Reducing Racial and Ethnic Disparities in Childhood Immunization, 24802-24806 [05-9364]
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D. Where To Obtain Additional
Information
For general comments or questions
about this announcement, contact:
Technical Information Management,
CDC Procurement and Grants Office,
2920 Brandywine Road, Atlanta, GA
30341–4146. Telephone: 770–488–2700.
For technical questions about this
program, contact: Mildred WilliamsJohnson, Ph.D., Scientific Program
Administrator, CDC, National Center for
Environmental Health, 1600 Clifton
Road, NE., Mail Stop E17, Atlanta, GA
30333. Telephone: 404–498–0639. Email: MWilliams-Johnson@cdc.gov.
Dated: May 5, 2005.
William P. Nichols,
Director, Procurement and Grants Office,
Centers for Disease Control and Prevention.
[FR Doc. 05–9368 Filed 5–10–05; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
Reducing Racial and Ethnic Disparities
in Childhood Immunization
Announcement Type: New.
Funding Opportunity Number: RFA
IP05–087.
Catalog of Federal Domestic
Assistance Number: 93.185.
Letter of Intent Deadline: June 10,
2005.
Application Deadline: June 27, 2005.
I. Funding Opportunity Description
Authority: Section 311 [42 U.S.C. 243] and
317(k)(1) [42 U.S.C. 247b(k)(1)] of the Public
Health Service Act, as amended.
Background
Eliminating health disparities among
racial and ethnic populations in the
United States is a major public health
goal. However, in recent years,
disparities in immunization rates
between black and white children have
been increasing (Chu et al.) 1. Therefore,
the National Immunization Program
(NIP) is seeking to support projects that
may lead to reductions in these
disparities.
Factors that may be related to lower
immunization rates among black
children include frequency and timing
of well child visits, provider type
(pediatrician, family practitioner, public
1 Chu S, Barker L, Smith P. ‘‘Racial and ethnic
disparities in preschool immunizations: United
States, 1996–2001’’. ‘‘American Journal of Public
Health’’. 2004; 94:973–977.
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health clinic (PHC)), missed
opportunities for immunization,
socioeconomic status (SES), urban vs.
rural vs. suburban settings, and parental
beliefs. Missed opportunities are
medical encounters during which a
child fails to receive an immunization
for which he/she is eligible and they
have been shown to contribute to under
immunization of children. The National
Maternal and Infant Health Survey
showed that black children were less
likely than white children to receive the
recommended number of well child
visits and immunizations in the first
seven months of life. SES has been
shown to impact immunization
coverage levels in many studies. Some
studies have found that adjustment for
SES and access to care did not
completely explain racial and ethnic
disparities.
Purpose
The purpose of the program is to fund
a community-based demonstration
project to identify, implement and
evaluate interventions that will result in
a statistically significant reduction in
racial disparities in immunization
coverage levels between black children
19–35 months of age and children of
other races, particularly white children,
as evidenced by a comparison of
immunization coverage of black and
other racial/ethnic groups before and
after interventions are implemented.
Throughout this announcement black
refers to non-Hispanic black and white
refers to non-Hispanic white. These
interventions must include: (1)
Enhancement of healthcare utilization
and (2) strategies to reduce missed
opportunities for immunization. The
key to the success of this program will
be community-focused programs that
include the full engagement of
appropriate partners. These partners
may include faith-communities, health
care purchasers, health plans, health
care providers, and many other
community sectors working together.
The focus of this announcement is for
medium or large urban areas with
populations of at least 100,000 people.
This program addresses the ‘‘Healthy
People 2010’’ focus area of
Immunization and Infectious Diseases.
Measurable outcomes of the program
will be in alignment with the
performance goal for the Center for
Disease Control and Prevention’s (CDC)
National Immunization Program (NIP) to
reduce the number of indigenous
vaccine-preventable diseases and will
be evidenced by a significant increase in
immunization coverage levels among
black children in the study communities
before and after implementation of
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study interventions. A significant
increase is defined as 90 percent
confidence in having achieved an
increase in coverage among black
children of at least five percentage
points with no increase in disparities.
Research Objectives
1. Identify factors related to
disparities in childhood immunization
rates between black children and
children of other racial/ethnic groups
within an urban area. These factors
must include community and practice
level factors related to utilization of
health services and practice level factors
related to missed opportunities for
immunization.
2. Develop and implement
interventions to address factors related
to disparities in immunization rates
between black children and children of
other racial/ethnic groups. The
applicant must address community and
practice level factors related to
enhancing utilization of health services
and practice level factors related to
missed opportunities for immunization.
3. Evaluate the effectiveness of these
interventions in decreasing racial
disparity in immunization rates between
blacks and all other children within the
urban area.
Activities
Awardee activities for this program
are as follows:
1. Select a medium or large urban area
with a total population of at least
100,000 people, with documented
significant racial/ethnic disparities in
childhood immunization rates. At least
25 percent of this urban area should be
black.
2. Develop and implement plans to
identify factors which are related to the
disparity differences in immunization
coverage between black children and
children of other racial/ethnic groups in
this urban area. These factors must
include community and practice level
factors related to utilization of health
services and practice level factors
related to missed opportunities for
immunization. Examples include
number and timing of well child visits,
pattern of missed opportunities, SES
status, provider type (family
practitioner, pediatrician, PHC), and
availability of social services and
transportation within the urban area.
3. Design interventions for addressing
the factors related to disparities in
immunization coverage in this urban
area. These interventions must address
community and practice level factors
related to enhancing utilization of
health services and practice level factors
related to missed opportunities for
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immunization. Interventions also need
to involve collaboration between the
community and practice-based
activities, as well as, a plan for
sustainability of these activities.
Programs are expected to employ
multiple strategies, including innovative
strategies as well as evidence-based
public health strategies based at least
partially on the existing and emerging
research base and careful scientific
review such as the Guide to Community
Preventive Services (https://
www.thecommunityguide.org/).
Effective public health strategies may
include changes to the social and
physical environments; health
promotion, public education, and
information; media and other
communication strategies; technological
advances; economic incentives and
disincentives; system improvements;
provider education and medical officebased improvement strategies. While
they may be included, mass media
campaigns should not constitute the
sole intervention aimed at the
community. While project activities
should reach all persons in an identified
intervention area, special efforts should
be taken to ensure focus on black
populations experiencing disparities in
access to and use of preventive services.
Because sustainability is important,
the program must include a plan for
sustaining interventions past the
funding period.
Programs must be culturally
competent, and meet the health literacy
and linguistic needs of target
populations in the intervention area.
Programs could optimize resources by
coordinating and partnering with
existing programs and resources in the
community, surrounding areas, and the
state.
Collaborative partnerships with, for
example, professional organizations;
health care providers, employers,
purchasers, and health plans; faithbased organizations; schools; child care,
early childhood programs, Women,
Infants, and Children (WIC) program,
and other organizations that serve
children; and many others are key to
reaching affected populations and
delivering and sustaining effective
programs. Strong, cooperative linkages
between clinical preventive care and
community public health should be
established and maintained.
4. Implement interventions within
multiple immunization provider
practices. At a minimum, a
representative sample of at least 30
practices in the urban area should
participate in the intervention and be
evaluated. This sample should be
representative of where blacks receive
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care and of where whites receive care in
a geographically defined area (city or
region) where blacks account for at least
25 percent of the population. Each
sample must include a sufficient
number of clinics for meaningful
comparisons to be made. Because
disparities persist across socioeconomic
categories, it is important that clinics
that serve patients of higher SES be
represented as well as clinics serving
patients of lower SES.
5. Validate or document degree of
implementation of interventions,
including number of persons reached
by, and use of intervention strategies;
tracking the accomplishment of
activities and the achievement of shortterm and intermediate outcomes;
monitoring changes in health outcomes;
and using program evaluation findings
to adjust plans and strengthen the
program. This would involve
identification and collection of
appropriate process measures through
multiple means and would also involve
direct observation of practices.
6. Determine effectiveness of
interventions by comparing
immunization rates between black
children and children of racial\ethnic
groups within and between practice
sites. The evaluation must include a
comparison of immunization coverage
of black and other racial/ethnic groups
before and after interventions are
implemented. In addition, if available,
population-based measures (cluster
surveys or random digit dial telephone
surveys) can also be used to monitor
coverage rates.
7. Identify the most effective, feasible,
and sustainable interventions in
reducing disparities in immunization
rates in this urban area.
8. Collaboratively disseminate
research findings in peer reviewed
publications and for use in determining
national policy.
Because sustainability is important
and the program included a plan for
sustaining interventions, we encourage
measures of progress past the project
period.
In a cooperative agreement, CDC staff
is substantially involved in the program
activities, above and beyond routine
grant monitoring.
CDC Activities for this program are as
follows:
1. Provide CDC investigator(s) to
monitor the cooperative agreement as
project officer(s).
2. Participate as active project team
members in the development,
implementation and conduct of the
research project and as coauthors of all
scientific publications that result from
the project.
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3. Provide technical assistance on the
selection and evaluation of data
collection and data collection
instruments.
4. Assist in the development of
research protocols for Institutional
Review Boards (IRB) review. The CDC
IRB will review and approve the project
protocol or will defer to outside IRB,
and will do so on at least an annual
basis until the research project is
completed.
5. Contribute subject matter expertise
in the areas of epidemiologic methods
and statistical analysis, and survey
research consultation.
6. Participate in the analysis and
dissemination of information, data and
findings from the project, facilitating
dissemination of results.
7. Serve as liaisons between the
recipients of the project award and other
administrative units within the CDC.
8. Facilitate an annual meeting
between awardee and CDC to coordinate
planned efforts and review progress.
II. Award Information
Type of Award: Cooperative
Agreement. CDC involvement in this
program is listed in the Activities
Section above.
Mechanism of Support: U01.
Fiscal Year Funds: 2005.
Approximate Total Funding: $300,000
(Includes direct and indirect costs. This
amount is an estimate, and is subject to
availability of funds.)
Approximate Number of Awards:
One.
Approximate Average Award:
$300,000 (Includes direct and indirect
costs. This amount is for the first 12month budget period.)
Floor of Award Range: None.
Ceiling of Award Range: $300,000
(Includes direct and indirect costs. This
ceiling is for the first 12-month budget
period.)
Anticipated Award Date: August 31,
2005.
Budget Period Length: 12 months.
Project Period Length: Three (3) years.
Throughout the project period, CDC’s
commitment to continuation of awards
will be conditioned on the availability
of funds, evidence of satisfactory
progress by the recipient (as
documented in required reports), and
the determination that continued
funding is in the best interest of the
Federal Government.
III. Eligibility Information
III.1. Eligible applicants
Applications are limited to public and
private nonprofit organizations and by
governments and their agencies, such
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as: (For profit organizations are not
eligible under Section 317(k)(1) [42
U.S.C. 247b(k)(1)] of the Public Health
Service Act, as amended.)
• Public nonprofit organizations.
• Private nonprofit organizations.
• Small, minority, women-owned
businesses.
• Universities.
• Colleges.
• Research institutions.
• Hospitals.
• Community-based organizations.
• Faith-based organizations.
• Federally recognized Indian tribal
governments.
• Indian tribes.
• Indian tribal organizations.
• State and local governments or their
Bona Fide Agents (this includes the
District of Columbia, the
Commonwealth of Puerto Rico, the
Virgin Islands, the Commonwealth of
the Northern Marianna Islands,
American Samoa, Guam, the Federated
States of Micronesia, the Republic of the
Marshall Islands, and the Republic of
Palau).
• Political subdivisions of States (in
consultation with States).
A Bona Fide Agent is an agency/
organization identified by the state as
eligible to submit an application under
the state eligibility in lieu of a state
application. If you are applying as a
bona fide agent of a State or local
government, you must provide a letter
from the State or local government as
documentation of your status. Place this
documentation behind the first page of
your application form.
501(c)(4) of the Internal Revenue Code
that engages in lobbying activities is not
eligible to receive Federal funds
constituting an award, grant, or loan.
Individuals Eligible to Become
Principal Investigators: Any individual
with the skills, knowledge, and
resources necessary to carry out the
proposed research is invited to work
with their institution to develop an
application for support. Individuals
from underrepresented racial and ethnic
groups as well as individuals with
disabilities are always encouraged to
apply for CDC programs.
IV. Application and Submission
Information
IV.1. Address To Request Application
Package
III.2. Cost Sharing or Matching
To apply for this funding opportunity,
use application form PHS 398 (OMB
number 0925–0001 rev. 9/2004). Forms
and instructions are available in an
interactive format on the CDC Web site,
at the following Internet address:
https://www.cdc.gov/od/pgo/
forminfo.htm.
Forms and instructions are also
available in an interactive format on the
National Institutes of Health (NIH) Web
site at the following Internet address:
https://grants.nih.gov/grants/funding/
phs398/phs398.html.
If you do not have access to the
Internet, or if you have difficulty
accessing the forms on-line, you may
contact the CDC Procurement and
Grants Office Technical Information
Management Section (PGO–TIM) staff
at: 770–488–2700. Application forms
can be mailed to you.
Matching funds are not required for
this program.
IV.2. Content and Form of Application
Submission
III.3. Other
Letter of Intent (LOI): Your LOI must
be written in the following format:
• Maximum number of pages: 2.
• Font size: 12-point unreduced.
• Double spaced.
• Paper size: 8.5 by 11 inches.
• Page margin size: One inch.
• Printed only on one side of page.
• Written in plain language, avoid
jargon.
Your LOI must contain the following
information:
• Descriptive title of the proposed
research.
• Name, address, E-mail address,
telephone number, and FAX number of
the Principal Investigator.
• Names of other key personnel.
• Participating institutions.
• Number and title of this
Announcement.
Application: Follow the PHS 398
application instructions for content and
If you request a funding amount
greater than the ceiling of the award
range, your application will be
considered non-responsive, and will not
be entered into the review process. You
will be notified that your application
did not meet the submission
requirements.
Special Requirements: If your
application is incomplete or nonresponsive to the requirements listed in
this section, it will not be entered into
the review process. You will be notified
that your application did not meet
submission requirements.
• Late applications will be considered
non-responsive. See section ‘‘IV.3.
Submission Dates and Times’’ for more
information on deadlines.
• Note: Title 2 of the United States
Code Section 1611 states that an
organization described in Section
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formatting of your application. For
further assistance with the PHS 398
application form, contact PGO–TIM staff
at 770–488–2700, or contact GrantsInfo,
Telephone (301) 435–0714, E-mail:
GrantsInfo@nih.gov.
Your research plan should address
activities to be conducted over the
entire project period.
You are required to have a Dun and
Bradstreet Data Universal Numbering
System (DUNS) number to apply for a
grant or cooperative agreement from the
Federal Government. Your DUNS
number must be entered on line 11 of
the face page of the PHS 398 application
form. The DUNS number is a nine-digit
identification number, which uniquely
identifies business entities. Obtaining a
DUNS number is easy and there is no
charge. To obtain a DUNS number,
access https://
www.dunandbradstreet.com or call
1–866–705–5711.
For more information, see the CDC
Web site at: https://www.cdc.gov/od/pgo/
funding/pubcommt1.htm.
This announcement uses the nonmodular budgeting format.
Additional requirements that may
require you to submit additional
documentation with your application
are listed in section ‘‘VI.2.
Administrative and National Policy
Requirements.’’
IV.3. Submission Dates and Times
LOI Deadline Date: June 10, 2005.
CDC requests that you send a LOI if
you intend to apply for this program.
Although the LOI is not required, not
binding, and does not enter into the
review of your subsequent application,
the LOI will be used to gauge the level
of interest in this program, and to allow
CDC to plan the application review.
Application Deadline Date: June 27,
2005.
Explanation of Deadlines: LOIs must
be received in the CDC Office of Public
Health (OPHR) and applications must be
received in the CDC Procurement and
Grants Office by 4 p.m. eastern time on
the deadline date. If you submit your
LOI and Application by the United
States Postal Service or commercial
delivery service, you must ensure that
the carrier will be able to guarantee
delivery by the closing date and time. If
CDC receives your submission after
closing due to: (1) Carrier error, when
the carrier accepted the package with a
guarantee for delivery by the closing
date and time, or (2) significant weather
delays or natural disasters, you will be
given the opportunity to submit
documentation of the carriers guarantee.
If the documentation verifies a carrier
problem, CDC will consider the
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submission as having been received by
the deadline.
This announcement is the definitive
guide on LOI and application content,
submission address, and deadline. It
supersedes information provided in the
application instructions. If your
application does not meet the deadline
above, it will not be eligible for review,
and will be discarded. You will be
notified that you did not meet the
submission requirements.
CDC will not notify you upon receipt
of your submission. If you have a
question about the receipt of your LOI
or application, first contact your courier.
If you still have a question concerning
your LOI, contact the OPHR staff at 404–
371–5277. If you still have a question
concerning your application, contact the
PGO–TIM staff at: 770–488–2700. Before
calling, please wait two to three days
after the submission deadline. This will
allow time for submissions to be
processed and logged.
IV.4. Intergovernmental Review of
Applications
Your application is subject to
Intergovernmental Review of Federal
Programs, as governed by Executive
Order (EO) 12372. This order sets up a
system for State and local governmental
review of proposed federal assistance
applications. You should contact your
state single point of contact (SPOC) as
early as possible to alert the SPOC to
prospective applications, and to receive
instructions on your state’s process.
Click on the following link to get the
current SPOC list: https://
www.whitehouse.gov/omb/grants/
spoc.html.
IV.5. Funding Restrictions
Restrictions, which must be taken into
account while writing your budget, are
as follows:
• Funds relating to the conduct of
research will not be released until the
appropriate assurances and Institutional
Review Board approvals are in place.
• Reimbursement of pre-award costs
is not allowed.
If you are requesting indirect costs in
your budget, you must include a copy
of your indirect cost rate agreement. If
your indirect cost rate is a provisional
rate, the agreement should be less than
12 months of age.
IV.6. Other Submission Requirements
LOI Submission Address: Submit your
LOI by express mail, delivery service,
fax, or E-mail to: Mary Lerchen, DrPH,
Scientific Review Administrator, CDC/
Office of Public Health Research, One
West Court Square, Suite 7000, MS D–
72, Telephone: 404–371–5277, Fax:
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404–371–5215; E-mail:
MLerchen@cdc.gov.
Application Submission Address:
Submit the original and one hard copy
of your application by mail or express
delivery service to: Technical
Information Management—RFA IP05–
087, CDC Procurement and Grants
Office, 2920 Brandywine Road, Atlanta,
GA 30341.
At the time of submission, four
additional copies of the application, and
all appendices must be sent to: Mary
Lerchen, DrPH, Scientific Review
Administrator, CDC/Office of Public
Health Research, One West Court
Square, Suite 7000, MS D–72,
Telephone: 404–371–5277, Fax: 404–
371–5215, E-mail: MLerchen@cdc.gov.
Applications may not be submitted
electronically at this time.
V. Application Review Information
V.1. Criteria
Applicants are required to provide
measures of effectiveness that will
demonstrate the accomplishment of the
various identified objectives of the
cooperative agreement. Measures of
effectiveness must relate to the
performance goals stated in the
‘‘Purpose’’ section of this
announcement. Measures must be
objective and quantitative, and must
measure the intended outcome. These
measures of effectiveness must be
submitted with the application and will
be an element of evaluation.
The goals of CDC-supported research
are to advance the understanding of
biological systems, improve the control
and prevention of disease and injury,
and enhance health. In the written
comments, reviewers will be asked to
evaluate the application in order to
judge the likelihood that the proposed
research will have a substantial impact
on the pursuit of these goals.
The scientific review group will
address and consider each of the
following criteria equally in assigning
the application’s overall score,
weighting them as appropriate for each
application. The application does not
need to be strong in all categories to be
judged likely to have major scientific
impact and thus deserve a high priority
score. For example, an investigator may
propose to carry out important work
that by its nature is not innovative, but
is essential to move a field forward.
The review criteria are as follows:
Significance: Does this study address
an important problem? If the aims of the
application are achieved, how will
scientific knowledge be advanced? What
will be the effect of these studies on the
concepts or methods that drive this
field?
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Approach: Are the conceptual
framework, design, methods, and
analyses adequately developed, wellintegrated, and appropriate to the aims
of the project? Does the applicant
acknowledge potential problem areas
and consider alternative tactics? Are
disparities in immunization rates
documented and significant?
Applicants must document the
targeted community has statistically
significant disparities in immunization
rates between black and children of
other racial/ethnic groups for children
19–35 months of age. Documentation of
population should be placed behind the
application face page.
Innovation: Does the project employ
novel concepts, approaches or methods?
Are the aims original and innovative?
Does the project challenge existing
paradigms or develop new
methodologies or technologies?
Investigator: Is the investigator
appropriately trained and well suited to
carry out this work? Is the work
proposed appropriate to the experience
level of the principal investigator and
other researchers (if any)?
Environment: Does the scientific
environment in which the work will be
done contribute to the probability of
success? Do the proposed experiments
take advantage of unique features of the
scientific environment or employ useful
collaborative arrangements? Is there
evidence of institutional support? Are
letters of support included, if
appropriate?
Additional Review Criteria: In
addition to the above criteria, the
following items will be considered in
the determination of scientific merit and
priority score:
Preference will be given to
communities with greater disparities in
immunization rates as evidenced by
National Immunization Survey data or
other indicators. These communities are
frequently located in the Northeastern
United States.
Protection of Human Subjects from
Research Risks: Does the application
adequately address the requirements of
Title 45 Part 46 for the protection of
human subjects? The involvement of
human subjects and protections from
research risk relating to their
participation in the proposed research
will be assessed.
Inclusion of Women and Minorities in
Research: Does the application
adequately address the CDC Policy
requirements regarding the inclusion of
women, ethnic, and racial groups in the
proposed research? This includes: (1)
The proposed plan for the inclusion of
both sexes and racial and ethnic
minority populations for appropriate
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representation; (2) The proposed
justification when representation is
limited or absent; (3) A statement as to
whether the design of the study is
adequate to measure differences when
warranted; and (4) A statement as to
whether the plans for recruitment and
outreach for study participants include
the process of establishing partnerships
with community(ies) and recognition of
mutual benefits.
Budget: The reasonableness of the
proposed budget and the requested
period of support in relation to the
proposed research. The priority score
should not be affected by the evaluation
of the budget.
V.2. Review and Selection Process
Applications will be reviewed for
completeness by the Procurement and
Grants Office (PGO) and for
responsiveness by the OPHR.
Incomplete applications and
applications that are non-responsive to
the eligibility criteria will not advance
through the review process. Applicants
will be notified that their application
did not meet submission requirements.
Applications that are complete and
responsive to the announcement will be
evaluated for scientific and technical
merit by an appropriate peer review
group or charter study section, a Special
Emphasis Panel (SEP), convened by the
OPHR in accordance with the review
criteria listed above. As part of the
initial merit review, all applications
will:
• Undergo a process in which only
those applications deemed to have the
highest scientific merit by the review
group, generally the top half of the
applications under review, will be
discussed and assigned a priority score.
• Receive a written critique.
• Receive a second programmatic
level review by the Office of Science,
National Immunization Program.
• Undergo a peer review by a Special
Emphasis Panel (SEP). The SEP will be
selected from the National Institutes of
Health (NIH) pool of scientists or
recommendations from the NIP to serve
as reviewers on SEPs. Applications will
be ranked for the secondary review
according to scores submitted by the
SEP. Only those applications deemed to
have the highest scientific merit by the
review group, generally the top half of
the applications under review, will be
discussed and assigned a priority score.
Award Criteria: Criteria that will be
used to make award decisions during
the programmatic review include:
• Scientific merit (as determined by
peer review).
• Availability of funds.
• Programmatic priorities.
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• Disparities in immunization rates.
V.3. Anticipated Announcement and
Award Dates
Award Date: August 31, 2005.
VI. Award Administration Information
VI.1. Award Notices
Successful applicants will receive a
Notice of Award (NoA) from the CDC
Procurement and Grants Office. The
NoA shall be the only binding,
authorizing document between the
recipient and CDC. The NoA will be
signed by an authorized Grants
Management Officer, and mailed to the
recipient fiscal officer identified in the
application.
Unsuccessful applicants will receive
notification of the results of the
application review by mail from the
Scientific Review Administrator.
VI.2. Administrative and National
Policy Requirements
45 CFR Part 74 and Part 92
For more information on the Code of
Federal Regulations, see the National
Archives and Records Administration at
the following Internet address: https://
www.access.gpo.gov/nara/cfr/cfr-tablesearch.html.
The following additional
requirements apply to this project:
• AR–1 Human Subjects
Requirements.
• AR–2 Requirements for Inclusion
of Women and Racial and Ethnic
Minorities in Research.
• AR–7 Executive Order 12372.
• AR–10 Smoke-Free Workplace
Requirements.
• AR–11 Healthy People 2010.
• AR–12 Lobbying Restrictions.
• AR–15 Proof of Non-Profit Status.
• AR–22 Research Integrity.
• AR–24 Health Insurance
Portability and Accountability Act
Requirements.
• AR–25 Release and Sharing of
Data.
Additional information on these
requirements can be found on the CDC
Web site at the following Internet
address: https://www.cdc.gov/od/pgo/
funding/ARs.htm.
contain the following additional
elements:
a. Progress Toward Measures of
Effectiveness.
b. Additional Information Requested
by Program.
2. Financial status report, no more
than 90 days after the end of the budget
period.
3. Final financial and performance
reports, no more than 90 days after the
end of the project period.
These reports must be mailed to the
Grants Management Specialist listed in
the ‘‘Agency Contacts’’ section of this
announcement.
VII. Agency Contacts
We encourage inquiries concerning
this announcement.
For general questions, contact:
Technical Information Management
Section, CDC Procurement and Grants
Office, 2920 Brandywine Road, Atlanta,
GA 30341; Telephone: (770) 488–2700.
For scientific/research issues, contact:
Susan Chu, PhD, MSPH, Extramural
Program Official, Centers for Disease
Control and Prevention, National
Immunization Program, MS E–05, 1600
Clifton Road NE., Atlanta, GA 30333,
Telephone: (404) 639–8727; E-mail:
SChu@cdc.gov.
For questions about peer review,
contact: Mary Lerchen, DrPH, Scientific
Review Administrator, CDC/Office of
Public Health Research, One West Court
Square, Suite 7000, MS D–72,
Telephone: 404–371–5277, Fax: 404–
371–5215; E-mail: MLerchen@cdc.gov.
For financial, grants management, or
budget assistance, contact: Peaches
Brown, Grants Management Specialist,
CDC Procurement and Grants Office,
2920 Brandywine Road, Atlanta, GA
30341, Telephone: (770) 488–2738; Email: POBrown@cdc.gov.
VIII. Other Information
VI.3. Reporting
You must provide CDC with an
original, plus two hard copies of the
following reports:
1. Interim progress report, (use form
PHS 2590, OMB Number 0925–0001,
rev. 9/2004 as posted on the CDC
website) no less than 90 days before the
end of the budget period. The progress
report will serve as your non-competing
continuation application, and must
This and other CDC funding
opportunity announcements can be
found on the CDC Web site, Internet
address: https://www.cdc.gov. Click on
‘‘Funding’’ then ‘‘Grants and
Cooperative Agreements.’’
Dated: May 5, 2005.
William P. Nichols,
Director, Procurement and Grants Office,
Centers for Disease Control and Prevention.
[FR Doc. 05–9364 Filed 5–10–05; 8:45 am]
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Agencies
[Federal Register Volume 70, Number 90 (Wednesday, May 11, 2005)]
[Notices]
[Pages 24802-24806]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-9364]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
Reducing Racial and Ethnic Disparities in Childhood Immunization
Announcement Type: New.
Funding Opportunity Number: RFA IP05-087.
Catalog of Federal Domestic Assistance Number: 93.185.
Letter of Intent Deadline: June 10, 2005.
Application Deadline: June 27, 2005.
I. Funding Opportunity Description
Authority: Section 311 [42 U.S.C. 243] and 317(k)(1) [42 U.S.C.
247b(k)(1)] of the Public Health Service Act, as amended.
Background
Eliminating health disparities among racial and ethnic populations
in the United States is a major public health goal. However, in recent
years, disparities in immunization rates between black and white
children have been increasing (Chu et al.) \1\. Therefore, the National
Immunization Program (NIP) is seeking to support projects that may lead
to reductions in these disparities.
---------------------------------------------------------------------------
\1\ Chu S, Barker L, Smith P. ``Racial and ethnic disparities in
preschool immunizations: United States, 1996-2001''. ``American
Journal of Public Health''. 2004; 94:973-977.
---------------------------------------------------------------------------
Factors that may be related to lower immunization rates among black
children include frequency and timing of well child visits, provider
type (pediatrician, family practitioner, public health clinic (PHC)),
missed opportunities for immunization, socioeconomic status (SES),
urban vs. rural vs. suburban settings, and parental beliefs. Missed
opportunities are medical encounters during which a child fails to
receive an immunization for which he/she is eligible and they have been
shown to contribute to under immunization of children. The National
Maternal and Infant Health Survey showed that black children were less
likely than white children to receive the recommended number of well
child visits and immunizations in the first seven months of life. SES
has been shown to impact immunization coverage levels in many studies.
Some studies have found that adjustment for SES and access to care did
not completely explain racial and ethnic disparities.
Purpose
The purpose of the program is to fund a community-based
demonstration project to identify, implement and evaluate interventions
that will result in a statistically significant reduction in racial
disparities in immunization coverage levels between black children 19-
35 months of age and children of other races, particularly white
children, as evidenced by a comparison of immunization coverage of
black and other racial/ethnic groups before and after interventions are
implemented. Throughout this announcement black refers to non-Hispanic
black and white refers to non-Hispanic white. These interventions must
include: (1) Enhancement of healthcare utilization and (2) strategies
to reduce missed opportunities for immunization. The key to the success
of this program will be community-focused programs that include the
full engagement of appropriate partners. These partners may include
faith-communities, health care purchasers, health plans, health care
providers, and many other community sectors working together. The focus
of this announcement is for medium or large urban areas with
populations of at least 100,000 people. This program addresses the
``Healthy People 2010'' focus area of Immunization and Infectious
Diseases.
Measurable outcomes of the program will be in alignment with the
performance goal for the Center for Disease Control and Prevention's
(CDC) National Immunization Program (NIP) to reduce the number of
indigenous vaccine-preventable diseases and will be evidenced by a
significant increase in immunization coverage levels among black
children in the study communities before and after implementation of
study interventions. A significant increase is defined as 90 percent
confidence in having achieved an increase in coverage among black
children of at least five percentage points with no increase in
disparities.
Research Objectives
1. Identify factors related to disparities in childhood
immunization rates between black children and children of other racial/
ethnic groups within an urban area. These factors must include
community and practice level factors related to utilization of health
services and practice level factors related to missed opportunities for
immunization.
2. Develop and implement interventions to address factors related
to disparities in immunization rates between black children and
children of other racial/ethnic groups. The applicant must address
community and practice level factors related to enhancing utilization
of health services and practice level factors related to missed
opportunities for immunization.
3. Evaluate the effectiveness of these interventions in decreasing
racial disparity in immunization rates between blacks and all other
children within the urban area.
Activities
Awardee activities for this program are as follows:
1. Select a medium or large urban area with a total population of
at least 100,000 people, with documented significant racial/ethnic
disparities in childhood immunization rates. At least 25 percent of
this urban area should be black.
2. Develop and implement plans to identify factors which are
related to the disparity differences in immunization coverage between
black children and children of other racial/ethnic groups in this urban
area. These factors must include community and practice level factors
related to utilization of health services and practice level factors
related to missed opportunities for immunization. Examples include
number and timing of well child visits, pattern of missed
opportunities, SES status, provider type (family practitioner,
pediatrician, PHC), and availability of social services and
transportation within the urban area.
3. Design interventions for addressing the factors related to
disparities in immunization coverage in this urban area. These
interventions must address community and practice level factors related
to enhancing utilization of health services and practice level factors
related to missed opportunities for
[[Page 24803]]
immunization. Interventions also need to involve collaboration between
the community and practice-based activities, as well as, a plan for
sustainability of these activities. Programs are expected to employ
multiple strategies, including innovative strategies as well as
evidence-based public health strategies based at least partially on the
existing and emerging research base and careful scientific review such
as the Guide to Community Preventive Services (https://
www.thecommunityguide.org/). Effective public health strategies may
include changes to the social and physical environments; health
promotion, public education, and information; media and other
communication strategies; technological advances; economic incentives
and disincentives; system improvements; provider education and medical
office-based improvement strategies. While they may be included, mass
media campaigns should not constitute the sole intervention aimed at
the community. While project activities should reach all persons in an
identified intervention area, special efforts should be taken to ensure
focus on black populations experiencing disparities in access to and
use of preventive services.
Because sustainability is important, the program must include a
plan for sustaining interventions past the funding period.
Programs must be culturally competent, and meet the health literacy
and linguistic needs of target populations in the intervention area.
Programs could optimize resources by coordinating and partnering
with existing programs and resources in the community, surrounding
areas, and the state.
Collaborative partnerships with, for example, professional
organizations; health care providers, employers, purchasers, and health
plans; faith-based organizations; schools; child care, early childhood
programs, Women, Infants, and Children (WIC) program, and other
organizations that serve children; and many others are key to reaching
affected populations and delivering and sustaining effective programs.
Strong, cooperative linkages between clinical preventive care and
community public health should be established and maintained.
4. Implement interventions within multiple immunization provider
practices. At a minimum, a representative sample of at least 30
practices in the urban area should participate in the intervention and
be evaluated. This sample should be representative of where blacks
receive care and of where whites receive care in a geographically
defined area (city or region) where blacks account for at least 25
percent of the population. Each sample must include a sufficient number
of clinics for meaningful comparisons to be made. Because disparities
persist across socioeconomic categories, it is important that clinics
that serve patients of higher SES be represented as well as clinics
serving patients of lower SES.
5. Validate or document degree of implementation of interventions,
including number of persons reached by, and use of intervention
strategies; tracking the accomplishment of activities and the
achievement of short-term and intermediate outcomes; monitoring changes
in health outcomes; and using program evaluation findings to adjust
plans and strengthen the program. This would involve identification and
collection of appropriate process measures through multiple means and
would also involve direct observation of practices.
6. Determine effectiveness of interventions by comparing
immunization rates between black children and children of
racial[bs]ethnic groups within and between practice
sites. The evaluation must include a comparison of immunization
coverage of black and other racial/ethnic groups before and after
interventions are implemented. In addition, if available, population-
based measures (cluster surveys or random digit dial telephone surveys)
can also be used to monitor coverage rates.
7. Identify the most effective, feasible, and sustainable
interventions in reducing disparities in immunization rates in this
urban area.
8. Collaboratively disseminate research findings in peer reviewed
publications and for use in determining national policy.
Because sustainability is important and the program included a plan
for sustaining interventions, we encourage measures of progress past
the project period.
In a cooperative agreement, CDC staff is substantially involved in
the program activities, above and beyond routine grant monitoring.
CDC Activities for this program are as follows:
1. Provide CDC investigator(s) to monitor the cooperative agreement
as project officer(s).
2. Participate as active project team members in the development,
implementation and conduct of the research project and as coauthors of
all scientific publications that result from the project.
3. Provide technical assistance on the selection and evaluation of
data collection and data collection instruments.
4. Assist in the development of research protocols for
Institutional Review Boards (IRB) review. The CDC IRB will review and
approve the project protocol or will defer to outside IRB, and will do
so on at least an annual basis until the research project is completed.
5. Contribute subject matter expertise in the areas of
epidemiologic methods and statistical analysis, and survey research
consultation.
6. Participate in the analysis and dissemination of information,
data and findings from the project, facilitating dissemination of
results.
7. Serve as liaisons between the recipients of the project award
and other administrative units within the CDC.
8. Facilitate an annual meeting between awardee and CDC to
coordinate planned efforts and review progress.
II. Award Information
Type of Award: Cooperative Agreement. CDC involvement in this
program is listed in the Activities Section above.
Mechanism of Support: U01.
Fiscal Year Funds: 2005.
Approximate Total Funding: $300,000 (Includes direct and indirect
costs. This amount is an estimate, and is subject to availability of
funds.)
Approximate Number of Awards: One.
Approximate Average Award: $300,000 (Includes direct and indirect
costs. This amount is for the first 12-month budget period.)
Floor of Award Range: None.
Ceiling of Award Range: $300,000 (Includes direct and indirect
costs. This ceiling is for the first 12-month budget period.)
Anticipated Award Date: August 31, 2005.
Budget Period Length: 12 months.
Project Period Length: Three (3) years.
Throughout the project period, CDC's commitment to continuation of
awards will be conditioned on the availability of funds, evidence of
satisfactory progress by the recipient (as documented in required
reports), and the determination that continued funding is in the best
interest of the Federal Government.
III. Eligibility Information
III.1. Eligible applicants
Applications are limited to public and private nonprofit
organizations and by governments and their agencies, such
[[Page 24804]]
as: (For profit organizations are not eligible under Section 317(k)(1)
[42 U.S.C. 247b(k)(1)] of the Public Health Service Act, as amended.)
Public nonprofit organizations.
Private nonprofit organizations.
Small, minority, women-owned businesses.
Universities.
Colleges.
Research institutions.
Hospitals.
Community-based organizations.
Faith-based organizations.
Federally recognized Indian tribal governments.
Indian tribes.
Indian tribal organizations.
State and local governments or their Bona Fide Agents
(this includes the District of Columbia, the Commonwealth of Puerto
Rico, the Virgin Islands, the Commonwealth of the Northern Marianna
Islands, American Samoa, Guam, the Federated States of Micronesia, the
Republic of the Marshall Islands, and the Republic of Palau).
Political subdivisions of States (in consultation with
States).
A Bona Fide Agent is an agency/organization identified by the state
as eligible to submit an application under the state eligibility in
lieu of a state application. If you are applying as a bona fide agent
of a State or local government, you must provide a letter from the
State or local government as documentation of your status. Place this
documentation behind the first page of your application form.
III.2. Cost Sharing or Matching
Matching funds are not required for this program.
III.3. Other
If you request a funding amount greater than the ceiling of the
award range, your application will be considered non-responsive, and
will not be entered into the review process. You will be notified that
your application did not meet the submission requirements.
Special Requirements: If your application is incomplete or non-
responsive to the requirements listed in this section, it will not be
entered into the review process. You will be notified that your
application did not meet submission requirements.
Late applications will be considered non-responsive. See
section ``IV.3. Submission Dates and Times'' for more information on
deadlines.
Note: Title 2 of the United States Code Section 1611
states that an organization described in Section 501(c)(4) of the
Internal Revenue Code that engages in lobbying activities is not
eligible to receive Federal funds constituting an award, grant, or
loan.
Individuals Eligible to Become Principal Investigators: Any
individual with the skills, knowledge, and resources necessary to carry
out the proposed research is invited to work with their institution to
develop an application for support. Individuals from underrepresented
racial and ethnic groups as well as individuals with disabilities are
always encouraged to apply for CDC programs.
IV. Application and Submission Information
IV.1. Address To Request Application Package
To apply for this funding opportunity, use application form PHS 398
(OMB number 0925-0001 rev. 9/2004). Forms and instructions are
available in an interactive format on the CDC Web site, at the
following Internet address: https://www.cdc.gov/od/pgo/forminfo.htm.
Forms and instructions are also available in an interactive format
on the National Institutes of Health (NIH) Web site at the following
Internet address: https://grants.nih.gov/grants/funding/phs398/
phs398.html.
If you do not have access to the Internet, or if you have
difficulty accessing the forms on-line, you may contact the CDC
Procurement and Grants Office Technical Information Management Section
(PGO-TIM) staff at: 770-488-2700. Application forms can be mailed to
you.
IV.2. Content and Form of Application Submission
Letter of Intent (LOI): Your LOI must be written in the following
format:
Maximum number of pages: 2.
Font size: 12-point unreduced.
Double spaced.
Paper size: 8.5 by 11 inches.
Page margin size: One inch.
Printed only on one side of page.
Written in plain language, avoid jargon.
Your LOI must contain the following information:
Descriptive title of the proposed research.
Name, address, E-mail address, telephone number, and FAX
number of the Principal Investigator.
Names of other key personnel.
Participating institutions.
Number and title of this Announcement.
Application: Follow the PHS 398 application instructions for
content and formatting of your application. For further assistance with
the PHS 398 application form, contact PGO-TIM staff at 770-488-2700, or
contact GrantsInfo, Telephone (301) 435-0714, E-mail:
GrantsInfo@nih.gov.
Your research plan should address activities to be conducted over
the entire project period.
You are required to have a Dun and Bradstreet Data Universal
Numbering System (DUNS) number to apply for a grant or cooperative
agreement from the Federal Government. Your DUNS number must be entered
on line 11 of the face page of the PHS 398 application form. The DUNS
number is a nine-digit identification number, which uniquely identifies
business entities. Obtaining a DUNS number is easy and there is no
charge. To obtain a DUNS number, access https://www.dunandbradstreet.com
or call 1-866-705-5711.
For more information, see the CDC Web site at: https://www.cdc.gov/
od/pgo/funding/pubcommt1.htm.
This announcement uses the non-modular budgeting format.
Additional requirements that may require you to submit additional
documentation with your application are listed in section ``VI.2.
Administrative and National Policy Requirements.''
IV.3. Submission Dates and Times
LOI Deadline Date: June 10, 2005.
CDC requests that you send a LOI if you intend to apply for this
program. Although the LOI is not required, not binding, and does not
enter into the review of your subsequent application, the LOI will be
used to gauge the level of interest in this program, and to allow CDC
to plan the application review.
Application Deadline Date: June 27, 2005.
Explanation of Deadlines: LOIs must be received in the CDC Office
of Public Health (OPHR) and applications must be received in the CDC
Procurement and Grants Office by 4 p.m. eastern time on the deadline
date. If you submit your LOI and Application by the United States
Postal Service or commercial delivery service, you must ensure that the
carrier will be able to guarantee delivery by the closing date and
time. If CDC receives your submission after closing due to: (1) Carrier
error, when the carrier accepted the package with a guarantee for
delivery by the closing date and time, or (2) significant weather
delays or natural disasters, you will be given the opportunity to
submit documentation of the carriers guarantee. If the documentation
verifies a carrier problem, CDC will consider the
[[Page 24805]]
submission as having been received by the deadline.
This announcement is the definitive guide on LOI and application
content, submission address, and deadline. It supersedes information
provided in the application instructions. If your application does not
meet the deadline above, it will not be eligible for review, and will
be discarded. You will be notified that you did not meet the submission
requirements.
CDC will not notify you upon receipt of your submission. If you
have a question about the receipt of your LOI or application, first
contact your courier. If you still have a question concerning your LOI,
contact the OPHR staff at 404-371-5277. If you still have a question
concerning your application, contact the PGO-TIM staff at: 770-488-
2700. Before calling, please wait two to three days after the
submission deadline. This will allow time for submissions to be
processed and logged.
IV.4. Intergovernmental Review of Applications
Your application is subject to Intergovernmental Review of Federal
Programs, as governed by Executive Order (EO) 12372. This order sets up
a system for State and local governmental review of proposed federal
assistance applications. You should contact your state single point of
contact (SPOC) as early as possible to alert the SPOC to prospective
applications, and to receive instructions on your state's process.
Click on the following link to get the current SPOC list: https://
www.whitehouse.gov/omb/grants/spoc.html.
IV.5. Funding Restrictions
Restrictions, which must be taken into account while writing your
budget, are as follows:
Funds relating to the conduct of research will not be
released until the appropriate assurances and Institutional Review
Board approvals are in place.
Reimbursement of pre-award costs is not allowed.
If you are requesting indirect costs in your budget, you must
include a copy of your indirect cost rate agreement. If your indirect
cost rate is a provisional rate, the agreement should be less than 12
months of age.
IV.6. Other Submission Requirements
LOI Submission Address: Submit your LOI by express mail, delivery
service, fax, or E-mail to: Mary Lerchen, DrPH, Scientific Review
Administrator, CDC/Office of Public Health Research, One West Court
Square, Suite 7000, MS D-72, Telephone: 404-371-5277, Fax: 404-371-
5215; E-mail: MLerchen@cdc.gov.
Application Submission Address: Submit the original and one hard
copy of your application by mail or express delivery service to:
Technical Information Management--RFA IP05-087, CDC Procurement and
Grants Office, 2920 Brandywine Road, Atlanta, GA 30341.
At the time of submission, four additional copies of the
application, and all appendices must be sent to: Mary Lerchen, DrPH,
Scientific Review Administrator, CDC/Office of Public Health Research,
One West Court Square, Suite 7000, MS D-72, Telephone: 404-371-5277,
Fax: 404-371-5215, E-mail: MLerchen@cdc.gov.
Applications may not be submitted electronically at this time.
V. Application Review Information
V.1. Criteria
Applicants are required to provide measures of effectiveness that
will demonstrate the accomplishment of the various identified
objectives of the cooperative agreement. Measures of effectiveness must
relate to the performance goals stated in the ``Purpose'' section of
this announcement. Measures must be objective and quantitative, and
must measure the intended outcome. These measures of effectiveness must
be submitted with the application and will be an element of evaluation.
The goals of CDC-supported research are to advance the
understanding of biological systems, improve the control and prevention
of disease and injury, and enhance health. In the written comments,
reviewers will be asked to evaluate the application in order to judge
the likelihood that the proposed research will have a substantial
impact on the pursuit of these goals.
The scientific review group will address and consider each of the
following criteria equally in assigning the application's overall
score, weighting them as appropriate for each application. The
application does not need to be strong in all categories to be judged
likely to have major scientific impact and thus deserve a high priority
score. For example, an investigator may propose to carry out important
work that by its nature is not innovative, but is essential to move a
field forward.
The review criteria are as follows:
Significance: Does this study address an important problem? If the
aims of the application are achieved, how will scientific knowledge be
advanced? What will be the effect of these studies on the concepts or
methods that drive this field?
Approach: Are the conceptual framework, design, methods, and
analyses adequately developed, well-integrated, and appropriate to the
aims of the project? Does the applicant acknowledge potential problem
areas and consider alternative tactics? Are disparities in immunization
rates documented and significant?
Applicants must document the targeted community has statistically
significant disparities in immunization rates between black and
children of other racial/ethnic groups for children 19-35 months of
age. Documentation of population should be placed behind the
application face page.
Innovation: Does the project employ novel concepts, approaches or
methods? Are the aims original and innovative? Does the project
challenge existing paradigms or develop new methodologies or
technologies?
Investigator: Is the investigator appropriately trained and well
suited to carry out this work? Is the work proposed appropriate to the
experience level of the principal investigator and other researchers
(if any)?
Environment: Does the scientific environment in which the work will
be done contribute to the probability of success? Do the proposed
experiments take advantage of unique features of the scientific
environment or employ useful collaborative arrangements? Is there
evidence of institutional support? Are letters of support included, if
appropriate?
Additional Review Criteria: In addition to the above criteria, the
following items will be considered in the determination of scientific
merit and priority score:
Preference will be given to communities with greater disparities in
immunization rates as evidenced by National Immunization Survey data or
other indicators. These communities are frequently located in the
Northeastern United States.
Protection of Human Subjects from Research Risks: Does the
application adequately address the requirements of Title 45 Part 46 for
the protection of human subjects? The involvement of human subjects and
protections from research risk relating to their participation in the
proposed research will be assessed.
Inclusion of Women and Minorities in Research: Does the application
adequately address the CDC Policy requirements regarding the inclusion
of women, ethnic, and racial groups in the proposed research? This
includes: (1) The proposed plan for the inclusion of both sexes and
racial and ethnic minority populations for appropriate
[[Page 24806]]
representation; (2) The proposed justification when representation is
limited or absent; (3) A statement as to whether the design of the
study is adequate to measure differences when warranted; and (4) A
statement as to whether the plans for recruitment and outreach for
study participants include the process of establishing partnerships
with community(ies) and recognition of mutual benefits.
Budget: The reasonableness of the proposed budget and the requested
period of support in relation to the proposed research. The priority
score should not be affected by the evaluation of the budget.
V.2. Review and Selection Process
Applications will be reviewed for completeness by the Procurement
and Grants Office (PGO) and for responsiveness by the OPHR. Incomplete
applications and applications that are non-responsive to the
eligibility criteria will not advance through the review process.
Applicants will be notified that their application did not meet
submission requirements.
Applications that are complete and responsive to the announcement
will be evaluated for scientific and technical merit by an appropriate
peer review group or charter study section, a Special Emphasis Panel
(SEP), convened by the OPHR in accordance with the review criteria
listed above. As part of the initial merit review, all applications
will:
Undergo a process in which only those applications deemed
to have the highest scientific merit by the review group, generally the
top half of the applications under review, will be discussed and
assigned a priority score.
Receive a written critique.
Receive a second programmatic level review by the Office
of Science, National Immunization Program.
Undergo a peer review by a Special Emphasis Panel (SEP).
The SEP will be selected from the National Institutes of Health (NIH)
pool of scientists or recommendations from the NIP to serve as
reviewers on SEPs. Applications will be ranked for the secondary review
according to scores submitted by the SEP. Only those applications
deemed to have the highest scientific merit by the review group,
generally the top half of the applications under review, will be
discussed and assigned a priority score.
Award Criteria: Criteria that will be used to make award decisions
during the programmatic review include:
Scientific merit (as determined by peer review).
Availability of funds.
Programmatic priorities.
Disparities in immunization rates.
V.3. Anticipated Announcement and Award Dates
Award Date: August 31, 2005.
VI. Award Administration Information
VI.1. Award Notices
Successful applicants will receive a Notice of Award (NoA) from the
CDC Procurement and Grants Office. The NoA shall be the only binding,
authorizing document between the recipient and CDC. The NoA will be
signed by an authorized Grants Management Officer, and mailed to the
recipient fiscal officer identified in the application.
Unsuccessful applicants will receive notification of the results of
the application review by mail from the Scientific Review
Administrator.
VI.2. Administrative and National Policy Requirements
45 CFR Part 74 and Part 92
For more information on the Code of Federal Regulations, see the
National Archives and Records Administration at the following Internet
address: https://www.access.gpo.gov/nara/cfr/cfr-table-search.html.
The following additional requirements apply to this project:
AR-1 Human Subjects Requirements.
AR-2 Requirements for Inclusion of Women and Racial and
Ethnic Minorities in Research.
AR-7 Executive Order 12372.
AR-10 Smoke-Free Workplace Requirements.
AR-11 Healthy People 2010.
AR-12 Lobbying Restrictions.
AR-15 Proof of Non-Profit Status.
AR-22 Research Integrity.
AR-24 Health Insurance Portability and Accountability Act
Requirements.
AR-25 Release and Sharing of Data.
Additional information on these requirements can be found on the
CDC Web site at the following Internet address: https://www.cdc.gov/od/
pgo/funding/ARs.htm.
VI.3. Reporting
You must provide CDC with an original, plus two hard copies of the
following reports:
1. Interim progress report, (use form PHS 2590, OMB Number 0925-
0001, rev. 9/2004 as posted on the CDC website) no less than 90 days
before the end of the budget period. The progress report will serve as
your non-competing continuation application, and must contain the
following additional elements:
a. Progress Toward Measures of Effectiveness.
b. Additional Information Requested by Program.
2. Financial status report, no more than 90 days after the end of
the budget period.
3. Final financial and performance reports, no more than 90 days
after the end of the project period.
These reports must be mailed to the Grants Management Specialist
listed in the ``Agency Contacts'' section of this announcement.
VII. Agency Contacts
We encourage inquiries concerning this announcement.
For general questions, contact: Technical Information Management
Section, CDC Procurement and Grants Office, 2920 Brandywine Road,
Atlanta, GA 30341; Telephone: (770) 488-2700.
For scientific/research issues, contact: Susan Chu, PhD, MSPH,
Extramural Program Official, Centers for Disease Control and
Prevention, National Immunization Program, MS E-05, 1600 Clifton Road
NE., Atlanta, GA 30333, Telephone: (404) 639-8727; E-mail:
SChu@cdc.gov.
For questions about peer review, contact: Mary Lerchen, DrPH,
Scientific Review Administrator, CDC/Office of Public Health Research,
One West Court Square, Suite 7000, MS D-72, Telephone: 404-371-5277,
Fax: 404-371-5215; E-mail: MLerchen@cdc.gov.
For financial, grants management, or budget assistance, contact:
Peaches Brown, Grants Management Specialist, CDC Procurement and Grants
Office, 2920 Brandywine Road, Atlanta, GA 30341, Telephone: (770) 488-
2738; E-mail: POBrown@cdc.gov.
VIII. Other Information
This and other CDC funding opportunity announcements can be found
on the CDC Web site, Internet address: https://www.cdc.gov. Click on
``Funding'' then ``Grants and Cooperative Agreements.''
Dated: May 5, 2005.
William P. Nichols,
Director, Procurement and Grants Office, Centers for Disease Control
and Prevention.
[FR Doc. 05-9364 Filed 5-10-05; 8:45 am]
BILLING CODE 4163-18-P