Special Project Grants and Cooperative Agreements; Maternal and Child Health Services; Federal Set-Aside Program; Genetic Services and Maternal and Child Health Improvement Projects

HEALTH RESOURCES AND SERVICES ADMINISTRATION

Special Project Grants and Cooperative Agreements; Maternal and

Child Health Services; Federal Set-Aside Program; Genetic Services and

Maternal and Child Health Improvement Projects

AGENCY: Health Resources and Services Administration (HRSA), PHS.

ACTION: Notice of availability of funds.

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SUMMARY: The Maternal and Child Health Bureau (MCHB), HRSA, announces

that fiscal year (FY) 1995 funds are available for grants and

cooperative agreements for the following activities: Maternal and Child

Health (MCH) Special Projects of Regional and National Significance

(SPRANS), including special MCH improvement projects (MCHIP) which

contribute to the health of mothers, children, and children with

special health care needs (CSHCN); and genetic disease testing,

counseling and information services. All awards will be made under the

program authority of section 502(a) of the Social Security Act, the MCH

Federal Set-Aside Program. No new hemophilia SPRANS grants will be

funded in FY 1995. Grants for MCH research and training are being

announced in a separate notice.

Of the approximately $44 million available for SPRANS activities in

FY 1995 in categories covered by this announcement, about $9.7 million

will be available to support approximately 65 new and competing renewal

projects at an average of $150,000 per award for one year. The

remaining funds will be used to support continuation of existing SPRANS

activities. The actual amounts available for awards and their

allocation may vary, depending on unanticipated program requirements

and the volume and quality of applications. Awards are made for grant

periods which may run from 1 to 5 years in duration. Funds for the MCH

Federal Set-Aside Program are appropriated by Public Law 103-333.

Revised regulations implementing the Federal Set-Aside Program (42 CFR

part 51a) were published in the July 19, 1994, issue of the Federal

Register at 59 FR 36703.

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

health promotion and disease prevention objectives of Healthy People

2000, a PHS-led national activity for setting priority areas. The MCH

Block Grant Federal Set-Aside Program addresses issues related to the

Healthy People 2000 objectives of improving maternal, infant, child and

adolescent health and developing service systems for children with

special health care needs.

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).

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. In

addition, Public Law 103-227, The Pro-Children Act Of 1994, prohibits

smoking in certain facilities in which education, library, day care,

regular and routine health care and early childhood development

services are provided to children. Smoking must also be prohibited in

indoor facilities that are constructed, operated or maintained with

Federal funds.

ADDRESSES: Grant applications for the MCH SPRANS Federal Set-Aside

Program must be obtained from and submitted to: Acting Chief, Grants

Management Branch, Office of Program Support, Maternal and Child Health

Bureau, Health Resources and Services Administration, Room 18-12,

Parklawn Building, 5600 Fishers Lane, Rockville, Maryland 20857, (301)

443-1440. Applicants for all projects covered by this announcement will

use application Form PHS 5161-1 with revised face page DHHS Form 424,

approved by OMB under control number 0937-0189. Requests should specify

the category or categories of activities for which an application is

requested so that the appropriate forms, information and materials may

be provided.

DATES: Deadlines for receipt of applications differ for the several

categories of grants and cooperative agreements. These deadlines are as

follows:

[[Page 8245]]

MCH Federal Set-Aside Competitive Grant and Cooperative Agreements Anticipated Deadlines, Awards, Funding, and

Project Periods, by Category

[FY 1995]

----------------------------------------------------------------------------------------------------------------

Application Estimated number of Estimated amounts

Funding source category deadline awards available Project period

----------------------------------------------------------------------------------------------------------------

(1) Grants in the following

areas:

1.1 Genetic services..... 4/25/95 Up to 20............ $3.5 million........ Up to 3 years.

1.2 Special MCH

Improvement Projects

(MCHIP) of regional and

national significance in

the following areas:.

1.2.1 Maternal, infant, 4/25/95 10-12............... 1 million........... Up to 5 years.

child, and adolescent

health.

1.2.2 School health 5/10/95 8................... 1.5 million......... 3-5 years.

program.

1.2.3 Data utilization... 6/15/95 5................... 500,000............. 3 years.

1.2.4 Healthy tomorrows 4/14/95 Up to 10............ 500,000............. 5 years.

partnership for children.

(2) Cooperative agreements

(MCHIPs) in the following

areas:

2.1 CSHCN cultural 4/28/95 1................... 250,000............. 5 years.

competency systems

implementation.

2.2 Partnership for 5/10/95 4................... 1.2 million......... Up to 5 years.

information and

communication (PIC).

2.3 Childhood injury 3/31/95 4................... 600,000............. 3-5 years.

prevention.

2.4 Out-of-home child 4/27/95 1................... 350,000............. Up to 5 years.

care health and safety.

----------------------------------------------------------------------------------------------------------------

Applications will be considered to have met the deadline if they

are either: (1) Received on or before the deadline date, or (2)

postmarked on or before the deadline date and received in time for

orderly processing. Applicants should request a legibly dated receipt

from a commercial carrier or the U.S. Postal Service, or obtain a

legibly dated U.S. Postal Service postmark. Private metered postmarks

will not be accepted as proof of timely mailing. Late applications or

those sent to an address other than specified in the ADDRESSES section

will be returned to the applicant.

FOR FURTHER INFORMATION CONTACT: Requests for technical or programmatic

information should be directed to: Audrey H. Nora, M.D., M.P.H.,

Director, Maternal and Child Health Bureau, HRSA, Room 18-05, Parklawn

Building, 5600 Fishers Lane, Rockville, Maryland 20857. Requests for

category-specific technical information should be directed to the

contact persons identified below for each category covered by this

notice. Requests for information concerning business management issues

should be directed to: Acting Grants Management Officer (GMO), Maternal

and Child Health Bureau, at the address specified in the ADDRESSES

section.

SUPPLEMENTARY INFORMATION: To facilitate the use of this announcement,

information in this section has been organized, as outlined in the

Table of Contents below, into a discussion of: Program Background,

Special Concerns, Overall Review Criteria, SPRANS Program, and Eligible

Applicants. In addition, for each specific SPRANS funding category and

subcategory covered by this notice, information is presented under the

following headings:

Application Deadline

Purpose

Priorities

Grants/Amounts

Contact

Table Of Contents

1. Program Background and Objectives

2. Special Concerns

3. Project Review and Funding

3.1. Criteria for Review

3.2. Funding of Approved Applications

4. Special Projects of Regional and National Significance

4.1. Grants

4.1.1. Genetic Disease Testing, Counseling and Information

4.1.2. Maternal and Child Health Improvement Projects

4.1.2.1. Maternal, Infant, Child, and Adolescent Health

4.1.2.2. School Health Program

4.1.2.3. Data Utilization and Enhancement

4.1.2.4. Healthy Tomorrows Partnerships for Children

4.2. Cooperative Agreements

4.2.1. CSHCN Cultural Competency Systems Implementation

4.2.2. Partnership for Information and Communication (PIC)

4.2.3. Childhood Injury Prevention

4.2.4. Out-Of-Home Child Care Health And Safety

5. Eligible Applicants

6. Public Health System Reporting Requirements

7. Executive Order 12372

1. Program Background and Objectives

Under Section 502 of the Social Security Act, as amended by the

Omnibus Budget Reconciliation Act (OBRA) of 1989, 12.75 percent of

amounts appropriated for the Maternal and Child Health Services Block

Grant in excess of $600 million are set aside by the Secretary of

Health and Human Services (HHS) for special Community Integrated

Service Systems projects under Section 501(a)(3) of the Act. Of the

remainder of the total appropriation, 15 percent of the funds are to be

retained by the Secretary to support (through grants, contracts, or

otherwise) special projects of regional and national significance,

research, and training with respect to maternal and child health and

children with special health care needs (including early intervention

training and services development); for genetic disease testing,

counseling, and information development and dissemination programs; for

grants (including funding for comprehensive hemophilia diagnostic

treatment centers) relating to hemophilia without regard to age; and

for the screening of newborns for sickle cell anemia, and other genetic

disorders and follow-up services. The MCH SPRANS set-aside was

established in 1981. Support for projects covered by this announcement

will come from the SPRANS set-aside. To reduce confusion to potential

applicants from announcement of grants in very large numbers of SPRANS

categories and subcategories, announcement of availability of FY 1995

funds for MCH research and training categories is being published

separately this year.

2. Special Concerns

In its administration of the MCH Services Block Grant, the MCHB

places special emphasis on improving service delivery to women and

children from racial and ethnic minority populations who have had

limited access to accessible care. This means that SPRANS projects are

expected to serve and appropriately involve in project activities

individuals from the populations to be served, unless there are

compelling programmatic or other justifications for not doing so. The

MCHB's intent is to ensure that project interventions are responsive to

the [[Page 8246]] cultural and linguistic needs of special populations,

that services are accessible to consumers, and that the broadest

possible representation of culturally distinct and historically

underrepresented groups is supported through programs and projects

sponsored by the MCHB.

In keeping with our special concern for broadening participation in

MCHB programs of institutions that reflect the Nation's cultural and

linguistic diversity, a funding priority will be placed on projects

from Historically Black Colleges and Universities (HBCU) or Hispanic

Serving Institutions (HSI) in all categories and subcategories in this

notice for which applications from academic institutions are

encouraged. An approved proposal from a HBCU or HSI will receive a 0.5

point favorable adjustment of the priority score in a 4 point range

before funding decisions are made.

Projects supported under SPRANS are expected to be part of

community-wide, comprehensive initiatives, to reflect appropriate

coordination of primary care and public health activities, and to

target HRSA resources effectively to fill gaps in the Nation's health

system for at-risk mothers and children. This applies especially to

projects in the 22 communities in the Nation which have received grants

from HRSA under the Healthy Start initiative. Grantees in these

communities providing services related to activities of a Healthy Start

program are expected to coordinate their projects with the Healthy

Start program efforts. Healthy Start communities include: Aberdeen Area

Indian Nations, NE/ND/SD; Baltimore, MD; Birmingham, AL; Boston, MA;

Chicago, IL; Cleveland, OH; Dallas, TX; Detroit, MI; Essex County, NJ;

Florida Panhandle, FL; Lake County, IN; Milwaukee, WI; Mississippi

Delta, MS; New Orleans, LA; New York, NY; Oakland, CA; Philadelphia,

PA; Pittsburgh, PA; PeeDee Region, SC; Richmond, VA; Savannah, GA;

Washington, DC.

3. Project Review and Funding

Within the limit of funds determined by the Secretary to be

available for the activities described in this announcement, the

Secretary will review applications for funds under the specific project

categories in section 4 below as competing applications and may award

Federal funding for projects which will, in her judgment, best promote

the purpose of title V of the Social Security Act, with special

emphasis on improving service delivery to women and children from

culturally distinct populations; best address achievement of Healthy

Children 2000 objectives related to maternal, infant, child and

adolescent health and service systems for children at risk of chronic

and disabling conditions; and otherwise best promote improvements in

maternal and child health.

3.1 Criteria for Review

The criteria which follow are used, as pertinent, to review and

evaluate applications for awards under all SPRANS grants and

cooperative agreement project categories announced in this notice.

Further guidance in this regard is supplied in application guidance

materials, which elaborate upon how these criteria apply to specific

grant categories and subcategories.

--The extent to which the project will contribute to the advancement of

maternal and child health and/or improvement of the health of children

with special health care needs;

--The extent to which the project is responsive to policy concerns

applicable to MCH grants and to program objectives, requirements,

priorities and/or review criteria for specific project categories, as

published in program announcements or guidance materials.

--The extent to which the estimated cost to the Government of the

project is reasonable, considering the anticipated results;

--The extent to which the project personnel are well qualified by

training and/or experience for their roles in the project and the

applicant organization has adequate facilities and personnel; and

--The extent to which, insofar as practicable, the proposed activities,

if well executed, are capable of attaining project objectives.

--The strength of the project's plans for evaluation.

--The extent to which the project will be integrated with the

administration of the Maternal and Child Health Services block grants,

State primary care plans, public health, and prevention programs, and

other related programs in the respective State(s).

--The extent to which the application is responsive to the special

concerns and program priorities specified in this notice.

3.2 Funding of Approved Applications

Final funding decisions for SPRANS grants are the responsibility of

the Director, MCHB. The following mechanisms, as defined below, may be

applied in determining scores for ranking the funding of approved

applications:

--Funding Preferences--Funding of a specific category or group of

approved applications ahead of other categories or groups of

applications, such as competing continuation projects ahead of new

projects.

--Funding Priorities--Merit reviewers will assign scores based on the

extent to which applicants address program priorities specified in this

notice for the category in which the application is made.

--Special Considerations--Merit reviewers will assign scores based on

the extent to which applicants address areas that are identified in

this notice as meriting special consideration.

4. Special Projects of Regional and National Significance

Project categories for SPRANS awards are grouped in this notice

under two sections: Grants and Cooperative Agreements.

4.1. Grants

Two major categories of SPRANS grants are discussed below: Genetic

Services; and Maternal and Child Health Improvement Projects (in 4

subcategories):

4.1.1. Genetic Services

Application Deadline: April 25, 1995.

Purpose: To support projects that demonstrate increased access to

effective genetic information, education, testing and counseling

services.

Priorities: Applicants to the genetic services program are invited

to submit proposals in the areas of:

--Genetics in primary care. To aid in incorporating genetics into

maternal and child health and federally-qualified health centers'

(FQHC) primary care programs.

--Ethnocultural barriers. To improve services for populations for whom

language and/or culture are barriers.

--Regional genetic services networks. To maintain genetic services

networks in the Pacific Northwest, Pacific Southwest, Mountain States,

and areas encompassing New York, Puerto Rico, and the Virgin Islands.

--Cooley's Anemia/Thalassemia. To demonstrate comprehensive care for

those affected by Cooley's Anemia/Thalassemia.

--Comprehensive care for infants with Sickle Cell Disease identified

through State newborn screening programs.

--Transition from pediatric to adult care. To demonstrate models of

care for individuals with genetic disorders [[Page 8247]] moving from

pediatric care to adult, family practice, and specialty care.

Grants/Amounts: About $3.5 million will be available to support up to

20 projects. Approximately 7 of these are expected to be competing

renewals of existing projects, and approximately 13 will be new. An

average of about $175,000 per award per year is anticipated. Project

periods are up to 3 years.

Contact: For programmatic or technical information, contact: Jane S.

Lin-Fu, M.D., telephone: 301 443-1080.

4.1.2. Maternal and Child Health Improvement Projects

Maternal and Child Health Improvement Projects (MCHIP) are divided

into 4 subcategories: Maternal, Infant, Child, and Adolescent Health;

School Health Program; Data Utilization and Enhancement; and Healthy

Tomorrows Partnerships for Children;

4.1.2.1. Maternal, Infant, Child, and Adolescent Health.

Application Deadline: April 25, 1995.

Purpose: To improve the health of all mothers, infants, children,

and adolescents.

Priorities: Applicants in this MCHIP category are invited to submit

proposals in the following program areas:

--Content And Organization Of Care For Women Of Child Bearing Age,

Infants, Children, Adolescents And Their Families. Grants will be

provided for projects which assist in developing mechanisms to define

appropriate personal health care services, creating or enhancing

collaborative systems to deliver such services, and identifying

measures to determine the quality of the content and mechanism of

services delivered.

--Adolescent Health Resource Development. Grants will be awarded for

the purpose of continuing the capacity-building of State health

agencies/maternal and child health programs to meet the diverse health

needs of adolescents in a period of health care reform and the myriad

of changes in States and communities. Adolescent Health Resource Center

grants are intended to advance the knowledge and skills of State MCH

staff and local providers of adolescent health services through

training and technical assistance, information development and

dissemination, and promotion of integrated systems development that

impact on adolescent access to prevention and health services.

Grants/Amounts: A total of 10-12 grants, totalling $1 million will

be awarded in this category in FY 1995. For grants dealing with the

content and organization of care, funding for 2 grants is anticipated

in the range of $150,000 per year for periods of up to 5 years. For

adolescent health resource development, approximately 4-6 grants of

$150,000-$200,000 each per year will be supported for up to 5 years.

Contact: For programmatic or technical information, contact David

Heppel, M.D., telephone: 301 443-2250.

4.1.2.2. School Health Program

Application Deadline: May 10, 1995.

Purpose: To strengthen the capacity of school-based and school-

linked health programs to address psychosocial issues and mental health

problems by enhancing primary mental health resources and services for

school-age children and youth, including those with special health care

needs. Primary mental health resources and services include primary

prevention, such as prevention of violent and health damaging

behaviors; early problem identification and intervention, including

indicated referral and followup; and collaboration with ongoing care

for chronic conditions.

Priorities: Grants will be awarded in the following two areas:

--Development of infrastructure and resources to build capacity for

primary mental health services in school-based and school-linked health

programs. Applicants are expected to represent State-level partnerships

among health, mental health and education agencies that are designed to

assure accessibility to primary mental health services for school-age

children and youth. Project emphasis is on coordinating school-based

and school-linked programs with multiple community resources in the

public health, mental health, substance abuse prevention and treatment,

social service and other relevant systems to facilitate comprehensive

approaches.

--Development of ``state of the art'' instructional materials and

resources to strengthen the mental health service capacity of primary

care providers for school-age children and youth. The emphasis is on

enhancing primary mental health resources and services in school-based

and school-linked health programs; in addition, such staff development

materials and resources will be available to community-based centers

that furnish primary health care to those in the school-age population

who cannot be accessed through the schools.

Grants/Amounts: A total of $1.5 million dollars will be available

for projects in this subcategory; about $750,000 for up to 5 State

primary mental health partnership grants for 3 to 5 years, and about

$750,000 for up to 3 mental health resource grants for up to 5 years.

Contact: For programmatic information, contact Linda Johnston,

telephone 301 443-4026.

4.1.2.3. Data Utilization and Enhancement

Application Deadline: June 15, 1995.

Purpose: To enable Federal, State, and local MCH/CSHCN agencies, in

collaboration with State primary care planning, to develop data and

data systems required under Title V and analyze data to facilitate

needs assessment, planning, monitoring or evaluation of maternal and

child agencies and comprehensive health services.

Priorities: Proposals in this MCHIP subcategory are invited in the

following program areas:

--Enhancement of data collection and analysis capabilities of national,

state and local health agencies.

--Compilation and analysis of new data, and development and application

of analytic techniques regarding the health status of and delivery of

comprehensive health care to mothers and children.

--Networking, coordination, and integration of existing and proposed

resources and data and analysis systems developed in other states,

national organizations or organizations.

--Increasing national, state and local entities' capacity to respond to

and implement changes in the organization of health care resources.

Grants/Amounts: An estimated $500,000 will be available for 5

grants in this subcategory at $100,000 per award per year. Project

periods are up to 3 years.

Contact: For programmatic or technical information, contact Russ

Scarato, telephone: 301 443-2340.

4.1.2.4. Healthy Tomorrows Partnerships for Children.

Application Deadline: April 14, 1995.

Purpose: To support projects for children that improve access to

health services and utilize preventive strategies. The initiative

encourages additional support from the private sector and from

foundations to form community-based partnerships to coordinate health

resources for pregnant women, infants and children.

Priorities: Proposals in this MCHIP category are invited in the

following program areas:

[[Page 8248]] --Local initiatives that are community-based, family-

centered, comprehensive and culturally relevant and improve access to

health services for infants, children, adolescents, or CSHCN.

--Initiatives which show evidence of a capability to meet cost

participation goals by securing funds for the second and sequential

years of the project.

In the interest of equitable geographic distribution, special

consideration for funding will be given to projects from States without

a currently funded project in this category. These States are cited in

the application guidance.

Grants/Amounts: About $500,000 will be available to

support up to 10 new Healthy Tomorrows projects, at an average of

$50,000 per award per year. The project period is 5 years.

Contact: For programmatic or technical information,

contact Latricia Robertson, M.S.N., M.P.H., telephone: 301 443-3163.

4.2. Cooperative Agreements

Cooperative agreements will be awarded in 4 categories: Children

with Special Health Care Needs (CSHCN) Cultural Competency Systems

Implementation; Partnership for Information and Communication;

Childhood Injury Prevention; and Out-Of-Home Child Care Health And

Safety.

It is anticipated that substantial Federal programmatic involvement

will be required in these cooperative agreements. This means that after

award, awarding office staff provide technical assistance and guidance

to, or coordinate and participate in, certain programmatic activities

of award recipients beyond their normal stewardship responsibilities in

the administration of grants. Federal involvement may include, but is

not limited to, planning, guidance, coordination and participation in

programmatic activities. Periodic meetings, conferences, and/or

communications with the award recipient are held to review mutually

agreed upon goals and objectives and to assess progress. Additional

details on the scope of Federal programmatic involvement in cooperative

agreements, consistent with HRSA grants administration policy, will be

included in the application guidance for these cooperative agreements.

4.2.1. Children with Special Health Care Needs (CSHCN) Cultural

Competency Systems Implementation

Application Deadline: April 28, 1995.

Purpose: To promote the design, implementation, and

testing of culturally competent service systems to assist State and

local Title V and other related programs to furnish services for

culturally diverse CSHCN and their families. Specifically, to:

--Promote networking and information exchange among CSHCN/MCH programs

at all levels that advances their ability to assure that services to

culturally diverse families having children with special health needs

are integrated into such programs in a culturally competent manner.

--Foster linkages between such programs and: (a) culturally diverse

consumers and families of children with special health care needs; and

(b) other public/private agencies or groups at the Federal, State and

local levels, including those providing primary health care and

services, that will enhance the development of culturally competent

systems of care which are family-centered and at the community level.

--Provide training, technical assistance, and consultation to the above

mentioned programs to advance the ``state of the art'' in the areas of:

(a) staff/agency assessment and training; (b) development and

implementation of culturally competent policies, procedures and

practices; and (c) identification of resources for training and program

implementation.

--Support evaluation of existing training materials and evaluation

tools, develop and test new materials for adoption by CSHCN programs,

and identify model approaches.

--Disseminate training materials, principles, and model approaches for

CSHCN and related programs.

Preference for funding will be given to public or private non-

profit organizations having prior experience with CSHCN/MCH systems of

care at the Federal, State and local levels, and in the areas described

above, especially those which can demonstrate:

--Measurable, positive outcomes in operationalizing cultural competence

in programs.

--Expertise in providing appropriate training and technical assistance

packages in a timely manner.

--Establishment of linkages with related programs having cultural

competency initiatives and expertise.

Cooperative Agreement/Amounts: Up to $250,000 will be

available to support one new cultural competency systems implementation

cooperative agreement focusing on the provision of comprehensive care

to CSHCN and their families. The project period is 5 years.

Contact: For programmatic and technical information

contact Ms. Diana Denboba, telephone 301-443-2370.

4.2.2. Partnership for Information and Communication

Application Deadline: May 10, 1995.

Purpose: To facilitate dissemination of new maternal and child

health-related information to policy and decision makers in a format

most useful to them and provide those individuals with a means of

communicating issues directly to each other and to MCHB.

This is a continuous Bureau activity with a single priority--to

enhance communication between the MCHB and governmental, professional

and private organizations representing leaders and policy makers

concerned with issues related to maternal and child health.

Organizations currently receiving support as part of this cooperative

agreement represent State governors and their staffs; county health

policymakers, municipal health policymakers, as well as national

membership organizations representing groups or constituencies listed

below.

To ensure continuity, membership for the organizations

participating in PIC is rotated so that not all project periods

coincide. For this year, only national membership organizations

representing the following groups will be considered for funding:

--State Title V programs.

--State legislators.

--Private business, particularly self-insured businesses.

--Philanthropic organizations.

--Parent organizations.

Cooperative Agreement/Amounts: Up to 5 cooperative

agreements totalling $1.2 million in FY 1995 will be awarded in this

category. Award amounts will vary with the level of proposed grantee

participation, as described in the application guidance. Awards will be

made for a project period of up to 5 years.

Contact: For programmatic or technical information,

contact David Heppel, M.D., telephone: 301 443-2250.

4.2.3. Childhood Injury Prevention

Application Deadline: March 31, 1995.

Purpose: The Children's Safety Network was established in

FY 1990 to provide technical assistance to States and communities in

injury prevention and to consult with States and localities, develop

and distribute publications, organize conferences, and conduct

training. MCHB is interested in continuing this capacity.

Priorities: During FY 1995, awards will be made for a

resource center focused on each of the following four special injury

prevention topics:

[[Page 8249]] --Rural Child and Adolescent Injury.

--Adolescent Violence and Suicide.

--Injury Data.

--Economics and Insurance Issues.

All funded centers, together with the Children's Safety Network

site at the Education Development Center, will constitute the

Children's Safety Network.

Cooperative Agreement/Amounts: Up to 4 agreements,

totaling $600,000, will be awarded in this category in FY 1995.

Contact: For programmatic or technical information,

contact Jean Athey, Ph.D., telephone: 301 443-4026.

4.2.4. Out-Of-Home Child Care Health And Safety

Application deadline: April 27, 1995.

Purpose: To continue support for a national resource

center which will:

--Maintain a reference collection relating to health and safety in out-

of-home child care settings.

--Maintain computerized databases, including states' current health and

safety standards; health consultants registry; and directory of

conferences and organizations.

--Provide training and technical assistance on health and safety in

child care programs.

--Develop and distribute resource materials and maintain communications

links with the child care community.

Cooperative Agreement/Amounts: Approximately $350,000 will

be available annually for up to 5 years to support a resource center to

assist in maintaining links with child care providers and consumers

regarding health and safety in out-of-home child care settings.

Contact: For programmatic or technical information,

contact Denise Sofka, telephone: (301) 443-6600.

The categories, priorities, special considerations and preferences

described above are not being proposed for public comment this year. In

July 1993, following publication of the Department's Notice of Proposed

Rulemaking to revise the MCH special project grant regulations at 42

CFR 51a, the public was invited for a 60-day period to submit comments

regarding all aspects of the SPRANS application and review process.

Public comments regarding SPRANS priorities received during the comment

period were considered in developing this announcement. In responding

to those comments, the Department noted the practical limits on

Secretarial discretion in establishing SPRANS categories and priorities

owing to the extensive prescription in both the statute and annual

Congressional directives.

Comments on this SPRANS notice which members of the public wish to

make are welcome at any time and may be submitted to: Director,

Maternal and Child Health Bureau, at the address listed in the

ADDRESSES section. Suggestions will be considered when priorities are

developed for the next solicitation.

5. Eligible Applicants

Any public or private entity, including an Indian tribe or tribal

organization (as defined at 25 U.S.C. 450b), is eligible to apply for

grants or cooperative agreements for project categories covered in this

announcement.

6. Public Health System Reporting Requirements

This program is subject to the Public Health System Reporting

Requirements (approved under OMB No. 0937-0195). Under these

requirements, the community-based nongovernmental applicant must

prepare and submit a Public Health System Impact Statement (PHSIS). 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 nongovernmental organizations

within their jurisdictions.

Community-based nongovernmental applicants are required to submit

the following information to the head of the appropriate State and

local health agencies in the area(s) to be impacted no later than the

Federal application receipt due date:

(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.

(3) A description of the coordination planned with the appropriate

State and local health agencies.

7. Executive Order 12372

The MCH Federal set-aside program has been determined to be a

program which is not subject to the provisions of Executive Order 12372

concerning intergovernmental review of Federal programs.

The OMB Catalog of Federal Domestic Assistance number is 93.110.

Dated: February 8, 1995.

Ciro V. Sumaya,

Administrator.

[FR Doc. 95-3555 Filed 2-10-95; 8:45 am]

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