work

with acute care hospitals and other organizations in efforts to

facilitate access and improve treatment outcomes for injured

individuals in need of alcohol treatment services. State public health

agencies will define the nature and extent of alcohol-related injuries,

provide leadership in developing and implementing essential clinical

prevention services, and evaluate the effectiveness of these services

in terms of their impact on the incidence of alcohol-related injuries.

Specifically, programs to prevent alcohol-related injuries are

intended to:

A. Develop or improve surveillance activities to identify alcohol-

related injuries treated in inpatient or outpatient departments of

acute care hospitals, including data describing the magnitude of the

problem, who is affected, and the costs of associated acute care.

B. Promote collaborative working relationships among community and

voluntary organizations. State alcohol and drug abuse treatment

agencies, treatment providers and other mental health professionals,

professional organizations, insurance companies, and other parties

involved in delivering or improving clinical prevention services for

individuals with alcohol-related injuries.

C. Establish or enhance statewide programs based in acute care

hospitals designed to improve identification, reduce alcohol

consumption, achieve necessary referrals to specialized alcohol

treatment, and assure continuity of care of drinkers with alcohol-

related injuries.

D. Determine the effectiveness of specific components of new or

enhanced clinical prevention services provided to patients with

alcohol-related injuries, including methods of screening and

intervening at acute care hospitals. Emphasis should be placed on using

the surveillance system to measure the impact of these services on the

incidence of recurrent alcohol-related injuries.

Program Requirements

In conducting activities to achieve the purpose of this program,

the recipient will be responsible for the activities under A.

(Recipient Activities), and CDC will be responsible for the activities

listed under B. (CDC Activities).

A. Recipient Activities

In conducting activities to achieve the purpose of this program,

the recipient shall:

1. For Bicycle-Related Head Injury Prevention Programs

a. Provide a full-time director/coordinator and staff who have

authority, responsibility, and expertise to carry out the program.

b. Define the magnitude of the bicycle-related head injury problem;

define the population at risk, and collect adequate injury data. These

data include deaths and injuries attributable to bicycle-related head

injury, helmet use rates among various age groups in the community, and

barriers to helmet use. Potential data sources include: E-coded

hospital discharge data, emergency department data, head and spinal

cord injury registries, and random digit dial phone surveys of

community residents to obtain information on behaviors.

c. Develop and implement community-based prevention programs to

encourage the use of bicycle helmets. These include educational,

promotional, and legislative strategies utilized in a multifaceted

approach.

d. Promote and develop local and statewide legislation requiring

bicycle helmet usage for all riders and passengers under 16 years of

age.

e. Form partnerships with highway safety officials (e.g.,

Governor's Highway Safety Representative, police) to promote bicycle

helmet usage.

f. Seek community input and generate community support for bicycle

helmet usage promotion activities. Coalitions of appropriate

individuals, agencies, and organizations with experience and interest

in bicycle helmet usage campaigns may be established in support of

intervention activities.

g. Evaluate the effectiveness of each intervention activity and the

program as a whole using evaluation guidelines for State injury control

programs developed by CDC/NCIPC.

h. Perform related injury demonstration projects. These may be

related by population at risk, nature of the injury, causal chain, or

intervention methodology.

2. For Fire-Related Burn Prevention Programs

a. Provide a full-time director/coordinator and staff who have

authority, responsibility, and expertise to carry out the program.

b. Define the magnitude of the fire-related burn problem; define

the population at risk and areas affected, and collect adequate injury

data. These data include deaths and injuries attributable to fire-

related burns, smoke detector use rates for various geographic areas of

the community, and barriers to smoke detector use. Potential data

sources include: E-coded hospital discharge data, emergency department

data, public safety data (e.g., fire department data), and random digit

dial phone surveys of community residents to obtain information on

behaviors.

c. Develop and implement community-based prevention programs to

encourage the installation, use, and maintenance of smoke detectors.

These include promotional, educational, and legislative (State and

local) strategies utilized in a multifaceted approach.

d. Form partnerships with public safety officials (e.g., fire

departments) to promote smoke detector installation and maintenance.

e. Seek community input and generate community support for smoke

detector installation and maintenance. Coalitions of appropriate

individuals, agencies, and organizations with experience and interest

in smoke detector campaigns may be established in support of fire-

related burn prevention activities.

f. Evaluate the effectiveness of each intervention activity and the

program as a whole using evaluation guidelines for State injury control

programs developed by CDC/NCIPC.

g. Perform related injury demonstration projects. These may be

related by population at risk, nature of the injury, causal chain, or

intervention methodology.

3. For Motor Vehicle Injury Prevention Programs

a. Provide a full-time director/coordinator and staff who have

authority, responsibility, and expertise to carry out the program.

b. Define the magnitude of the motor vehicle injury problem; define

the population at risk and associated costs and collect adequate injury

data. These data include deaths and injuries attributable to motor

vehicle crashes, use of occupant protection (seat belts, child safety

seats, air bags, or a combination of these), and barriers to occupant

protection use. These data might best be derived through linkage of

various data systems (e.g., hospital discharge and police data).

c. Develop and implement or enhance existing State and community-

based programs to encourage the use of occupant protection devices.

These include legislative (State and local), promotional, and

educational strategies utilized in a multifaceted approach.

d. Form partnerships with highway safety officials (e.g.,

Governor's Highway Safety Representative, law enforcement) to promote

motor vehicle occupant protection use.

e. Seek community input and generate community support for motor

vehicle occupant protection. Coalitions of appropriate individuals,

agencies, and organizations with experience and interest in prevention

of motor vehicle injuries may be established in support of occupant

protection campaigns.

f. Evaluate the effectiveness of each intervention activity and the

program as a whole using evaluation guidelines for State injury control

programs developed by CDC/NCIPC.

g. Perform related injury demonstration projects. These may be

related by population at risk, nature of the injury, causal chain, or

intervention methodology.

4. For Firearm-Related Injury Surveillance Programs

a. Provide a full-time director/coordinator and staff who have

authority, responsibility, and expertise to carry out the program.

b. Collect adequate injury data on firearm-related injuries. These

data include who is affected, areas and persons at greatest risk, the

type and source of firearm used, and characteristics of perpetrators.

c. Implement or enhance a surveillance system to define the

magnitude of the firearm-related injury problem in at least one of the

following areas:

(1) Link vital statistics data with other data (e.g., medical

examiner data, police data) to provide a more complete description of

firearm-related mortality, or

(2) Conduct surveillance of nonfatal firearm-related injuries

(e.g., through hospital emergency department data, E-coded hospital

discharge data), or

(3) Define risk behaviors, utilizing risk behavior surveys (e.g.,

gun carrying, availability, storage practices).

d. Form partnerships with public safety officials (e.g., police) to

ensure the completeness of surveillance data.

e. Demonstrate the utility of the surveillance system in measuring

the effectiveness of specific interventions designed to reduce firearm-

related injuries.

f. Evaluate the surveillance system in terms of sensitivity,

timeliness, representation and predictive value positive.

g. Perform related injury demonstration projects. These may be

related by nature of the injury or surveillance methodology.

5. For Programs To Prevent Violence Against Women

a. Provide a full-time director/coordinator and staff who have

authority, responsibility, and expertise to carry out the program.

b. Establish an advisory structure to address issues related to

violence against women, to ensure community input, and to generate

community support. This advisory structure should consist of

individuals (internal and external to the State public health agency),

agencies, and organizations with experience, expertise and interest in

preventing violence against women. If a State Injury Advisory Committee

exists, this advisory structure should be constituted as a subcommittee

for violence against women issues.

c. Develop collaborative relationships with voluntary, community-

based public and private organizations and agencies already involved in

preventing violence against women.

d. Conduct an inventory of existing data sources and prevention

programs within the State which address violence against women.

e. Assess the State public health agency's organizational capacity

and available resources, as well as other public and private resources,

to address violence against women.

f. Design, pilot test, and implement a surveillance system to track

the incidence of violence against women in selected geographic areas

within the State, and expand this surveillance system statewide.

g. Evaluate the usefulness of the surveillance system for assessing

violence against women.

h. Identify, implement and evaluate specific interventions to

prevent violence against women. Evaluate existing interventions or

implement and test new interventions. Examples of existing

interventions include, but are not limited to:

(1) Public awareness campaigns to change knowledge, attitudes, and

beliefs conducive to violence against women.

(2) School-based curricula that teach strategies for developing and

maintaining nonviolent dating relationships.

(3) Home health visitation to reduce partner abuse in targeted

families and thereby reduce the likelihood of children witnessing such

violence.

(4) Shelters for battered women to reduce prevalence of physical

abuse.

(5) Victim identification and referral protocols in hospital

emergency rooms, STD clinics, prenatal care clinics, and family

planning clinics.

(6) Behavior motivation programs for men.

(7) Rape crisis centers to help in prevention recurrence of sexual

assault by someone the victim knows.

(8) Hotlines as tools to provide crisis intervention counseling.

i. Develop, implement, and evaluate multi-faceted programs to

prevent violence against women (Year-03 and beyond).

j. Develop and produce replication guidelines describing all

aspects of the violence against women program. This includes processes,

lessons, results, and products (Year-03 and beyond).

k. Perform related injury demonstration projects. These may be

related by population at risk, nature of the injury, causal chain, or

surveillance or intervention methodology.

6. For Alcohol-Related Injury Prevention Program

a. Provide a full-time director/coordinator and staff who have

authority, responsibility, and expertise to carry out the program.

b. Develop or improve an alcohol-related injury surveillance system

to identify alcohol-related injuries treated in inpatient or outpatient

departments of acute care hospitals. This includes a definition of the

nature and extent of the alcohol-related injury problem. These data

include alcohol-related injury rates of various age groups, description

of the population at risk, types of injury, and acute care costs.

c. Develop and implement community-based programs located in acute

care hospitals which will improve identification of persons at risk for

alcohol-related injuries, reduce alcohol consumption in a target group,

achieve referrals to specialized alcohol treatment, and assure

continuity of care of drinkers with alcohol related injuries.

d. Evaluate the effectiveness of new or enhanced acute care

hospital prevention services provided to patients with alcohol-related

injuries.

e. Collaborate with community and voluntary organizations, State

alcohol and drug abuse treatment agencies, treatment providers and

other mental health providers, professional organizations, insurance

companies, and others interested in clinical prevention services to

coordinate and support alcohol-related injury prevention activities.

f. Perform related injury demonstration projects. These may be

related by population at risk, nature of the injury, causal chain, or

surveillance or intervention methodology.

B. CDC Activities

1. Collaborate in the design of all phases of the program. Provide

consultation on data collection instruments and procedures, and provide

coordination and a standardized approach to research, evaluation, and

intervention activities between and among the sites for each program

topic area.

2. Provide consultation and assistance in problem assessment and

target population identification, the evaluation of coverage, cost, and

impact of current and potential interventions, and design of scientific

protocols.

3. Provide evaluation guidelines for State injury control programs

in bicycle-related head injuries, fire-related burn injuries, and motor

vehicle occupant protection, and provide violence against women

surveillance definition and guidelines.

4. Provide consultation on selection of interventions and future

demonstration projects and surveillance systems for State

implementation, and an implementing intervention activities and

disseminating results.

5. Collaborate in the analysis and dissemination of surveillance

data.

6. Provide up-to-date scientific information about injury

prevention and coordinate with related activities in CDC's national

injury prevention program.

7. Assist in the transfer of information and methods developed in

these programs to other prevention programs.

Review and Evaluation Criteria

Applications will be reviewed and evaluated according to the

following criteria (maximum 100 total points):

A. Background and Need (15%)

The extent to which the applicant presents data justifying need for

the program in terms of magnitude of the related injury problem, and

identifies suitable target populations. The extent to which a

description of current and previous related experiences:

(a) is inclusive in terms of surveillance activities, prevention

activities (if applicable) and success, evaluation capability and

coordination activities, and (b) demonstrates capacity to conduct the

program.

B. Goals and Objectives (10%)

The extent to which the applicant has included goals which are

relevant to the purpose of the proposal and feasible to be accomplished

during the project period, and the extent to which these are specific

and measurable. The extent to which the applicant has included

objectives which are feasible to be accomplished during the budget

period, and which address all activities necessary to accomplish the

purpose of the proposal. The extent to which the objectives are

specific, timeframed, and measurable. The extent to which the

applicant's intention to undertake related injury demonstration

projects, should additional funds become available is documented.

C. Methods (30%)

The extent to which the applicant provides a detailed description

of proposed activities which are likely to achieve each objective and

overall program goals and which includes designation of responsibility

for each action undertaken. The extent to which the applicant provides

a reasonable and complete schedule for implementing all activities. The

extent to which roles of each unit, organization, or agency are

described, and coordination and supervision of staff, organizations and

agencies involved in activities is apparent. The extent to which

documentation of program organizational location is clear, and shows a

coordinated relationship among injury-related components forming the

applicant's injury prevention program. The extent to which position

descriptions, CVs, and lines of command are appropriate to

accomplishment of program goals and objectives. The extent to which

concurrence with the applicant's plans by all other involved parties,

including consultants, is specific and documented.

D. Evaluation (30%)

The extent to which the proposed evaluation system is detailed and

will document program process, effectiveness, impact, and outcome and,

if applicable, measure surveillance system sensitivity, timeliness,

representativeness, predictive value positive, and ability to detect

the impact of specific intervention on morbidity, mortality, severity,

disability, and cost of related injuries. The extent to which the

applicant demonstrates potential data sources for evaluation purposes,

and documents staff availability, expertise, and capacity to perform

the evaluation. The extent to which a feasible plan for reporting

evaluation results and using evaluation information for programmatic

decisions is included. The extent to which a description of how CDC/

NCIPC-developed evaluation guidelines (if applicable) will be utilized

is included.

E. Collaboration (15%)

The extent to which relationships between the program and other

organizations, agencies, and health department units that will relate

to the program or conduct related activities are clear, complete and

provide for complementary or supplementary working interactions. The

extent to which coalition (if any) membership and roles are clear and

appropriate. The extent to which relationships with the Governors

Office of Highway Safety, public safety officials, or Maternal and

Child Health (MCH) (if applicable), and Injury Control Research

Center's (ICRC's) or local academic institutions are completely

described, are activity-specific, and show evidence of specific

support. The extent to which relationships with local communities, if

intervention activities are to be carried out there, are completely

described, are activity-specific and show evidence of specific support.

F. Budget and Justification (not weighted)

The extent to which the applicant provides a detailed budget and

narrative justification consistent with stated objectives and planned

program activities.

Note: At the request of the applicant, Federal personnel may be

assigned to a program area in lieu of a portion of the financial

assistance.

Executive Order 12372 Review

Applications are subject to Intergovernmental Review of Federal

Programs as governed by Executive Order (E.O.) 12372. E.O. 12372 sets

up a system for State and local government review of proposed Federal

assistance applications. Applicants should contact their State Single

Point of Contact (SPOC) 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 of each affected State. A

current list of SPOCs is included in the application kit. If SPOCs have

any State process recommendations on applications submitted to CDC,

they should forward them to Henry S. Cassell, III, Grants Management

Officer, Grants Management Branch, Procurement and Grants Office,

Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry

Road, NE., Room 300, Mailstop E-13, Atlanta, Georgia 30305, no later

than 30 days after the application deadline date. (A waiver for the 60-

day requirement has been requested.) The granting agency does not

guarantee to ``accommodate or explain'' for State process

recommendations it receives after that date.

Public Health System Reporting Requirements

This program is not subject to the Public Health System Reporting

Requirements.

Catalog of Federal Domestic Assistance Number

The Catalog of Federal Domestic Assistance Number is 93.136.

Other Requirements

Projects that involve the collection of information from 10 or more

individuals and funded by cooperative agreement will be subject to

review by the Office of Management and Budget (OMB) under the Paperwork

Reduction Act.

If the proposed project involves research on human subjects, the

applicant must comply with the Department of Health and Human Services

Regulations (45 CFR Part 46) regarding the protection of human

subjects. Assurance must be provided to demonstrate that the project

will be subject to initial and continuing review by an appropriate

institutional review committee. The applicant will be responsible for

providing assurance in accordance with the appropriate guidelines and

form provided in the application kit.

Application Submission and Deadline

The original and two copies of the application PHS Form 5161-1 must

be submitted to Henry S. Cassell, III, Grants Management Officer,

Grants Management Branch, Procurement and Grants Office, Centers for

Disease Control and Prevention (CDC), 255 East Paces Ferry Road, NE.,

Room 300, Mailstop E-13, Atlanta, Georgia 30305, on or before August 1,

1994.

1. Deadlines:

Applications shall be considered as meeting the deadline if they

are either:

a. Received on or before the deadline date; or

b. Sent on or before the deadline date and received in time for

submission to the independent review committee. For proof of timely

mailing, applicants must request a legibly dated U.S. Postal Service

postmark or obtain a legibly dated receipt from a commercial carrier or

the U.S. Postal Service. Private metered postmarks will not be

acceptable as proof of timely mailing.

2. Late Applications:

Applications that do not meet the criteria in 1.a. or 1.b. above

are considered late. Late applications will not be considered in the

current competition and will be returned to the applicant.

Where to Obtain Additional Information

A complete program description, information on application

procedures, an application package, and business management technical

assistance may be obtained from Georgia Jang, Grants Management

Specialist, Grants Management Branch, Procurement and Grants Office,

Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry

Road, NE., Mailstop E-13, Atlanta, Georgia 30305, telephone (404) 842-

6634. Programmatic assistance may be obtained from James S. Belloni,

M.A., National Center for Injury Prevention and Control, Centers for

Disease Control and Prevention (CDC), 4770 Buford Highway, NE.,

Mailstop F-36, Atlanta, Georgia 30341-3724, telephone (404) 488-4400.

Please refer to Announcement Number 483 when requesting information

and submitting an application.

Potential applicants may obtain a copy of ``Healthy People 2000''

(Full Report; Stock No. 017-001-00474-0) or ``Healthy People 2000''

(Summary Report; Stock No. 017-001-00473-1) through the Superintendent

of Documents, Government Printing Office, Washington, DC 20402-9325,

telephone (202) 783-3238.

Dated: June 29, 1994.

Arthur C. Jackson,

Associate Director for Management and Operations, Centers for Disease

Control and Prevention (CDC).

[FR Doc. 94-16653 Filed 7-8-94; 8:45 am]

BILLING CODE 4163-18-P