# Cooperative Agreements To Support State; Assessment Initiatives

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URL: https://www.frixlaw.com/law-library/documents/fr%3A97-16169

## Record

- **Collection:** Federal Register
- **Document type:** Notice
- **Published:** June 20, 1997
- **Citation:** 62 FR 33655

## Text

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention
[Program Announcement 741]

Cooperative Agreements To Support State; Assessment Initiatives

Introduction

The Centers for Disease Control and Prevention (CDC), the Nation's
prevention agency, announces the availability of fiscal year (FY) 1997
funds for cooperative agreements to enhance State and local capacity to
assess progress toward achieving national, State, and community health
objectives; improve the capacity to conduct health assessment through
partnerships; and utilize assessment information for policy making and
program management.
CDC is committed to achieving the health promotion and disease
prevention objectives of Healthy People 2000, a national activity to
reduce morbidity and mortality and improve the quality of life. The
activities in this announcement are directly related to the priority
area of Surveillance and Data Systems in Healthy People 2000. (For
ordering a copy of Healthy People 2000, see the section Where to Obtain
Additional Information.)

Authority

This program is authorized under the Public Health Service Act,
Sections 301(a), 311(b), and 317 [42 U.S.C. 241(a), 243(b) and 247b],
as amended.

Smoke-Free Workplace

CDC strongly encourages all recipients to provide a smoke-free
workplace and promote the nonuse of all tobacco products, and Public
Law 103-227, the Pro-Children Act of 1994, prohibits smoking in certain
facilities that receive Federal funds in which education, library, day
care, health care, and early childhood development services are
provided to children.

Eligible Applicants

Eligible applicants are the official public health agencies of
States or their bona fide agents or instrumentalities and regional
consortia of such agencies. 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.

Note: Effective January 1, 1996, Section 18 of Public Law 104-65
states that an organization described in section 501(c)(4) of the
Internal Revenue Code of 1986 which engages in lobbying activities
shall not be eligible for the receipt of Federal funds constituting
an award, grant (cooperative agreement), contract, loan, or any
other form.

Availability of Funds

Approximately $1,335,000 is available in FY 1997 to fund
approximately 6-7 awards. It is expected that the average award will be
$200,000 ranging from $175,000 to $250,000. It is expected that the
awards will begin on or about September 30, 1997, and will be made for
a 12-month budget period within a project period of up to 5 years.
Funding estimates may vary and are subject to change. Continuation
awards within the project period will be made on the basis of
satisfactory performance, an acceptable continuing application, and the
availability of funds.
If requested, Federal personnel may be assigned to a project in
lieu of a portion of the financial assistance.

Restrictions on Lobbying

Applicants should be aware of restrictions on the use of HHS funds
for

[[Page 33656]]

lobbying of Federal or State legislative bodies. Under the provisions
of 31 U.S.C. Section 1352 (which has been in effect since December 23,
1989), recipients (and their subtier contractors) are prohibited from
using appropriated Federal funds (other than profits from a Federal
contract) for lobbying Congress or any Federal agency in connection
with the award of a particular contract, grant, cooperative agreement,
or loan. This includes grants/cooperative agreements that, in whole or
in part, involve conferences for which Federal funds cannot be used
directly or indirectly to encourage participants to lobby or to
instruct participants on how to lobby.
In addition, the FY 1997 HHS Appropriations Act, which became
effective October 1, 1996, expressly prohibits the use of 1997
appropriated funds for indirect or ``grass roots'' lobbying efforts
that are designed to support or defeat legislation pending before State
legislatures. This new law, Section 503 of Pub. L. No. 104-208,
provides as follows:

Sec. 503: (a) No part of any appropriation contained in this Act
shall be used, other than for normal and recognized executive-
legislative relationships, for publicity or propaganda purposes, for
the preparation, distribution, or use of any kit, pamphlet, booklet,
publication, radio, television, or video presentation designed to
support or defeat legislation pending before the Congress, . . .
except in presentation to the Congress or any State legislative body
itself.
(b) No part of any appropriation contained in this Act shall be
used to pay the salary or expenses of any grant or contract
recipient, or agent acting for such recipient, related to any
activity designed to influence legislation or appropriations pending
before the Congress or any State legislature.

Department of Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act, 1997, as enacted by the Omnibus
Consolidated Appropriations Act, 1997, Division A, Title I, Section
101(e), Pub. L. No. 104-208 (September 30, 1996).

Background

The ability of the public health system to assure the health of
Americans depends on its capacity to accomplish three major functions:
assessment, policy development, and assurance. The 1988 Institute of
Medicine Report, The Future of Public Health, emphasized the importance
of strengthening these core functions to respond to the public health
priorities of this decade. In addition to the three core functions, ten
public health practices have been determined as essential. Of the ten,
three of these practices relate to the assessment function (assess,
investigate, analyze), two focus on policy development (prioritize,
plan), and four address assurance (manage, implement, evaluate, and
inform/educate).
The Year 2000 Health Objectives are based on the three core
functions. Not only do the Year 2000 Objectives define the health
problems and measures that need to be monitored over time, they define
specific surveillance and data-system objectives that must be addressed
if public health agencies at all levels of government are to perform
the first of these major functions-- assessment.
During fiscal years 1992-1996, CDC awarded seven cooperative
agreements to State health departments to enhance their assessment
capacity. Since that time, important changes have affected the practice
of public health. Among these are:
Expansion of the managed care model in the health delivery
sector;
Recognition of local communities as the critical arena for
effective public health interventions;
Commitment to public health strategies founded on
partnerships between public and private organizations;
Movement for privatizing public health functions and
changing the respective roles of government agencies;
Emergence of new infectious diseases and other threats to
the health of the public;
Transfer of health policy-making responsibilities from the
Federal to State and local government;
Commitment by CDC and State and local public health
organizations to integrate information systems.
These influences provide the public health arena with new
challenges and opportunities when developing effective assessment
capacity at the State and community level. Chief among these is the
opportunity to strengthen the capacity to conduct comprehensive health
assessment through new partnerships with various public and private
entities.
Where assessment capacity is robust, integrated, and networked, its
practice enables community and State public health agencies-- in
partnership with other public and private organizations--to collaborate
in the collection, analysis, and use of information on a wide spectrum
of health matters, for example: (a) Vital statistics; (b) morbidity and
mortality related to infection, illness, chronic disease, injury and
disabilities; (c) personal, occupational, and environmental risk
factors; (d) the provision and effectiveness of public health programs
and health care services; (e) community perceptions of health problems
and priorities, and others. In most of the nation, however, assessment
capacity is not yet sufficiently developed to support that vision. Many
information systems serve only governmental public health agencies,
pass information from the community to State and Federal agencies, and
employ categorical or ``stand-alone'' electronic systems.
Strong assessment capacity is essential to determine health status
of target populations, establish priorities, develop effective health
policies, and evaluate the impact of public health and health care
programs. The ability of public health officials to carry out
assessment requires the following component:
1. Developing, maintaining, and using health information systems to
identify the impact of diseases, risk factors, and health care on the
population and to monitor changes in the impact, cost, quality, and
effectiveness over time.
2. Making health information available to State and local health
departments, Federal agencies, and other private and public users,
which enables health officials to define the health needs of a
population; to design and implement health prevention, health
promotion, and intervention programs; and to evaluate the effectiveness
of those programs.
3. Building the capacity of State and local health departments and
other relevant organizations to use integrated health information and
public health surveillance systems and to strengthen the core functions
of policy development and assurance.
4. Evaluating health information strategies, to determine their
adequacy in serving the health needs of communities and making
appropriate changes to maximize their effectiveness.
The ready exchange of data, information, knowledge, and expertise
among public health agencies and other public and private organizations
is critical to comprehensive health assessment. Recognizing this as an
essential objective, CDC initiated the Wide-Ranging Online Data for
Epidemiologic Research (WONDER)--a system of remote data base access
and electronic mail; and the Information Network for Public Health
Officials (INPHO)--infrastructure-building program.

Purpose

This project is intended to address health assessment capacity
building through the development of State public/private partnerships.
The

[[Page 33657]]

purposes of this cooperative agreement are to:
A. Promote the development of innovative assessment partnerships
between traditional public health agencies and other public and private
partners.
B. Develop novel and creative approaches and methods of assessment
that will enhance State and local capacity to monitor progress toward
achieving measurable national, State, and community health objectives.
C. Strengthen the capacity to use information from assessment for
policy making, program management and coordination.
Funds will be awarded for developing assessment capacity in one or
more of the following four areas of emphasis. The objective of these
partnerships is to build the capacity of all partner agencies to use
health assessment information in policy development and program
management.
1. ``Managed Care Assessment Partnership'' associates State and
community public health agencies with health care provider
organizations operating under a capitated or other managed care model.
2. ``Collaborative Community Assessment Partnership'' combines
State and community public health agencies with local community-based
organizations (e.g., community health centers, community mental health
centers, Indian tribal clinics, nonprofit human services organizations,
schools, employers, and others).
3. ``Medicaid Assessment Partnership'' combines State and community
public health agencies with Medicaid agencies and organizations
affiliated with Medicaid agencies (e.g., health care providers under
contract to Medicaid agencies).
4. ``Preventive Health Assessment Partnership'' of State and
community public health agencies and other organizations (e.g.,
universities, schools of public health, academic health centers,
professional and voluntary organizations, Indian tribal governments,
philanthropic foundations, and businesses) that share an interest in
the health of a defined population and that can apply information,
resources, and other elements that are valuable to the goal of building
improved assessment capacity.

Program Requirements

In conducting activities to achieve the purposes of this program,
the recipient shall be responsible for the activities under A. below,
and CDC shall be responsible for conducting activities under B.
Applicant must apply for one or more of the partnership categories.

A. Recipient Activities

Year One
1. Develop a consortium of health partners to address the
assessment needs of the partnership. At least one of the following
partnership categories must be included: Managed Care Assessment
Partnership; Collaborative Community Assessment Partnership; Medicaid
Assessment Partnership; and Preventive Health Assessment Partnership.
2. Identify and describe project partners and their capacity to
provide assessment data and their skills and expertise in using data
for policy development and planning.
3. Form a project steering committee with representation from
consortium partners and hold, at minimum, quarterly meetings.
4. Determine the priority health assessment needs of the project
partners and the populations they serve.
5. Develop a five-year strategic plan for building assessment
capacity including: major goals and objectives; a description of major
data systems; ability of combining data from various system; data gaps;
modifications to current data systems; development of a combined
surveillance system to address identified health problems; roles and
responsibilities of all partners in the consortium; analysis plans;
data dissemination plans; and other relevant information.
6. Create or adopt health status indicators whose measurements and
use will become the objectives of the strategic plan.
7. Conduct an evaluation of each agency's surveillance/data systems
using the approach in the Guidelines for Evaluating Surveillance
Systems. Focus on only those systems that are relevant to the
indicators to be measured. (For obtaining a copy of Guidelines for
Evaluating Surveillance Systems, see the section Where to Obtain
Additional Information.)
Subsequent Years (Years 2-5)
8. Implement the strategic plan for building assessment capacity.
9. Develop and maintain a methodology for public health assessment,
including the flow, editing, analysis, and application of data.
10. Coordinate the health assessment system among partners and with
other appropriate organizational units in and out of the agency to
ensure consistency and comparability in the data that are collected and
to ensure a single point for data management.
11. Plan and implement procedures and training for ensuring the
timeliness, completeness, and quality of the data.
12. Develop and implement a plan for the analysis and use of health
assessment data in appropriate prevention and intervention programs to
reduce the prevalence of risk factors associated with identified health
problems.
13. Prepare and disseminate health assessment information through
presentation and publication in appropriate forums.
14. Develop an evaluation strategy to assess the effectiveness and
efficiency of the assessment practices used to monitor the health of
the population and provide reasonable evidence of the use of assessment
information in policy development and implementing changes in health
programs and priorities.

B. CDC Activities

1. Collaborate in the design and adoption of selected health status
indicators, standardized data items, definitions, procedures, and
methods to collect assessment information.
2. Provide training, as appropriate, on: public health assessment
and surveillance; analytic and methodological issues; electronic data
transfer; integration of laboratory data; and the uses of assessment
data for policy and planning.
3. Assist States to analyze, interpret, and use the health
assessment data to measure program effectiveness, improve
interventions, and formulate relevant policies.
4. Collaborate with the recipients in preparing and presenting
program-relevant findings to appropriate State and national audiences.
5. Collaborate with the recipients in evaluating the effectiveness
and efficiency of the health assessment system to monitor and intervene
upon the health risks of identified populations.
6. Review models, findings, and results of these projects and, in
collaboration with the recipients, compile and disseminate models of
improved capacity and practices for consideration and potential
adoption or adaptation in other jurisdictions.

Technical Reporting Requirements

Semiannual progress reports on project activities should be
submitted within 30 days after the end of each reporting period. An
original and two copies of a final performance report must be submitted
within 90 days after the end of the project period. These reports must
include:
A. A brief program description.

[[Page 33658]]

B. A comparison of the actual accomplishments to the goals and
objectives established for the period.
C. If established goals and objectives were not accomplished or
were delayed, document both the reason for the deviation and the
anticipated corrective action, or rationale for deletion of the
activity from the project.
D. Other pertinent information, including the analysis of data
collected.
Financial status reports must be submitted no later than 90 days
after the end of each budget period. Final financial status reports are
required no later than 90 days after the end of the project period.

Application Content

Applicants are required to submit an original application and two
copies. Pages must be clearly numbered, and a complete index to the
application and its appendices must be included. Please begin each
separate section on a new page. The original and each copy of the
application set must be submitted unstapled and unbound. All material
must be typewritten, single-spaced, with unreduced type on 8\1/2\'' by
11'' paper, with at least 1'' margins, headers and footers, and printed
on one side only.
All applicants must develop their applications in accordance with
PHS Form 5161-1, information contained in this program announcement,
and the instructions outlined below. If the proposed program is a
multiple year project, the applicant should provide a detailed
description for each year. The application, excluding budget and
appendixes, should not exceed 30 pages.
Applicant must provide a narrative describing the following:

A. Executive Summary

Provide a clear, concise, and written summary of the following: (1)
Statement of need; (2) major goals, objectives, and activities of the
proposed project; (3) operational plan; (4) capability of applicant;
and (5) estimated cost of the project including the requested amount.

B. Table of Contents

C. Statement of Need

Describe the role of assessment in setting the State's public
health priorities developing agency policy and planning; the State's
current assessment capability; the State's relationship with potential
partners and how assessment is conducted; and how this project will
strengthen the capacity to conduct assessment activities.

D. Goals and Objectives

Establish and submit long-term (5 year) goals and short-term (1
year) objectives for the assessment activities included in the
application. Objectives must be specific, measurable, time-phased, and
feasible.

E. Operational Plan

1. Submit a plan to develop and expand assessment activities
through a consortium of health partners. At least one of the following
partnership categories must be included in the plan: Managed Care
Assessment Partnership; Collaborative Community Assessment Partnership;
Medicaid Assessment Partnership; or Preventive Health Assessment
Partnership.
2. Submit a time schedule for all activities to be carried out in
year one, including responsible staff for each activity.
3. Describe future years' activities and explain how the first year
will logically lead into program activities in subsequent years.
4. Describe procedures to disseminate information from the
assessment activities for policy development, program evaluation, and
research through presentation and publication in appropriate forums.

F. Capability

1. Identify and describe the availability of data and information
for the project from various potential partners.
2. Identify and describe the project staff, their qualifications
and experience in epidemiology, surveillance, statistical applications,
program management, policy development, health assessment, and
integrated electronic information systems. Include the curriculum vitae
and job descriptions for key project staff in the supporting materials
in the appendix.
3. Provide written commitments from the appropriate public/private
organization expected to support activities as a potential partner in
this project.

G. Project Evaluation

Submit a plan to evaluate the project that assesses the extent to
which:
1. The consortium or partnership has been a successful means of
conducting and strengthening assessment activities.
2. Data were used for policy development, program planning, and
evaluation of appropriate intervention programs.
3. Data were appropriately analyzed and disseminated through
periodic reports, presentations, and publication.

H. Budget

1. Line-item descriptive justification for personnel, travel,
supplies, and other services should be submitted. Applicant should be
precise about the purpose of each budget item as it relates to the
project.
2. If applicable, applicants requesting monies for contracts should
include the name of the person or firm to be contracted, a description
of the services to be performed, an itemized and detailed budget
including justification, the period of performance, and the method of
selection.
3. Funding levels for years two through five should be estimated.

I. Supporting materials

1. Curriculum vitae and job descriptions of key personnel.
2. Materials related to previous or current activities of State and
local, public and private, health agencies directed toward assessment.
3. Letters of endorsement and/or collaboration of participating
partners, as appropriate.

Evaluation Criteria (100 Points)

Applications will be reviewed and evaluated according to the
following criteria:

A. Potential for Public Health Impact (10 Points)

1. Evidence of the applicant's plans to improve its ability to
perform the assessment function in conjunction with outside public/
private partners.
2. Evidence of the applicant's ability to develop, implement,
evaluate, and use assessment activities to support effective program
policies and interventions.
3. Extent and availability of statewide health data and information
from a variety of public and private sources.

B. Capability (30 Points)

1. The extent and appropriateness of previous State health
department assessment and policy development efforts to monitor health
risks of general and high-risk populations.
2. The ability of the State to integrate information and data from
two or more existing public and/or private sources for program
development and evaluation.
3. Evidence of strong working relationships with the organizational
entities involved with this project.
4. Evidence that key project staff have experience in surveillance,
assessment, applied research, partnership development, electronic data
information systems, and policy-making.

[[Page 33659]]

C. Project Design (55 Points Total)

1. Partnership Development (15 Points)
a. The extent to which the applicant describes the feasibility of
developing a partnership for assessment activities in one or more of
the following four areas (Extra points will not be awarded for
developing more than one partnership): Managed Care Assessment
Partnership; Collaborative Community Assessment Partnership; Medicaid
Assessment Partnership; and/or Preventive Health Assessment
Partnership.
b. The adequacy of procedures for selecting private/public
partners, target population and health problem areas.
c. The adequacy of the partnership structure to establish partner
concurrence, build consensus, address problem resolution, and carry out
project activities within the proposed time schedule.
2. Strategic Plan (25 Points)
a. The adequacy of the applicant's plans to develop and maintain a
working partnership for public health assessment and policy
development.
b. The objectives and activities are appropriate, feasible, and
time appropriate to the project.
c. The ability of the applicant's plans to be flexible and able to
incorporate additional partners, activities, etc., as emerging issues
warrant.
3. Program Evaluation (15 Points)
a. The extent to which the applicant proposes a strategy of ongoing
evaluation and feedback for this project.
b. The adequacy of the applicant's plans to evaluate the overall
effectiveness and success of this project.

D. Commitment (5 Points)

1. Evidence that the organizational positioning of this project is
conducive to accomplishing the stated purposes of this cooperative
agreement, including formal written commitments from appropriate
organizational entities that would be expected to support the project.
2. Evidence of the applicant's ability to continue the project
beyond established performance period.

E. Budget (Not Weighted)

The extent to which the applicant describes the total amount of
funds requested in each of the object class categories and clearly
links the budget items to objectives and activities proposed for the
budget period.

F. Human Subjects (Not Weighted)

Whether or not exempt from the Department of Health and Human
Services (DHHS) regulations, are procedures adequate for the protection
of human subjects? Recommendations on the adequacy of protections
include: (1) Protections appear adequate and there are no comments to
make or concerns to raise, (2) protections appear adequate, but there
are comments regarding the protocol,(3) protections appear inadequate
and there are concerns related to human subjects, or (4) disapproval of
the application is recommended because the research risks are
sufficiently serious and protection against the risks are inadequate as
to make the entire application unacceptable.

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 Sharron P. Orum, Grants Management Officer,
Grants Management Branch, Procurement and Grants Office, Centers for
Disease Control and Prevention (CDC), 255 East Paces Ferry Road, NE.,
Atlanta, Georgia 30305. The due date for State process recommendations
is 30 days after the application deadline date for new and competing
continuation applications. 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 93.283.

Other Requirements

Paperwork Reduction Act

Projects that involve the collection of information from 10 or more
individuals and funded by the cooperative agreement will be subject to
review by the Office of Management and Budget (OMB) under the Paperwork
Reduction Act.

Human Subjects

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. Should human subjects review be
required, the proposed work plan should incorporate time lines for such
development and review activities.

Women, Racial, and Ethnic Minorities

It is the policy of the Centers for Disease Control and Prevention
(CDC) and the Agency for Toxic Substances and Disease Registry (ATSDR)
to ensure that individuals of both sexes and the various racial and
ethnic groups will be included in CDC/ATSDR-supported research projects
involving human subjects, whenever feasible and appropriate. Racial and
ethnic groups are those defined in OMB Directive No. 15 and include
American Indian, Alaskan Native, Asian, Pacific Islander, Black and
Hispanic. Applicants shall ensure that women, racial and ethnic
minority populations are appropriately represented in applications for
research involving human subjects. Where clear and compelling rationale
exist that inclusion is inappropriate or not feasible, this situation
must be explained as part of the application. This policy does not
apply to research studies when the investigator cannot control the
race, ethnicity and/or sex of subjects. Further guidance to this policy
is contained in the Federal Register, Vol. 60, No. 179, pages 47947-
47951, and dated Friday, September 15, 1995.

Application Submission and Deadline

The original and two copies of the application PHS Form 5161-1
(Revised 7/92, OMB Number 0937-0189) must be submitted to Sharron P.
Orum, Grants Management Officer, Grants Management Branch, Procurement
and Grants Office, Centers for Disease Control and Prevention (CDC),
255 East Paces Ferry Road, NE., Room 314, Mail Stop E-18, Atlanta,
Georgia 30305, on or before August 11, 1997.

[[Page 33660]]

1. Deadline: 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 objective review group. (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 shall not be acceptable as proof of timely mailing.)
2. Late Application: Applications that do not meet the criteria in
1.(a) or 1.(b) above are considered late applications. Late
applications will not be considered in the current competition and will
be returned to the applicant.

Where To Obtain Additional Information

To receive additional written information, call (404) 332-4561. You
will be asked to leave your name, address, and telephone number. Please
refer to Announcement 741. You will receive a complete program
description, information on application procedures, and application
forms. If you have questions after reviewing the contents of all the
documents, business management technical assistance may be obtained
from Albertha Carey, Grants Management Specialist, Grants Management
Branch, Procurement and Grants Office, Centers for Disease Control and
Prevention (CDC), 255 East Paces Ferry Road, NE., Room 314, Mail Stop
E-18, Atlanta, Georgia 30305, telephone (404) 842-6591; electronic mail
at [email protected].
Technical assistance may be obtained from Colette Zyrkowski,
Division of Public Health Surveillance and Informatics, Epidemiology
Program Office, Centers for Disease Control and Prevention (CDC), Mail
Stop C-08, 1600 Clifton Road, NE., Atlanta, Georgia 30333, telephone
(404) 639-0080; fax (404) 639-1546; or Internet or CDC WONDER
electronic mail at [email protected].
You may obtain this announcement from one of two Internet sites on
the actual publication date: CDC's homepage at http://www.cdc.gov or
the Government Printing Office homepage (including free on-line access
to the Federal Register at http://www.access.gpo.gov).
Please refer to Program Announcement 741 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) referenced in the ``Introduction''
through the Superintendent of Documents, Government Printing Office,
Washington, DC 20402-9325, telephone (202) 512-1800. Centers for
Disease Control and Prevention Guidelines for Evaluating Surveillance
Systems can be found in the Morbidity and Mortality Weekly Report 1988;
37 (suppl. no. S-5).

Dated: June 16, 1997.
Joseph R. Carter,
Acting Associate Director for Management and Operations, Centers for
Disease Control and Prevention (CDC).
[FR Doc. 97-16169 Filed 6-19-97; 8:45 am]
BILLING CODE 4163-18-P

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/fr%3A97-16169. Public record. Not legal advice.