Health Promotion and Disease Prevention Research Centers Cooperative Agreements; Notice of Availability of Funds for Fiscal Year 1998

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Program Announcement 98047]

Health Promotion and Disease Prevention Research Centers

Cooperative Agreements; Notice of Availability of Funds for Fiscal Year

1998

Introduction

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

availability of fiscal year (FY) 1998 funds for cooperative agreement

programs for Health Promotion and Disease Prevention Research Centers.

CDC is committed to achieving the health promotion and disease

prevention objectives of ``Healthy People 2000,'' a DHHS-led national

activity to reduce morbidity and mortality and improve the quality of

life. This announcement is related to health priorities in Health

Promotion, Health Protection, and Preventive Services. (To order a copy

of ``Healthy People 2000,'' see the section ``Where to Obtain

Additional Information.'')

Authority

This program is authorized under sections 1706 (42 U.S.C. 300u-5)

and 317(k)(3) (42 U.S.C. 247b(k)(3)), of the Public Health Service Act,

as amended.

Smoke-Free Workplace

CDC strongly encourages all grant recipients to provide a smoke-

free workplace and promote the nonuse of all tobacco products, and Pub.

L. 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 academic health centers; defined as schools

of public health, medicine, or osteopathy; that have:

A. Multidisciplinary faculty with expertise in public health and

which has working relationships with relevant groups in such fields as

public health, medicine, psychology, nursing, oral health, social work,

education, and business.

B. Core faculty in epidemiology, biostatistics, social sciences,

behavioral and environmental health sciences, and health

administration.

C. Demonstrated curriculum in health promotion and disease

prevention.

[[Page 17421]]

D. Capability for residency training in public health or preventive

medicine.

Eligible applicants may enter into contracts, including consortia

agreements, as necessary to meet the essential requirements of this

program and to strengthen the overall application.

Availability of Funds

Approximately $7 million is available in FY 1998 to fund

approximately fourteen new awards. It is expected that the average

award will be $500,000, (including both direct and indirect costs),

ranging from $ to $600,000. It is expected that the awards will begin

on or about September 30, 1998, 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 progress and the availability of funds.

If requested, Federal personnel may be assigned to a project in

lieu of a portion of the financial assistance.

Optional Funding

In addition, approximately $205,000 (including both direct and

indirect costs) is available to fund one special interest project

related to promotion of physical activity and healthy eating.

Available funds will support a Prevention Research Center

addressing one or more of the following objectives:

(NOTE: A careful evaluation strategy must be described and

implemented, regardless of the objective selected.)

(a) Develop and test tools to assess need, monitor processes and

determine outcomes of environmental and policy changes designed to

increase physical activity and healthy eating at the State or community

level in various settings or among specific target populations.

(b) Develop and test policy/environmental interventions to promote

physical activity. Intervention and assessment methodologies will be

developed incorporating elements such as community psychology,

transportation systems, and policy evaluation.

(c) Develop and test policy/environmental interventions to promote

healthy eating. Intervention and assessment methodologies will be

developed incorporating elements such as community psychology, food

marketing and retail systems, religious organizations, schools,

worksites, and policy evaluation.

It is expected that this award will begin on or about September 30,

1998, and is made for a 12-month budget period within a project period

of up to 3 years. Funding estimates may vary and are subject to change.

For more information on applying for Optional Funding, please contact

persons listed under the section ``Where to Obtain Additional

Information.''

Lobbying Restrictions

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

for lobbying of Federal or State legislative bodies. Under the

provisions of 31 U.S.C. 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 1998 Department of Labor, Health and Human

Services, and Education, and Related Agencies Appropriations Act (Pub.

L. 105-78) states in section 503 (a) and (b) that no part of any

appropriation contained in this Act shall be used, other than for

normal and recognized executive-legislative relations, 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 or any State legislature, except in presentation to the

Congress or any State legislature itself. 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.

Special Interest Projects (SIP)

Applicants currently funded to conduct special interest projects

(SIP) can apply for extensions and continuations for FY 1998 under

current award. Requests for SIP extensions and continuations should not

be submitted with applications for funding under this announcement.

Requests should be addressed separately to CDC's Procurement and Grants

Office. Applicants receiving funds under this announcement will be

eligible to compete for new SIP's whenever such projects are announced

by CDC.

Background

Recent history has indicated a gap between public health research

findings and the implementation of those findings through public health

practices. The Health Promotion Disease Prevention Research Centers

Program was established in 1986 to bridge the gap between public health

science and applied public health practices. This program serves to

establish and maintain interdisciplinary academic centers that focus on

public health issues or themes of national importance. The

congressionally mandated purpose of this program remains as originally

intended--to improve public health practice within communities.

CDC Program Objectives

An integrated, interdisciplinary community-based approach to health

promotion disease prevention is the hallmark of the Health Promotion

Disease Prevention Research Center Program. The program's overarching

objectives are:

A. To develop community-based partnerships that lead to improved

public health practice and increased capacity in health promotion and

disease prevention.

B. To assess the current status of health promotion and disease

prevention programs and services offered within State, local, and

territorial health agencies; State and local education agencies; tribal

jurisdictions; public and private health-care providers; voluntary

agencies; and other community or lay organizations.

C. To identify, develop, and disseminate effective health promotion

disease prevention interventions.

D. To advance the scientific basis of health promotion and disease

prevention programs and services through research, evaluation, and

dissemination.

E. To establish demonstration projects for delivery of health

promotion and disease prevention programs and services to defined

population groups in collaboration with the providers of these programs

and services, especially State and local health and education

departments.

F. To develop improved evaluation methodologies to assess the

efficacy of health promotion and disease prevention programs and

services, the effectiveness of broad-based programs to carry out these

strategies, and the cost-effectiveness of applying and disseminating

these programs and services to broad-based constituencies.

[[Page 17422]]

G. To foster collaborative relationships among health promotion and

disease prevention research centers, both nationally as well as within

the Network of CDC-Supported Prevention Research Centers. Prevention

Research Centers are expected to make their expertise available to

prevention, surveillance, and health programs conducted by Federal,

State, and local governments, or other public and private

organizations.

H. To develop a multidisciplinary approach to health promotion and

disease prevention that includes developing, testing, evaluating, and

disseminating model programs.

I. To provide a multidisciplinary base for education and training

activities in the area of prevention and promotion.

Purpose

The purpose of this program is to support health promotion and

disease prevention research that focuses on the major causes of death

and disability. Prevention Research Centers (PRCs) are to conduct

research and demonstration projects to develop improved methods of

appraising health hazards and risk factors, and to initiate research

and demonstration projects to develop and test new and innovative

public health practices that can be rapidly applied to prevent and

ameliorate disease and disability in the community. PRCs should help

design programs that meet the needs of their communities to increase

their capabilities in the areas of public health knowledge, skills, and

policymaking, as well as to help communities better understand and

evaluate public health research by fostering community involvement in

all aspects of prevention research.

Program Requirements

In conducting activities to achieve the purpose of this program,

the recipient will be responsible for the activities listed under A.

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

listed under B. (CDC Activities).

A. Recipient Activities

1. Conduct and evaluate a demonstration project in health promotion

and disease prevention or preventive health services, within a defined

community or special population. The project must reflect the needs of

the community within the applicant's jurisdiction and show evidence of

having used an appropriate planning process in determining project

selection. Consistent with the discussion in the Background and CDC

Program Objectives sections, the project should specify how the

research project will heighten public health practice and advance

research translation.

2. Establish an advisory committee to provide input on the major

program activities. Membership may include but is not limited to a

variety of local health-care providers, health and education agency

officials, community leaders and organizers, and representatives of

local businesses, churches, voluntary organizations, and consumers.

3. Conduct applied community-based training in research methods to

foster community involvement and build community capacity for

participatory research. If appropriate, this training may include a

distance-learning-based format.

4. Establish collaborative activities with appropriate

organizations, individuals, and State health departments.

5. Establish and document activities that support a

multidisciplinary approach to health promotion and disease prevention,

and provide multidisciplinary education and training programs in

prevention research.

6. Demonstrate how the PRC will ensure dissemination of results to

appropriate constituencies.

B. CDC Activities

1. Collaborate as appropriate with the recipient in all stages of

the project.

2. Provide programmatic and technical assistance.

3. Participate in improving program performance through

consultation based on information and activities of other projects.

4. Provide scientific collaboration.

5. At the request of the applicant, assign Federal personnel in

lieu of a portion of the financial assistance to assist with developing

the curriculum, training, or conducting other specific necessary

activities.

Technical Reporting Requirements

An original and two copies of a progress report and financial

status report are due no later than 90 days after the end of the budget

period. The progress reports must include the following for each

program, function, or activity involved: (1) A comparison of actual

accomplishments to the goals established for the period; (2) the

reasons for slippage if established goals are not met; and (3) other

pertinent information including, when appropriate, analysis and

explanation of unexpectedly high costs for performance.

Final financial and performance reports are required no later than

90 days after the end of the project period. All reports are submitted

to the Grants Management Branch, CDC.

Application Content

All applications must be developed in accordance with the

instructions for PHS Form 398, information that is contained in this

program announcement, and the instructions outlined below.

The narrative must not exceed 90 double-spaced pages, excluding

appendixes and PHS Form 398. Appendices must not exceed 25 pages and

must be hard copy documents (i.e., no audiovisual materials, posters,

etc.).

A. Research Theme

Identify a research theme and describe activities designed to focus

on the theme that will result in innovative approaches to prevention

research. Clearly identify the need of the partner community, and

describe the PRC's experience working with communities on the

identified research theme. Applicants may wish to refer to products

from the community prevention task force when considering their

research theme. (For detailed information, visit the Guide to Community

Preventive Services on the Web at http://web.health.gov/

communityguide).

Examples of research themes from current Research Prevention

Centers include:

1. Risk Reduction Among African-Americans, and Other Underserved

Populations.

2. Families, Neighborhoods, and Communities: A Model for Action in

Chronic Disease Prevention.

3. Reduction of Excess Morbidity and Mortality in the Harlem

Community.

4. Health Promotion and Disease Prevention Across the Lifespan.

5. Promoting Health and Preventing Disease Among Urban and Rural

Adolescents.

6. Teen Pregnancy Prevention.

7. Promoting Healthy Lifestyles in American Indians.

8. Workplace Health Promotion.

9. Promoting Healthy Behavior and Disease Prevention in Native

American Populations.

10. Cardiovascular Disease Prevention in Low-Income Rural

Communities.

11. Promoting Health Through Physical Activities.

12. From Healthy Children To Healthy Adults.

13. Keeping Older Adults Healthy and Independent.

14. Risk Factors in Appalachia.

[[Page 17423]]

B. PRC Plan

Submit a PRC plan with clear goals, objectives, and activities, to

include:

1. A description of goals, and objectives for the budget period

that are consistent with the research theme. Objectives should be

specific, measurable, and realistic.

2. A description of the scope, methods of operation, evaluation,

and a timeline for implementation.

3. A description of the use of other federal funds that will impact

on stated program objectives.

4. A description of any financial and in-kind contributions from

nonfederal sources.

5. Documentation of how the Advisory Committee will facilitate

collaboration with community organizations, State and local health or

education departments. Documentation should include a description of

composition, membership, rationale for membership, and objectives for

the community advisory committee.

6. A description of any community-based applied training.

7. A description of needed prevention research training for

professionals.

8. Documentation of commitment to minority and underserved

populations, or other defined populations or communities.

9. A description of significant factors which may favorably or

adversely impact on program performance.

C. Management and Staffing Plan

Provide a management plan that includes a description of all

organizational units and functions in the PRC. The plan should reflect

the ability of the PRC to carry out the chosen research theme. Describe

how the applicant will integrate the PRC within the parent institution.

The following areas should be considered in developing a management and

staffing plan:

1. Describe the PRCs personnel infrastructure.

2. Describe how proposed staffing will support center activity.

Current resumes must be included.

3. No less than two full-time FTE's must be allocated for the

following functions: (Percentages of an FTE may be used for several

positions.)

(a) Scientific oversight: Accountable for center research and

development, design, methodology, project evaluation, and publications.

(b) Community Development: Community liaison, advisory committee,

community training activities, oversight of IRB protocols, community

dissemination.

(c) Program and Project Management: Oversight of center supported

research, coordination of center studies, mentorship of junior

investigators, dissemination activities, and professional training in

prevention research.

(d) Center Administration: Responsible for communication with CDC's

Prevention Research Centers Program staff and Procurement and Grants

Office. Responsibilities will include submission of fiscal reports,

fiscal tracking and reports, personnel, and center procurement.

D. Research Project

Submit a description of the research project that is consistent

with the CDC PRC Program objectives. Describe the project's community

involvement. The narrative for specific project should contain:

1. A description of the research project including goals,

objectives, timeline, and evaluation.

2. A description of the research activities that can ensure

progress toward the achievement of objectives stated in the research

project.

3. A description of project staff (number and types of positions).

4. A project budget.

5. A description of the efforts to conduct dissemination of

research findings.

E. Evaluation Plan

Provide an evaluation plan that is directly linked to the research

theme, the research project, and the objectives of the PRC. Describe a

methodology to evaluate the overall prevention center theme and

objectives with regard to program process, impact, fulfillment of

outcome objectives, and community involvement; the PRCs community-based

objectives; and any other indicators, such as cost-benefit analyses.

F. Budget Information

Provide a line-item budget and narrative justification for all

requested costs that are consistent with the purpose, objectives, and

proposed research activities, to include:

1. Line-item breakdown and justification for all personnel, i.e.,

name, position title, annual salary, percentage of time and effort, and

amount requested.

2. Line-item breakdown and justification for all contracts and

consultants, to include:

(a) Name of contractor or consultant.

(b) Period of performance.

(c) Method of selection (e.g., competitive or sole source).

(d) Scope of work.

(e) Method of accountability.

(f) Itemized budget

3. Requests for any direct assistance in the form of field

assignees must also include the following:

(a) The number of assignees requested.

(b) A description of the position and proposed duties for each

assignee.

(c) Justification for request.

(d) An organizational chart and the name of the intended

supervisor.

(e) The availability of career-enhancing training, education, and

research experience opportunities for the assignee(s).

(f) Assignee access to computer equipment for electronic

communication between CDC headquarter's office and PRC.

4. A brief five-year budget projection should be submitted that

clearly separates and distinguishes direct from indirect costs.

Evaluation Criteria

Applications will be reviewed and evaluated through a dual review

process. The first review will be a peer evaluation of the scientific

and technical merit of the application conducted by an external review

committee. The second review will be conducted by senior Federal staff,

who will consider the results of the first review together with

national program need and relevance to the mission of CDC. Awards will

be made on the basis priority score ranking by the external peer

review, recommendations based on program review by senior Federal

staff, and the availability of funds.

A. The Prevention Research Centers Objective Review Committee may

recommend approval or disapproval based on the intent of the

application and the following criteria:

1. PRC Theme (10 points)

The extent to which the research theme results in approaches or

interventions that meet health priorities and emerging public health

needs of identified communities or special groups; and the relevance

and validity of the process used to identify the PRC theme.

2. PRC Plan (40 points)

(a) The PRC plan has objectives that are clear, specific,

measurable, and realistic, and makes effective use of both the PRC and

community resources to advance the PRC theme.

(b) Includes the technical and scientific merits of the proposed

PRC plan, and its potential to achieve the stated objectives.

(c) Consistent with the PRC purpose, and includes a five-year

timeline.

[[Page 17424]]

(d) Composition of Community Advisory Committee and rationale for

its membership, relevance and feasibility of committee objectives and

its role within the PRC.

(e) The existence of a clear plan for curriculum development,

pilot-testing, and possible institutionalization.

(f) Capacity for providing professional multidisciplinary

prevention research training in the area of health promotion and

disease prevention, and the appropriateness of training goals and

intended audience.

3. Management and Staffing Plan (15 points)

The extent to which the applicant demonstrates the ability,

capacity, organizational structure, and staffing to carry out the

overall theme, objectives, and specific project plans.

4. Research Project (20 points)

The extent, feasibility, and capacity for the proposed

demonstration project, multidisciplinary input; implementation plan;

research methodology; and dissemination plan.

5. Evaluation (15 points)

Feasibility of the methodology to evaluate the overall prevention

center theme and objectives with regard to the PRC plan, process,

impact, fulfillment of outcome objectives, demonstration project(s),

and community involvement; the PRC's community-based objectives; and

any other indicators, such as cost-benefit analyses.

G. Budget (Not Scored)

The extent to which the budget and justification are consistent

with the program objectives and purpose.

7. Human Subjects (Not Scored)

If the proposed project involves human subjects, whether or not

exempt from the Department of Health and Human Services (DHHS)

regulations, the extent to which adequate procedures are described 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, or (2) protections appear

adequate, but there are comments regarding the protocol, or (3)

protections appear inadequate and the ORG has 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,

and (5) protections appear adequate that women, racial and ethnic

minority populations are appropriately represented in applications

involving human research.

B. Review by senior Federal staff:

Further review will be conducted by senior Federal staff.

Factors to be considered are:

1. Results of the peer review.

2. Program needs and relevance to community and national goals.

3. Budgetary considerations.

Typing and Mailing

Applicants should submit an original and five copies of the

application 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 300,

Mailstop E-18, Atlanta, GA 30305, on or before June 15, 1998. All pages

must be clearly numbered, and a complete Table of Contents for the

application and any appendices must be included. The original and each

copy of the application must be submitted unstapled and unaffixed,

bound with rubber bands only. All materials must be typewritten,

single-spaced, with unreduced type on 8.5'' by 11'' paper, with at

least 1'' margins, headers and footers, and printed on one side only.

Noncompeting Continuation Application Contents

Noncompeting continuation applications submitted within the project

period need only include:

A. A brief progress report describing the accomplishments of the

previous budget period.

B. Any new or significantly revised items or information

(objectives, scope of activities, operational methods, evaluation, key

personnel, work plans, etc.) not included in the 01 Year or subsequent

continuation applications.

C. An annual detailed budget and justification. Existing budget

items that are unchanged from the previous budget period do not need

rejustification. Simply list the items in the budget and indicate that

they are continuation items.

Executive Order 12372 Review

This program is not subject to the Executive Order 12372 review.

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 93.135.

Other Requirements

Paperwork Reduction Act

Projects that involve the collection of information from 10 or more

persons and funded by the cooperative agreement will be subject to

review and approval 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 the project will be

subject to initial and continuing review by an appropriate

institutional review board. The applicant will be responsible for

providing assurance in accordance with the appropriate guidelines and

form provided in the application kit.

Women and Racial and Ethnic Minorities

It is the policy of the CDC to ensure that women and racial and

ethnic groups will be included in CDC-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 or Alaska Native, Asian, Black or African American,

Native Hawaiian or Other Pacific Islander, and Hispanic or Latino.

Applicants shall ensure that women and racial and ethnic minority

populations are appropriately represented in applications for research

involving human subjects. Where clear and compelling rationale exist

that inclusion is not feasible, this situation must be explained as

part of the application. In conducting the review of applications for

scientific merit, review groups will evaluate proposed plans for

inclusion of minorities and both sexes as part of the scientific

assessment and assigned score. 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, Friday, September 15, 1995, pages

47947-47951.

[[Page 17425]]

Application Submission and Deadlines

A. Letter of Intent (LOI)

Potential applicants should submit an original and two copies of a

one page, typewritten LOI to: Sharron P. Orum, Grants Management

Officer, Grants Management Branch, Procurement and Grants Office,

Centers for Disease Control and Prevention, Mailstop E-18, 255 East

Paces Ferry Road, NE., Room 300, Atlanta, GA 30305.

The LOI must briefly describe the proposed theme for the

prospective Prevention Research Center (maximum of one paragraph), the

applicant's experience and expertise on the proposed theme (maximum of

one paragraph), and a brief description of the proposed community

partner (maximum of one paragraph). The LOI must also include the name,

address, telephone number, facsimile (fax) number, and E-mail address

of a contact person from the applicant institution.

Attachments, booklets, or other documents will not be accepted with

the LOI. LOIs will be reviewed by program staff, and the information

used in planning the review process and the selection of reviewers. The

original and two copies of the LOI must be postmarked by the deadline

May 11, 1998. Facsimiles are not acceptable.

B. Application Due Date

One original and five copies of the application PHS 398 form

(Revised 9/91) 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 300, Mailstop E-18, Atlanta, GA 30305, on or before

June 15, 1998.

Deadline: Applications shall be considered as meeting the deadline

above if they are either:

1. Received on or before the deadline date; or

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

submission to the External Review Committee. (Applicants must request a

legibly dated U.S. Postal Service postmark or obtain a legibly dated

receipt from a commercial carrier or U.S. Postal Service. Private

metered postmarks shall not be acceptable as proof of timely mailing).

Late Applications: Applications which do not meet the criteria in

B.(1) and B.(2) above are considered late applications. Late

applications will not be considered in the competition and will be

returned to the applicant.

Where To Obtain Additional Information

To receive additional written information and to request an

application kit, call 1-888-GRANTS4 (1-888-472-6874). You will be asked

to leave your name and address and will be instructed to identify the

Announcement Number of interest. A complete program description and

information on application procedures are contained in the application

package. Business management technical assistance may be obtained from

Glynnis Taylor, Grants Management Specialist, 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, GA 30305, telephone (404) 842-6593, by fax (404) 842-6513,

or by Internet or CDC WONDER electronic mail at [email protected].

Programmatic technical assistance may be obtained from Enrique Nieves,

Jr., M.S., Senior Project Officer, National Center for Chronic Disease

Prevention and Health Promotion, Centers for Disease Control and

Prevention (CDC), 4770 Buford Highway, NE., Mailstop K-30, Atlanta, GA

30341-3717, telephone (770) 488-5482, or by Internet or CDC WONDER

electronic mail at [email protected].

Please refer to Program Announcement Number 98047 when requesting

information and submitting an application.

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 at

the Government Printing Office homepage (including free on-line access

to the Federal Register at http://www.access.gpo.gov).

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

(Full Report, Stock number 017-001-00474-0) or ``Healthy People 2000''

(Summary Report, Stock number 017-001-00473-1) referenced in the

``Introduction'' through the Superintendent of Documents, Government

Printing Office, Washington, D.C. 20402-9325, Telephone (202) 512-1800.

Forum for Questions and Answers

The forum for questions and answers during the application process

will be in the form of a mailing listing for the PRCs. The PRC mailing

list will be titled PREV-CENTERS. A mailing list or LISTSERV is a

system that allows you to create, manage, and control mailing lists on

a network or on the Internet. Mailing lists make it possible to confer

in a rapid manner via the written word. It can replace a telephone

conference call for questions and answers because questions via

electronic mail are delivered in a matter of seconds, or occasionally

minutes. Answers are sent to everyone on the list simultaneously.

PREV-CENTERS is a closed list available only to persons and

entities associated with the cooperative agreement application process

for Announcement Number 98047. It is to be used as a communication tool

for CDC and applicants.

To subscribe to the listserv the applicant must send an E-mail

message to: [email protected] with the following command in the

BODY of the message: SUBSCRIBE PREV-CENTERS. There is no need to write

a ``Subject,'' or anything else in the message. The subscriber will

then receive a welcome E-mail message from the list server with

additional instructions on how to use commands for the mailing list.

After the applicant is subscribed, questions to the PREV-CENTERS list

may be sent to the following E-mail address: PREV-

[email protected]. Do not post confidential information on the

list because every member of the PREV-CENTERS list will receive the

message and the reply. All confidential matters should be conducted

through normal channels; i.e., direct E-mail, correspondence, or

telephone.

Please use the PREV-CENTERS LIST exclusively for posting any

questions you may have on the application process for Announcement

Number 98047. Questions will be accepted until the application

deadline. All subscribers to the list will be deleted from the listserv

after the application due date.

Program Definitions

Advisory Committee: A group of persons with implied or pretended

knowledge and expertise in a particular research theme that have

delegated powers to investigate, consider, and recommend courses of

action regarding research, operation, and management of a Prevention

Research Center.

Capacity-Building: The endeavoring that will lead to increasing the

ability of a community to engage in participatory research.

Community: An interacting population of various kinds of

individuals with common conditions defined by geographical and

demographic factors.

Community-Based Applied Training: Training in research methods,

epidemiology, and health policy designed to assist local health workers

and community leaders in identifying

[[Page 17426]]

public health priorities and health-related problems.

Field Assignee: A CDC employee assigned to a grantee, through the

cooperative agreement mechanism, for a specified purpose and time

period.

Health Promotion: As defined by the Ottawa Charter for Health

Promotion (WHO [1987]. Ottawa Charter for Health Promotion. Health

Promotion, 1 (4), iii.), refers to the ``process of enabling people to

increase control over, and to improve, their health.'' The

implementation of this definition requires that health promotion

initiatives (i.e., programs, policies, or other organized activities)

should be empowering, participatory, holistic, intersectoral,

equitable, sustainable, and multistrategy.

Impact Objective: The desired impact of prevention research is

change in the behavior or norm of a special group or community that

heightens the likelihood of generalizing the research outcomes to

reduce disease and death. The measurement of behaviors is the most

significant and basic component of an impact evaluation. Knowledge and

attitudes are also very important. Within the Prevention Research

Centers, impact is measured by attaining outcomes that can be rapidly

applied to targeted communities (translation), which includes building

the capacity of the community to initiate its own research.

Indicators: A value that exposes the condition of a particular

situation or activity without bias or judgment.

Outcome Objective: Outcome objectives focus on the long-term

effects (rates of death and illness) of prevention research and

translation of outcomes to a specific targeted population. Outcome

evaluations are conducted long enough after the translation takes place

for behavioral changes to show an affect. For the Prevention Research

Centers, outcome is determined by changes in behavior of the targeted

population or community.

Participatory Research: Community involvement in all stages of

planning, developing, and evaluating the research.

Process Objective: Process objectives indicate the activities that

are to be done and how they will be accomplished. Process involves

administrative and community activities necessary to efficiently and

effectively achieve a positive program impact (behavior change).

Process for most prevention research projects include Center

Administration; Research and Development; Community Involvement Plans;

Professional Education; Applied Community Training; and Monitoring and

Evaluation.

Special Interest Project: A research project that supplements the

Prevention Research Center's Cooperative Agreement funded by Centers,

Institutes, or Offices (CIO's) within CDC, or other federal agencies.

Special Population: A group of persons with common characteristics

or conditions.

Dated: April 3, 1998.

Joseph R. Carter,

Acting Associate Director for Management and Operations, Centers for

Disease Control and Prevention (CDC).

[FR Doc. 98-9329 Filed 4-8-98; 8:45 am]

BILLING CODE 4163-18-P