Health Promotion and Diabetes Prevention Projects for American Indian/Alaska Native (AI/AN) Communities: Adaptations of Practical Community Environmental Indicators, 29760-29765 [05-10297]

Download as PDF 29760 Federal Register / Vol. 70, No. 99 / Tuesday, May 24, 2005 / Notices this section, ‘‘Prostitution and Related Activities,’’ in all sub-agreements under this award. These provisions must be express terms and conditions of the subagreement, must acknowledge that compliance with this section, ‘‘Prostitution and Related Activities,’’ is a prerequisite to receipt and expenditure of U.S. government funds in connection with this document, and must acknowledge that any violation of the provisions shall be grounds for unilateral termination of the agreement prior to the end of its term. Recipients must agree that HHS may, at any reasonable time, inspect the documents and materials maintained or prepared by the recipient in the usual course of its operations that relate to the organization’s compliance with this section, ‘‘Prostitution and Related Activities.’’ All prime recipients receiving U.S. Government funds (‘‘prime recipients’’) in connection with this document must certify compliance prior to actual receipt of such funds in a written statement referencing this document (e.g., ‘‘[Prime recipient’s name] certifies compliance with the section, ‘Prostitution and Related Activities.’ ’’) addressed to the agency’s grants officer. Such certifications by prime recipients are prerequisites to the payment of any U.S. Government funds in connection with this document. Recipients’ compliance with this section, ‘‘Prostitution and Related Activities,’’ is an express term and condition of receiving U.S. government funds in connection with this document, and any violation of it shall be grounds for unilateral termination by HHS of the agreement with HHS in connection with this document prior to the end of its term. The recipient shall refund to HHS the entire amount furnished in connection with this document in the event it is determined by HHS that the recipient has not complied with this section, ‘‘Prostitution and Related Activities.’’ Dated: May 18, 2005. William P. Nichols, Director, Procurement and Grants Office, Centers for Disease Control and Prevention. [FR Doc. 05–10292 Filed 5–23–05; 8:45 am] BILLING CODE 4163–18–P VerDate jul<14>2003 17:36 May 23, 2005 Jkt 205001 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Health Promotion and Diabetes Prevention Projects for American Indian/Alaska Native (AI/AN) Communities: Adaptations of Practical Community Environmental Indicators Announcement Type: New. Funding Opportunity Number: RFA AA029. Catalog of Federal Domestic Assistance Number: 93.945. Key Dates: Letter of Intent Deadline (LOI): June 23, 2005. Application Deadline: July 8, 2005. I. Funding Opportunity Description Authority: Public Health Service (PHS) Act, as amended, sections 317(k)(2), 42 U.S.C. 247b(k)(2). Background Type 2 diabetes was rare among American Indians until the 1950s, so uncommon that some scientists believed that indigenous people might have some type of immunity to it. In the past 50 years, diabetes has become one of the most common and serious illnesses among American Indians and Alaska Natives (AI/AN). In 2002, the ageadjusted prevalence of diabetes was 15.3 percent among AI/AN adults, in contrast to seven point three percent for the overall U.S. population (August 1, 2003, MMWR). If not controlled over time, diabetes can damage every organ in the body, diminishing the quality and the length of life. The explanations for high rates of diabetes among indigenous North American peoples, however, are not limited to recent societal trends, environmental changes and deliberate lifestyle choices. They are rooted in historical legacies of forced dispossession of their lands, culture, and language. Understanding and acknowledging the complex array of factors involved in diabetes causation and care are important steps in addressing this disease. Culturallysensitive, community-based prevention interventions, coupled with committed tribal leadership and aggressive clinical programs for risk reduction, are most likely to succeed in stabilizing and eventually reducing the rates of chronic disease in Native communities. Many communities are developing, implementing and evaluating such ecological prevention approaches, which recognize the history, cultural and environmental contributions to high rates of diabetes. These approaches PO 00000 Frm 00046 Fmt 4703 Sfmt 4703 include multiple individual, family, community, and policy interventions that are expected to have positive impact for current and future generations. Multi-level, broadspectrum approaches to the prevention of diabetes take time to yield results, and can be challenging to sustain the engagement of communities over time. However, limited practical environmental prevention interventions for diabetes on a community level may have some unique benefits. These benefits may include supplementing multi-level programs by creating an environment supportive of the broader, long-term approaches. Limited practical environmental interventions may also help garner the community’s interest in identifying opportunities for environmental adaptations and tracking the progress of community indicators. Incremental progress in improving environmental indicators identified by the community as contributing risk factors for diabetes can have several positive results. For example, they may help to increase community knowledge, confidence in health practices and dispel hopelessness about the devastating impacts of diabetes. Such approaches maintain momentum toward steady progress in identified community health goals and/or health promotion activities. This program will provide support for community-based and culturally appropriate practical environmental interventions for health promotion and diabetes prevention. These interventions will target practical environmental indicators identified by the community as contributing to risk factors for diabetes. The projects will collaborate with existing local diabetes programs and other community organizations (e.g., schools, supermarkets, restaurants). The interventions will focus on environmental factors that can be adapted and measured by communitylevel indicators. These indicators can reflect behavioral, policy, or practice adaptations by the community and/or its members. The indicators do not involve evaluation of individual behavior or outcomes and do not require human subject approvals. The prevention interventions proposed (environmental adaptations) to be implemented by the communities can be measured in various ways. For example, by economic means (e.g., purchase rates of foods), environmental (e.g., increased number of walking paths, increased use of fitness facilities, use of pedometers at pow-wows/ community dances) or process measures (e.g., school menus meeting nutritional E:\FR\FM\24MYN1.SGM 24MYN1 Federal Register / Vol. 70, No. 99 / Tuesday, May 24, 2005 / Notices guidelines). Other examples of practical environmental adaptations may include: (1) The presence or absence of low-fat, low-sugar food alternatives in vending machines in public buildings; (2) the proportion of restaurant menu items that follow nutritional guidelines; (3) miles of walking trails per capita; or (4) purchase rate of regular soda, or of water bottles, in all stores on a reservation or within a designated community, per month. The three year project period includes year one for program and evaluation planning. Interventions will be implemented and measured over a period of two years. The projects will also assist other national, regional (including states), and international partners of CDC/Division of Diabetes Translation (DDT), as well as other NCCDPHP grantees, in documenting community-based public health interventions that reduce the risk of diabetes and other chronic diseases. Purpose The purpose of the program is to strengthen local capacity of AI/AN communities in implementing limited, practical community environmental interventions for health promotion and diabetes prevention. The Indian Health Service (IHS) estimates that 60 percent of Native Americans live in urban settings and the remaining on or near reservation lands. Native American communities have the highest rates of diabetes, poverty and other health disparities. Many tribal communities (including urban settings) maintain strong cultural traditions, foods and practices. All of the eligible entities provide health promotion and/or disease prevention services to AI/AN populations either under specific legal or legislative mandate. Programs that serve AI/AN populations are attuned to the specific cultural traditions, practices, history, and health status. This program addresses the ‘‘Healthy People 2010’’ focus area of diabetes (5), which is aimed at addressing health disparities among racial and ethnic minority populations. Measurable outcomes of the program will be in alignment with one (or more) of the following performance goal(s) for the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP): Diabetes—Goal: Increase the capacity of state diabetes control programs to address the prevention of diabetes and its complications at the community level, and Nutrition—Goal: Decrease levels of obesity, or reduce the rate of growth of obesity in communities through nutrition and physical activity interventions. VerDate jul<14>2003 17:36 May 23, 2005 Jkt 205001 This announcement is only for nonresearch activities supported by CDC/ ATSDR. If research is proposed, the application will not be reviewed. For the definition of research, please see the CDC Web site at the following Internet address: https://www.cdc.gov/od/ads/ opspoll1.htm. Activities Awardee activities for this program are as follows: • Develop a three year action plan (year one planning, years two to three implementation) for a limited practical community environmental health promotion/diabetes prevention intervention project. Action plan should describe the Project Implementation process. Action plan should include objectives that are specific, measurable, achievable, relevant and time-phased. The implementation process may be guided by a community action organization, collaboration, or a group of partners to plan and implement a community-wide environmental intervention project. Æ If such partnerships or collaborations are already in place, provide a description of how they intend to expand their scope to include the implementation of the intervention project. Æ Relevant partnerships working closely with and developing collaborations for the community intervention may include tribal and/or Indian Health Service (IHS) programs, tribal epidemiological centers, State and local health departments (including Diabetes Prevention and Control Programs). Local, regional tribal colleges or universities or colleges with significant numbers of Native students may be included. Collaborations may also include other partners to share resources and information that could strengthen the program. Æ Action plan should focus on developing and implementing a community-wide prevention intervention strategy for a specified population group (e.g., children, adolescents, young adults, middle aged adults or for the elderly). Æ Action plan for the community intervention should include mechanisms for information sharing, interactive group activities and ongoing quality improvement process. The community intervention should include culturally appropriate behavioral, policy, and community approaches to diabetes prevention. • Applicants must attend two grantee meetings per year. The budget submitted should reflect travel costs for the project coordinator/director and the PO 00000 Frm 00047 Fmt 4703 Sfmt 4703 29761 evaluator attending the two meetings per year. Location (hotel) and time frame for the meetings will be provided after award. However, meetings will generally be held in Albuquerque, New Mexico. • Applicants must participate in an evaluation of the community intervention. Each grantee shall secure the services of a qualified local project evaluation consultant with training and experience in evaluation of communitybased programs. The grantee shall work with the CDC staff and evaluation consultants to develop local process measures and generic outcome measures. • It is anticipated that up to 10 percent of grant funds will be required to procure the local evaluation consultant. Applicants will also be required to employ a part-time data collection/data entry employee for the project. • Other costs in conjunction with the evaluation of the project may include training (onsite and off-site), conference calls and information sharing using email and/or faxing materials. • Participate in community-wide programs; the programs may include: Æ Identification of one to three environmental issues that community members have stated need to be addressed in order to promote health and help to prevent diabetes. There should be some record that this has been noted as an issue that needs addressing. This may include local newspapers, Tribal Council meetings, Town Hall meetings, or Radio programs. Æ Plans for a community forum that allows dialogue and confirms that these are worthwhile environmental concerns that require adaptation. It may be necessary to reduce a longer list of concerns for this project. Æ Pair the limited set of communitylevel adaptations to indicators for which baseline data is available and which can be tracked at regular intervals over time. Æ Community programs would inform their community about the program and its goals and the baseline data for the adaptation indicators. The program would establish a time frame and setting to share with their progress with the community. The settings could include regular programs on the radio station, monthly newspaper reports or newsletter mailings, one or more graph or ‘‘thermometer’’ type billboards or central-place posters that track progress. Æ A community gathering is held to close the project with accounting of the progress by indicators and dialogue about next steps. In a cooperative agreement, CDC staff is substantially involved in the program E:\FR\FM\24MYN1.SGM 24MYN1 29762 Federal Register / Vol. 70, No. 99 / Tuesday, May 24, 2005 / Notices activities, above and beyond routine grant monitoring. CDC Activities for this program are as follows: • In collaboration with the recipients, provide training on developing community capacity on health promotion and diabetes primary prevention strategies (e.g., building scientific capacity, collaboration and partnerships, implementing guidelines on model programs on diabetes prevention). • Provide technical assistance through site visits, conference calls, resource materials, strategic planning and updated information, as needed. • Facilitate communications locally, regionally, and nationally regarding resources and other opportunities involving the implementation of the action plan activities. This includes coordinating two grantee meetings annually for the coordinators and evaluators of each project. • Provide technical assistance, evaluation capacity and leadership in the evaluation of grantee action plan activities. The CDC evaluation consultants will assist the grantees in developing local process measures and generic outcome measures. • Facilitate linkages with state and tribal programs, Indian Health Service and Tribal Epidemiological Centers. • Provide guidance, as requested, on reporting and documenting effectiveness of action plan and activities. the determination that continued funding is in the best interest of the Federal Government. II. Award Information 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 special 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. • Urban tribal and inter-tribal consortia are eligible if incorporated for the primary purpose of improving AI/ AN health and representing such interests for the tribes, Alaska Native Villages and corporations, or urban Indian communities located in its region. AI/AN tribes or urban communities represented may be located in one state or in multiple states. Type of Award: Cooperative Agreement. CDC involvement in this program is listed in the Activities Section above. Fiscal Year Funds: 2005. Approximate Total Funding: $525,000 (This amount is an estimate, and is subject to availability of funds.) Approximate Number of Awards: Five to Seven. Approximate Average Award: $75,000–$100,000 (This amount is for the first 12-month budget period, and includes both direct and indirect costs.) Floor of Award Range: $75,000. Ceiling of Award Range: $100,000 (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 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 VerDate jul<14>2003 17:36 May 23, 2005 Jkt 205001 III. Eligibility Information III.1. Eligible Applicants Eligible applicants are: • AI/AN tribal governments and corporations, and other organizations that qualify under the Indian Civil Rights Act. • State Charter Tribes. • Urban Indian Health Programs. • Indian Health Boards. • Inter-Tribal Councils. • Eligible urban tribal and inter-tribal consortia. Eligibility is limited to the aforementioned applicants because they have the necessary knowledge of, experience, and capability/capacity to work within the AI/AN communities to perform the required activities. Applicants must provide a copy of a tribal resolution specific to this project from the tribe, or letter of support from the board if a tribal organization. If there is insufficient time to procure such a resolution prior to submitting the application, the resolution must be submitted within six months after award. 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 PO 00000 Frm 00048 Fmt 4703 Sfmt 4703 An urban tribal organization is defined as a non-profit corporate body situated in an urban center eligible for services under Title V of the Indian Health Care Improvement Act, Pub. L. 94–437, as amended. Proof of non-profit status 501(c)(3) should be provided as an appendix in the application. • Tribal resolution or letters of support from the board of a tribal organization must be provided as described. • 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. IV. Application and Submission Information IV.1. Address To Request Application Package To apply for this funding opportunity use application form PHS 5161–1. CDC strongly encourages you to submit your application electronically by utilizing the forms and instructions posted for this announcement at https:// www.grants.gov. Application forms and instructions are available on the CDC Web site, at the following Internet address: https://www.cdc.gov/od/pgo/ forminfo.htm. If you do not have access to the Internet, or if you have difficulty accessing the forms online, 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 Submission Letter of Intent (LOI): Your LOI must be written in the following format: • Maximum number of pages: Two. • Font size: 12-point unreduced. • Single 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: • A brief description of the applicant or applicant organization to confirm eligibility. • A brief description of the proposed intervention to substantiate that it is responsive to this announcement. • A brief description which demonstrates the applicant’s capability and/or experience with community interventions, diabetes prevention and/ or health promotion activities. E:\FR\FM\24MYN1.SGM 24MYN1 Federal Register / Vol. 70, No. 99 / Tuesday, May 24, 2005 / Notices Application: You must submit a Project Narrative with your application forms. The narrative must be submitted in the following format: • Maximum number of pages: 25. If your narrative exceeds the page limit, only the first pages which are within the page limit will be reviewed. • Font size: 12 point unreduced. • Single spaced. • Paper size: 8.5 by 11 inches. • Page margin size: One inch. • Printed only on one side of page. • Held together only by rubber bands or metal clips; not bound in any other way. Your narrative should address activities to be conducted over the entire project period, and must include the following items in the order listed: • Statement of need Æ Describe the community demographics, location and brief history of diabetes burden and response both locally and for the state. Æ Describe the local resource organizations in the community. Æ Describe the local health and fitness resources available to the project (see Criteria for more detailed descriptions). • Project Plan Æ Describe how the project is to be implemented, including the roles of partners and staff to be hired. Æ Describe objectives and activities (including responsible staff or partners). Æ Provide a timeline describing the entire project period. Æ Identify target population(s) for the project. Æ Describe potential problems/ barriers to the implementation/success of the project and identify solutions. • Organizational Capacity Æ Describe existing community infrastructure that addresses diabetes directly (i.e., diabetes treatment providers or prevention services) and indirectly (i.e., media and other organizations that can provide public health service). Æ Describe evidence of successful program management experience (see Criteria for more detail). Æ Describe experience with other federal, state or private grants. Æ Describe staffing to be devoted to the project, their roles and/or tasks, required experience and training and time commitment. Æ Provide position descriptions for key personnel (local project coordinator, evaluation consultant and data collection/data entry employee), including time commitment for each. Æ Describe data collection experience and capacity for data storage. • Local Evaluation Capacity VerDate jul<14>2003 17:36 May 23, 2005 Jkt 205001 Æ Develop measurable and feasible local process and outcome measures for project activities and objectives. Æ Describe evaluation experience with current or past community projects. Æ State willingness to work with CDC evaluation consultants in developing generic outcome measures. Æ Show evidence of having secured or plans to secure a qualified local evaluation consultant and part-time employee to conduct data collection and data entry (e.g., resume, position description). • Budget Justification (will not be counted in the stated page limit). Additional information may be included in the application appendices. The appendices will not be counted toward the narrative page limit. This additional information includes: • Position descriptions for local evaluator and data collection/data entry employee. • Curriculum Vitae/Resume of key personnel—project director, evaluator (if identified). • Tribal resolution or letter of support from the board of a tribal organization. • Documentation of current tribal indirect cost agreement. 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. 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/ pubcommt.htm. If your application form does not have a DUNS number field, please write your DUNS number at the top of the first page of your application, and/or include your DUNS number in your application cover letter. 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 23, 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 PO 00000 Frm 00049 Fmt 4703 Sfmt 4703 29763 of interest in this program, and to allow CDC to plan the application review. Application Deadline Date: July 8, 2005. Explanation of Deadlines: Applications must be received in the CDC Procurement and Grants Office by 4 p.m. eastern time on the deadline date. You may submit your application electronically at https://www.grants.gov. Applications completed online through Grants.gov are considered formally submitted when the applicant organization’s Authorizing Official electronically submits the application to https://www.grants.gov. Electronic applications will be considered as having met the deadline if the application has been submitted electronically by the applicant organization’s Authorizing Official to Grants.gov on or before the deadline date and time. If you submit your application electronically with Grants.gov, your application will be electronically time/ date stamped, which will serve as receipt of submission. You will receive an e-mail notice of receipt when CDC receives the application. If you submit your 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 submission as having been received by the deadline. If you submit a hard copy application, 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, 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. 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 submission 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. E:\FR\FM\24MYN1.SGM 24MYN1 29764 Federal Register / Vol. 70, No. 99 / Tuesday, May 24, 2005 / Notices IV.4. Intergovernmental Review of Applications Executive Order 12372 does not apply to this program. IV.5. Funding Restrictions Restrictions, which must be taken into account while writing your budget, are as follows: • Funds may not be used for research. • Reimbursement of pre-award costs is not allowed. • Construction. 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. Guidance for completing your budget can be found on the CDC Web site, at the following Internet address: https:// www.cdc.gov/od/pgo/funding/ budgetguide.htm. IV.6. Other Submission Requirements LOI Submission Address: Submit your LOI by express mail, delivery service, fax, or e-mail to: Maria E. Burns, Project Officer, CDC, NCCDPHP, DDT, PDB, NDWP, c/o 1720 Louisiana Blvd., NE, Suite 312, Albuquerque, New Mexico 87110, Telephone: (505) 240–0477, Fax: (505) 272–2824; e-mail address: mburns@cdc.gov. Application Submission Address: CDC strongly encourages applicants to submit electronically at: https:// www.grants.gov. You will be able to download a copy of the application package from https://www.grants.gov, complete it offline, and then upload and submit the application via the Grants.gov site. E-mail submissions will not be accepted. If you are having technical difficulties in Grants.gov, they can be reached by email at http:www.support@grants.gov or by phone at 1–800–518–4726 (1–800– 518–GRANTS). The Customer Support Center is open from 7 a.m. to 9 p.m. eastern time, Monday through Friday. CDC recommends that you submit your application to Grants.gov early enough to resolve any unanticipated difficulties prior to the deadline. You may also submit a back-up paper submission of your application. Any such paper submission must be received in accordance with the requirements for timely submission detailed in Section IV.3. of the grant announcement. The paper submission must be clearly marked: ‘‘Back-Up for Electronic Submission.’’ The paper submission must conform to all requirements for non-electronic submissions. If both electronic and back-up paper VerDate jul<14>2003 17:36 May 23, 2005 Jkt 205001 submissions are received by the deadline, the electronic version will be considered the official submission. It is strongly recommended that you submit your grant application using Microsoft Office products (e.g., Microsoft Word, Microsoft Excel, etc.). If you do not have access to Microsoft Office products, you may submit a PDF file. Directions for creating PDF files can be found on the Grants.gov Web site. Use of file formats other than Microsoft Office or PDF may result in your file being unreadable by our staff. Or: Submit the original and two hard copies of your application by mail or express delivery service to: Technical Information Management—RFA AA029, CDC Procurement and Grants Office, 2920 Brandywine Road, Atlanta, GA 30341. 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, qualitative and quantitative, and must measure the intended process and outcome. These measures of effectiveness must be submitted with the application and will be an element of evaluation. Your application will be evaluated against the following criteria: • Project Plan (40 Points). Æ How adequate is the description of the project to be implemented? (e.g., are the roles of partners and staff to be hired included)—10 Points. Æ How comprehensive are proposed objectives and activities described? (e.g., are responsible partners or staff identified for all activities; will activities complete the project successfully, are the proposed methods feasible)—15 Points. Æ Is there a good description and justification for the identified project target population(s)?—5 Points. Æ Is the time line provided comprehensive? (i.e., does it identify proposed project activities and responsible staff, does the plan cover the entire project period)—5 Points. Æ How comprehensive is the plan in describing and identifying potential problem areas or barriers and proposing solutions? (e.g., changes in vending products, reluctance to changing school or restaurant menus, restricted use of designated existing fitness facilities)—5 Points. PO 00000 Frm 00050 Fmt 4703 Sfmt 4703 • Statement of Need (25 Points). Æ Does the description provide an adequate baseline picture of the community? (e.g., demographics, location and brief history of local and state diabetes burden and response)—15 Points. Æ How comprehensive is the description of the local resource organizations relevant to the proposed plan? (e.g., health, educational, business)—5 Points. Æ How comprehensive is the description of community health and fitness resources? (e.g., number of current walking trails or fitness facilities and programs; existing community gardens; number and content of vending machines)—5 Points. • Organizational Capacity (20 points). Æ Is there an adequate description of the infrastructure addressing diabetes? (e.g., local diabetes-specific programs, health education resources, community health coalition or other existing partnerships for health related concerns)—5 Points. Æ Is there adequate evidence provided of successful health program management capability?—2 Points. Æ How comprehensive is the description of experience with other Federal, State or private grants?— 2 Points. Æ How adequate is the description of the project staffing, their tasks/roles, required experience and training, and time commitment? (i.e., are the staff roles clearly defined; do key staff have sufficient experience and training required; is the time commitment for all staff sufficient to accomplish the program goals)—6 Points. Æ Are position descriptions for key personnel provided? Key personnel include the local evaluation consultant, local project director/coordinator (if noted), and data collection/data entry employee.—3 Points. Æ Is the data collection and storage capacity adequately described?—2 Points. • Local Evaluation Capacity (15 Points). Æ How well do the process and outcome measures describe accomplishment of stated activities and objectives? (e.g., are they measurable objectives, is there a reasonable time frame for proposed project)?—5 Points. Æ Is there well-described evidence of experience of evaluation capacity with other Federal, State or private grants?— 3 Points. Æ Is there stated willingness to collaborate with external CDC evaluation consultants?—4 Points. Æ Is evidence of commitment to securing a qualified local evaluator and E:\FR\FM\24MYN1.SGM 24MYN1 Federal Register / Vol. 70, No. 99 / Tuesday, May 24, 2005 / Notices data collection/entry employee well documented (e.g., letter of commitment/ contract, position descriptions, resumes)?—3 Points. V.2. Review and Selection Process Applications will be reviewed for completeness by the Procurement and Grants Office (PGO) staff and for responsiveness by NCCDPHP. 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. A Special Emphasis Review Panel consisting of external experts will evaluate complete and responsive applications according to the criteria listed in the ‘‘V.1. Criteria’’ section above. The review process will be directed by the Procurement and Grants Office (PGO) staff to ensure compliance with HHS and CDC grant review guidelines. In addition, the following factors may affect the funding decision: • Geographic diversity—Not more than one grant awarded per state. • Rural and urban settings—A balanced mix of grants to Native populations living in urban settings and reservation/rural communities. CDC will provide justification for any decision to fund out of rank order. V.3. Anticipated Announcement and Award Dates The anticipated award announcement date is 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. 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: VerDate jul<14>2003 17:36 May 23, 2005 Jkt 205001 • AR–9 Paperwork Reduction Act Requirements. • AR–10 Smoke-Free Workplace Requirements. • AR–11 Healthy People 2010. • AR–12 Lobbying Restrictions. • AR–14 Accounting System Requirements. • AR–15 Proof of Non-Profit Status. • 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. An additional Certifications form from the PHS 5161–1 application needs to be included in your Grants.gov electronic submission only. Refer to https://www.cdc.gov/od/pgo/funding/ PHS5161–1Certificates.pdf. Once the form is filled out, attach it to your Grants.gov submission as Other Attachment Forms. VI.3. Reporting Requirements You must provide CDC with an original, plus two hard copies of the following reports: 1. Interim progress report, due 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 elements: a. Current Budget Period Activities Objectives. b. Current Budget Period Financial Progress. c. New Budget Period Program Proposed Activity Objectives. d. Budget. e. Measures of Effectiveness. f. Additional Requested Information. 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 or Contract 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 program technical assistance, contact: Maria E. Burns, Project Officer, c/o 1720 Louisiana Blvd., NE, Suite 208, Albuquerque, New Mexico 87110; Telephone: (505) 240–0477; e-mail: mburns@cdc.gov. PO 00000 Frm 00051 Fmt 4703 Sfmt 4703 29765 For financial, grants management, or budget assistance, contact: Tracey Sims, Grants Management Specialist, CDC Procurement and Grants Office, 2920 Brandywine Road, Atlanta, GA 30341; Telephone: 770/488–2739; e-mail: atu9@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.’’ William P. Nichols, Director, Procurement and Grants Office, Centers for Disease Control and Prevention. [FR Doc. 05–10297 Filed 5–23–05; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS–2214–N] Medicaid Program; Establishment of the Medicaid Commission and Request for Nominations for Members Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice. AGENCY: SUMMARY: This notice announces the establishment of the Medicaid Commission and discusses the group’s purpose and charter. It also solicits nominations for members. DATES: Nominations for membership will be considered if they are received by June 3, 2005. ADDRESSES: Send nominations to: Centers for Medicare and Medicaid Services, 7500 Security Boulevard, Baltimore Maryland 21244–1850, Policy Coordination and Planning Group, Mail stop S2–26–12, Attention: Mary Beth Hance FOR FURTHER INFORMATION CONTACT: Mary Beth Hance, (410) 786–4299. Press inquiries are handled through the CMS Press Office at (202) 690–6145. SUPPLEMENTARY INFORMATION: I. Background The Secretary of the Department of Health and Human Services is establishing a Medicaid Commission under Pub. L. 92–463, Federal Advisory Committee Act, to advise the Secretary on ways to modernize the Medicaid program so that it can provide highquality health care to its beneficiaries in a financially sustainable way. E:\FR\FM\24MYN1.SGM 24MYN1

Agencies

[Federal Register Volume 70, Number 99 (Tuesday, May 24, 2005)]
[Notices]
[Pages 29760-29765]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-10297]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention


Health Promotion and Diabetes Prevention Projects for American 
Indian/Alaska Native (AI/AN) Communities: Adaptations of Practical 
Community Environmental Indicators

    Announcement Type: New.
    Funding Opportunity Number: RFA AA029.
    Catalog of Federal Domestic Assistance Number: 93.945.
    Key Dates: Letter of Intent Deadline (LOI): June 23, 2005.
    Application Deadline: July 8, 2005.

I. Funding Opportunity Description

    Authority: Public Health Service (PHS) Act, as amended, sections 
317(k)(2), 42 U.S.C. 247b(k)(2).

Background

    Type 2 diabetes was rare among American Indians until the 1950s, so 
uncommon that some scientists believed that indigenous people might 
have some type of immunity to it. In the past 50 years, diabetes has 
become one of the most common and serious illnesses among American 
Indians and Alaska Natives (AI/AN). In 2002, the age-adjusted 
prevalence of diabetes was 15.3 percent among AI/AN adults, in contrast 
to seven point three percent for the overall U.S. population (August 1, 
2003, MMWR). If not controlled over time, diabetes can damage every 
organ in the body, diminishing the quality and the length of life. The 
explanations for high rates of diabetes among indigenous North American 
peoples, however, are not limited to recent societal trends, 
environmental changes and deliberate lifestyle choices. They are rooted 
in historical legacies of forced dispossession of their lands, culture, 
and language. Understanding and acknowledging the complex array of 
factors involved in diabetes causation and care are important steps in 
addressing this disease. Culturally-sensitive, community-based 
prevention interventions, coupled with committed tribal leadership and 
aggressive clinical programs for risk reduction, are most likely to 
succeed in stabilizing and eventually reducing the rates of chronic 
disease in Native communities. Many communities are developing, 
implementing and evaluating such ecological prevention approaches, 
which recognize the history, cultural and environmental contributions 
to high rates of diabetes. These approaches include multiple 
individual, family, community, and policy interventions that are 
expected to have positive impact for current and future generations. 
Multi-level, broad-spectrum approaches to the prevention of diabetes 
take time to yield results, and can be challenging to sustain the 
engagement of communities over time.
    However, limited practical environmental prevention interventions 
for diabetes on a community level may have some unique benefits. These 
benefits may include supplementing multi-level programs by creating an 
environment supportive of the broader, long-term approaches. Limited 
practical environmental interventions may also help garner the 
community's interest in identifying opportunities for environmental 
adaptations and tracking the progress of community indicators. 
Incremental progress in improving environmental indicators identified 
by the community as contributing risk factors for diabetes can have 
several positive results. For example, they may help to increase 
community knowledge, confidence in health practices and dispel 
hopelessness about the devastating impacts of diabetes. Such approaches 
maintain momentum toward steady progress in identified community health 
goals and/or health promotion activities.
    This program will provide support for community-based and 
culturally appropriate practical environmental interventions for health 
promotion and diabetes prevention. These interventions will target 
practical environmental indicators identified by the community as 
contributing to risk factors for diabetes. The projects will 
collaborate with existing local diabetes programs and other community 
organizations (e.g., schools, supermarkets, restaurants). The 
interventions will focus on environmental factors that can be adapted 
and measured by community-level indicators. These indicators can 
reflect behavioral, policy, or practice adaptations by the community 
and/or its members. The indicators do not involve evaluation of 
individual behavior or outcomes and do not require human subject 
approvals.
    The prevention interventions proposed (environmental adaptations) 
to be implemented by the communities can be measured in various ways. 
For example, by economic means (e.g., purchase rates of foods), 
environmental (e.g., increased number of walking paths, increased use 
of fitness facilities, use of pedometers at pow-wows/community dances) 
or process measures (e.g., school menus meeting nutritional

[[Page 29761]]

guidelines). Other examples of practical environmental adaptations may 
include: (1) The presence or absence of low-fat, low-sugar food 
alternatives in vending machines in public buildings; (2) the 
proportion of restaurant menu items that follow nutritional guidelines; 
(3) miles of walking trails per capita; or (4) purchase rate of regular 
soda, or of water bottles, in all stores on a reservation or within a 
designated community, per month. The three year project period includes 
year one for program and evaluation planning. Interventions will be 
implemented and measured over a period of two years.
    The projects will also assist other national, regional (including 
states), and international partners of CDC/Division of Diabetes 
Translation (DDT), as well as other NCCDPHP grantees, in documenting 
community-based public health interventions that reduce the risk of 
diabetes and other chronic diseases.

Purpose

    The purpose of the program is to strengthen local capacity of AI/AN 
communities in implementing limited, practical community environmental 
interventions for health promotion and diabetes prevention. The Indian 
Health Service (IHS) estimates that 60 percent of Native Americans live 
in urban settings and the remaining on or near reservation lands. 
Native American communities have the highest rates of diabetes, poverty 
and other health disparities. Many tribal communities (including urban 
settings) maintain strong cultural traditions, foods and practices. All 
of the eligible entities provide health promotion and/or disease 
prevention services to AI/AN populations either under specific legal or 
legislative mandate. Programs that serve AI/AN populations are attuned 
to the specific cultural traditions, practices, history, and health 
status. This program addresses the ``Healthy People 2010'' focus area 
of diabetes (5), which is aimed at addressing health disparities among 
racial and ethnic minority populations.
    Measurable outcomes of the program will be in alignment with one 
(or more) of the following performance goal(s) for the National Center 
for Chronic Disease Prevention and Health Promotion (NCCDPHP): 
Diabetes--Goal: Increase the capacity of state diabetes control 
programs to address the prevention of diabetes and its complications at 
the community level, and Nutrition--Goal: Decrease levels of obesity, 
or reduce the rate of growth of obesity in communities through 
nutrition and physical activity interventions.
    This announcement is only for non-research activities supported by 
CDC/ATSDR. If research is proposed, the application will not be 
reviewed. For the definition of research, please see the CDC Web site 
at the following Internet address: https://www.cdc.gov/od/ads/
opspoll1.htm.

Activities

    Awardee activities for this program are as follows:
     Develop a three year action plan (year one planning, years 
two to three implementation) for a limited practical community 
environmental health promotion/diabetes prevention intervention 
project. Action plan should describe the Project Implementation 
process. Action plan should include objectives that are specific, 
measurable, achievable, relevant and time-phased. The implementation 
process may be guided by a community action organization, 
collaboration, or a group of partners to plan and implement a 
community-wide environmental intervention project.
    [cir] If such partnerships or collaborations are already in place, 
provide a description of how they intend to expand their scope to 
include the implementation of the intervention project.
    [cir] Relevant partnerships working closely with and developing 
collaborations for the community intervention may include tribal and/or 
Indian Health Service (IHS) programs, tribal epidemiological centers, 
State and local health departments (including Diabetes Prevention and 
Control Programs). Local, regional tribal colleges or universities or 
colleges with significant numbers of Native students may be included. 
Collaborations may also include other partners to share resources and 
information that could strengthen the program.
    [cir] Action plan should focus on developing and implementing a 
community-wide prevention intervention strategy for a specified 
population group (e.g., children, adolescents, young adults, middle 
aged adults or for the elderly).
    [cir] Action plan for the community intervention should include 
mechanisms for information sharing, interactive group activities and 
ongoing quality improvement process. The community intervention should 
include culturally appropriate behavioral, policy, and community 
approaches to diabetes prevention.
     Applicants must attend two grantee meetings per year. The 
budget submitted should reflect travel costs for the project 
coordinator/director and the evaluator attending the two meetings per 
year. Location (hotel) and time frame for the meetings will be provided 
after award. However, meetings will generally be held in Albuquerque, 
New Mexico.
     Applicants must participate in an evaluation of the 
community intervention. Each grantee shall secure the services of a 
qualified local project evaluation consultant with training and 
experience in evaluation of community-based programs. The grantee shall 
work with the CDC staff and evaluation consultants to develop local 
process measures and generic outcome measures.
     It is anticipated that up to 10 percent of grant funds 
will be required to procure the local evaluation consultant. Applicants 
will also be required to employ a part-time data collection/data entry 
employee for the project.
     Other costs in conjunction with the evaluation of the 
project may include training (onsite and off-site), conference calls 
and information sharing using email and/or faxing materials.
     Participate in community-wide programs; the programs may 
include:
    [cir] Identification of one to three environmental issues that 
community members have stated need to be addressed in order to promote 
health and help to prevent diabetes. There should be some record that 
this has been noted as an issue that needs addressing. This may include 
local newspapers, Tribal Council meetings, Town Hall meetings, or Radio 
programs.
    [cir] Plans for a community forum that allows dialogue and confirms 
that these are worthwhile environmental concerns that require 
adaptation. It may be necessary to reduce a longer list of concerns for 
this project.
    [cir] Pair the limited set of community-level adaptations to 
indicators for which baseline data is available and which can be 
tracked at regular intervals over time.
    [cir] Community programs would inform their community about the 
program and its goals and the baseline data for the adaptation 
indicators. The program would establish a time frame and setting to 
share with their progress with the community. The settings could 
include regular programs on the radio station, monthly newspaper 
reports or newsletter mailings, one or more graph or ``thermometer'' 
type billboards or central-place posters that track progress.
    [cir] A community gathering is held to close the project with 
accounting of the progress by indicators and dialogue about next steps.
    In a cooperative agreement, CDC staff is substantially involved in 
the program

[[Page 29762]]

activities, above and beyond routine grant monitoring.
    CDC Activities for this program are as follows:
     In collaboration with the recipients, provide training on 
developing community capacity on health promotion and diabetes primary 
prevention strategies (e.g., building scientific capacity, 
collaboration and partnerships, implementing guidelines on model 
programs on diabetes prevention).
     Provide technical assistance through site visits, 
conference calls, resource materials, strategic planning and updated 
information, as needed.
     Facilitate communications locally, regionally, and 
nationally regarding resources and other opportunities involving the 
implementation of the action plan activities. This includes 
coordinating two grantee meetings annually for the coordinators and 
evaluators of each project.
     Provide technical assistance, evaluation capacity and 
leadership in the evaluation of grantee action plan activities. The CDC 
evaluation consultants will assist the grantees in developing local 
process measures and generic outcome measures.
     Facilitate linkages with state and tribal programs, Indian 
Health Service and Tribal Epidemiological Centers.
     Provide guidance, as requested, on reporting and 
documenting effectiveness of action plan and activities.

II. Award Information

    Type of Award: Cooperative Agreement.
    CDC involvement in this program is listed in the Activities Section 
above.
    Fiscal Year Funds: 2005.
    Approximate Total Funding: $525,000 (This amount is an estimate, 
and is subject to availability of funds.)
    Approximate Number of Awards: Five to Seven.
    Approximate Average Award: $75,000-$100,000 (This amount is for the 
first 12-month budget period, and includes both direct and indirect 
costs.)
    Floor of Award Range: $75,000.
    Ceiling of Award Range: $100,000 (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 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

    Eligible applicants are:
     AI/AN tribal governments and corporations, and other 
organizations that qualify under the Indian Civil Rights Act.
     State Charter Tribes.
     Urban Indian Health Programs.
     Indian Health Boards.
     Inter-Tribal Councils.
     Eligible urban tribal and inter-tribal consortia.
    Eligibility is limited to the aforementioned applicants because 
they have the necessary knowledge of, experience, and capability/
capacity to work within the AI/AN communities to perform the required 
activities.
    Applicants must provide a copy of a tribal resolution specific to 
this project from the tribe, or letter of support from the board if a 
tribal organization. If there is insufficient time to procure such a 
resolution prior to submitting the application, the resolution must be 
submitted within six months after award. 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 special 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.
     Urban tribal and inter-tribal consortia are eligible if 
incorporated for the primary purpose of improving AI/AN health and 
representing such interests for the tribes, Alaska Native Villages and 
corporations, or urban Indian communities located in its region. AI/AN 
tribes or urban communities represented may be located in one state or 
in multiple states. An urban tribal organization is defined as a non-
profit corporate body situated in an urban center eligible for services 
under Title V of the Indian Health Care Improvement Act, Pub. L. 94-
437, as amended. Proof of non-profit status 501(c)(3) should be 
provided as an appendix in the application.
     Tribal resolution or letters of support from the board of 
a tribal organization must be provided as described.
     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.

IV. Application and Submission Information

IV.1. Address To Request Application Package

    To apply for this funding opportunity use application form PHS 
5161-1. CDC strongly encourages you to submit your application 
electronically by utilizing the forms and instructions posted for this 
announcement at https://www.grants.gov. Application forms and 
instructions are available on the CDC Web site, at the following 
Internet address: https://www.cdc.gov/od/pgo/forminfo.htm.
    If you do not have access to the Internet, or if you have 
difficulty accessing the forms online, 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 Submission

    Letter of Intent (LOI): Your LOI must be written in the following 
format:
     Maximum number of pages: Two.
     Font size: 12-point unreduced.
     Single 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:
     A brief description of the applicant or applicant 
organization to confirm eligibility.
     A brief description of the proposed intervention to 
substantiate that it is responsive to this announcement.
     A brief description which demonstrates the applicant's 
capability and/or experience with community interventions, diabetes 
prevention and/or health promotion activities.

[[Page 29763]]

    Application: You must submit a Project Narrative with your 
application forms. The narrative must be submitted in the following 
format:
     Maximum number of pages: 25. If your narrative exceeds the 
page limit, only the first pages which are within the page limit will 
be reviewed.
     Font size: 12 point unreduced.
     Single spaced.
     Paper size: 8.5 by 11 inches.
     Page margin size: One inch.
     Printed only on one side of page.
     Held together only by rubber bands or metal clips; not 
bound in any other way.
    Your narrative should address activities to be conducted over the 
entire project period, and must include the following items in the 
order listed:
     Statement of need
    [cir] Describe the community demographics, location and brief 
history of diabetes burden and response both locally and for the state.
    [cir] Describe the local resource organizations in the community.
    [cir] Describe the local health and fitness resources available to 
the project (see Criteria for more detailed descriptions).
     Project Plan
    [cir] Describe how the project is to be implemented, including the 
roles of partners and staff to be hired.
    [cir] Describe objectives and activities (including responsible 
staff or partners).
    [cir] Provide a timeline describing the entire project period.
    [cir] Identify target population(s) for the project.
    [cir] Describe potential problems/barriers to the implementation/
success of the project and identify solutions.
     Organizational Capacity
    [cir] Describe existing community infrastructure that addresses 
diabetes directly (i.e., diabetes treatment providers or prevention 
services) and indirectly (i.e., media and other organizations that can 
provide public health service).
    [cir] Describe evidence of successful program management experience 
(see Criteria for more detail).
    [cir] Describe experience with other federal, state or private 
grants.
    [cir] Describe staffing to be devoted to the project, their roles 
and/or tasks, required experience and training and time commitment.
    [cir] Provide position descriptions for key personnel (local 
project coordinator, evaluation consultant and data collection/data 
entry employee), including time commitment for each.
    [cir] Describe data collection experience and capacity for data 
storage.
     Local Evaluation Capacity
    [cir] Develop measurable and feasible local process and outcome 
measures for project activities and objectives.
    [cir] Describe evaluation experience with current or past community 
projects.
    [cir] State willingness to work with CDC evaluation consultants in 
developing generic outcome measures.
    [cir] Show evidence of having secured or plans to secure a 
qualified local evaluation consultant and part-time employee to conduct 
data collection and data entry (e.g., resume, position description).
     Budget Justification (will not be counted in the stated 
page limit).
    Additional information may be included in the application 
appendices. The appendices will not be counted toward the narrative 
page limit. This additional information includes:
     Position descriptions for local evaluator and data 
collection/data entry employee.
     Curriculum Vitae/Resume of key personnel--project 
director, evaluator (if identified).
     Tribal resolution or letter of support from the board of a 
tribal organization.
     Documentation of current tribal indirect cost agreement.
    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. 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/pubcommt.htm.
    If your application form does not have a DUNS number field, please 
write your DUNS number at the top of the first page of your 
application, and/or include your DUNS number in your application cover 
letter.
    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 23, 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: July 8, 2005.
    Explanation of Deadlines: Applications must be received in the CDC 
Procurement and Grants Office by 4 p.m. eastern time on the deadline 
date. You may submit your application electronically at https://
www.grants.gov. Applications completed online through Grants.gov are 
considered formally submitted when the applicant organization's 
Authorizing Official electronically submits the application to https://
www.grants.gov. Electronic applications will be considered as having 
met the deadline if the application has been submitted electronically 
by the applicant organization's Authorizing Official to Grants.gov on 
or before the deadline date and time.
    If you submit your application electronically with Grants.gov, your 
application will be electronically time/date stamped, which will serve 
as receipt of submission. You will receive an e-mail notice of receipt 
when CDC receives the application.
    If you submit your 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 submission as having been received by 
the deadline.
    If you submit a hard copy application, 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, 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.
    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 submission 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.

[[Page 29764]]

IV.4. Intergovernmental Review of Applications

    Executive Order 12372 does not apply to this program.

IV.5. Funding Restrictions

    Restrictions, which must be taken into account while writing your 
budget, are as follows:
     Funds may not be used for research.
     Reimbursement of pre-award costs is not allowed.
     Construction.
    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.
    Guidance for completing your budget can be found on the CDC Web 
site, at the following Internet address: https://www.cdc.gov/od/pgo/
funding/budgetguide.htm.

IV.6. Other Submission Requirements

    LOI Submission Address: Submit your LOI by express mail, delivery 
service, fax, or e-mail to: Maria E. Burns, Project Officer, CDC, 
NCCDPHP, DDT, PDB, NDWP, c/o 1720 Louisiana Blvd., NE, Suite 312, 
Albuquerque, New Mexico 87110, Telephone: (505) 240-0477, Fax: (505) 
272-2824; e-mail address: mburns@cdc.gov.
    Application Submission Address: CDC strongly encourages applicants 
to submit electronically at: https://www.grants.gov. You will be able to 
download a copy of the application package from https://www.grants.gov, 
complete it offline, and then upload and submit the application via the 
Grants.gov site. E-mail submissions will not be accepted.
    If you are having technical difficulties in Grants.gov, they can be 
reached by e-mail at http:www.support@grants.gov">www.support@grants.gov or by phone at 1-800-
518-4726 (1-800-518-GRANTS). The Customer Support Center is open from 7 
a.m. to 9 p.m. eastern time, Monday through Friday.
    CDC recommends that you submit your application to Grants.gov early 
enough to resolve any unanticipated difficulties prior to the deadline. 
You may also submit a back-up paper submission of your application. Any 
such paper submission must be received in accordance with the 
requirements for timely submission detailed in Section IV.3. of the 
grant announcement. The paper submission must be clearly marked: 
``Back-Up for Electronic Submission.'' The paper submission must 
conform to all requirements for non-electronic submissions. If both 
electronic and back-up paper submissions are received by the deadline, 
the electronic version will be considered the official submission.
    It is strongly recommended that you submit your grant application 
using Microsoft Office products (e.g., Microsoft Word, Microsoft Excel, 
etc.). If you do not have access to Microsoft Office products, you may 
submit a PDF file. Directions for creating PDF files can be found on 
the Grants.gov Web site. Use of file formats other than Microsoft 
Office or PDF may result in your file being unreadable by our staff.
    Or: Submit the original and two hard copies of your application by 
mail or express delivery service to: Technical Information Management--
RFA AA029, CDC Procurement and Grants Office, 2920 Brandywine Road, 
Atlanta, GA 30341.

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, qualitative and 
quantitative, and must measure the intended process and outcome. These 
measures of effectiveness must be submitted with the application and 
will be an element of evaluation.
    Your application will be evaluated against the following criteria:
     Project Plan (40 Points).
    [cir] How adequate is the description of the project to be 
implemented? (e.g., are the roles of partners and staff to be hired 
included)--10 Points.
    [cir] How comprehensive are proposed objectives and activities 
described? (e.g., are responsible partners or staff identified for all 
activities; will activities complete the project successfully, are the 
proposed methods feasible)--15 Points.
    [cir] Is there a good description and justification for the 
identified project target population(s)?--5 Points.
    [cir] Is the time line provided comprehensive? (i.e., does it 
identify proposed project activities and responsible staff, does the 
plan cover the entire project period)--5 Points.
    [cir] How comprehensive is the plan in describing and identifying 
potential problem areas or barriers and proposing solutions? (e.g., 
changes in vending products, reluctance to changing school or 
restaurant menus, restricted use of designated existing fitness 
facilities)--5 Points.
     Statement of Need (25 Points).
    [cir] Does the description provide an adequate baseline picture of 
the community? (e.g., demographics, location and brief history of local 
and state diabetes burden and response)--15 Points.
    [cir] How comprehensive is the description of the local resource 
organizations relevant to the proposed plan? (e.g., health, 
educational, business)--5 Points.
    [cir] How comprehensive is the description of community health and 
fitness resources? (e.g., number of current walking trails or fitness 
facilities and programs; existing community gardens; number and content 
of vending machines)--5 Points.
     Organizational Capacity (20 points).
    [cir] Is there an adequate description of the infrastructure 
addressing diabetes? (e.g., local diabetes-specific programs, health 
education resources, community health coalition or other existing 
partnerships for health related concerns)--5 Points.
    [cir] Is there adequate evidence provided of successful health 
program management capability?--2 Points.
    [cir] How comprehensive is the description of experience with other 
Federal, State or private grants?-- 2 Points.
    [cir] How adequate is the description of the project staffing, 
their tasks/roles, required experience and training, and time 
commitment? (i.e., are the staff roles clearly defined; do key staff 
have sufficient experience and training required; is the time 
commitment for all staff sufficient to accomplish the program goals)--6 
Points.
    [cir] Are position descriptions for key personnel provided? Key 
personnel include the local evaluation consultant, local project 
director/coordinator (if noted), and data collection/data entry 
employee.--3 Points.
    [cir] Is the data collection and storage capacity adequately 
described?--2 Points.
     Local Evaluation Capacity (15 Points).
    [cir] How well do the process and outcome measures describe 
accomplishment of stated activities and objectives? (e.g., are they 
measurable objectives, is there a reasonable time frame for proposed 
project)?--5 Points.
    [cir] Is there well-described evidence of experience of evaluation 
capacity with other Federal, State or private grants?--3 Points.
    [cir] Is there stated willingness to collaborate with external CDC 
evaluation consultants?--4 Points.
    [cir] Is evidence of commitment to securing a qualified local 
evaluator and

[[Page 29765]]

data collection/entry employee well documented (e.g., letter of 
commitment/contract, position descriptions, resumes)?--3 Points.

V.2. Review and Selection Process

    Applications will be reviewed for completeness by the Procurement 
and Grants Office (PGO) staff and for responsiveness by NCCDPHP. 
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.
    A Special Emphasis Review Panel consisting of external experts will 
evaluate complete and responsive applications according to the criteria 
listed in the ``V.1. Criteria'' section above.
    The review process will be directed by the Procurement and Grants 
Office (PGO) staff to ensure compliance with HHS and CDC grant review 
guidelines.
    In addition, the following factors may affect the funding decision:
     Geographic diversity--Not more than one grant awarded per 
state.
     Rural and urban settings--A balanced mix of grants to 
Native populations living in urban settings and reservation/rural 
communities.
    CDC will provide justification for any decision to fund out of rank 
order.

V.3. Anticipated Announcement and Award Dates

    The anticipated award announcement date is 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.

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-9 Paperwork Reduction Act Requirements.
     AR-10 Smoke-Free Workplace Requirements.
     AR-11 Healthy People 2010.
     AR-12 Lobbying Restrictions.
     AR-14 Accounting System Requirements.
     AR-15 Proof of Non-Profit Status.
     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.
    An additional Certifications form from the PHS 5161-1 application 
needs to be included in your Grants.gov electronic submission only. 
Refer to https://www.cdc.gov/od/pgo/funding/PHS5161-1Certificates.pdf. 
Once the form is filled out, attach it to your Grants.gov submission as 
Other Attachment Forms.

VI.3. Reporting Requirements

    You must provide CDC with an original, plus two hard copies of the 
following reports:
    1. Interim progress report, due 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 
elements:
    a. Current Budget Period Activities Objectives.
    b. Current Budget Period Financial Progress.
    c. New Budget Period Program Proposed Activity Objectives.
    d. Budget.
    e. Measures of Effectiveness.
    f. Additional Requested Information.
    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 or Contract 
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 program technical assistance, contact: Maria E. Burns, Project 
Officer, c/o 1720 Louisiana Blvd., NE, Suite 208, Albuquerque, New 
Mexico 87110; Telephone: (505) 240-0477; e-mail: mburns@cdc.gov.
    For financial, grants management, or budget assistance, contact: 
Tracey Sims, Grants Management Specialist, CDC Procurement and Grants 
Office, 2920 Brandywine Road, Atlanta, GA 30341; Telephone: 770/488-
2739; e-mail: atu9@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.''

William P. Nichols,
Director, Procurement and Grants Office, Centers for Disease Control 
and Prevention.
[FR Doc. 05-10297 Filed 5-23-05; 8:45 am]
BILLING CODE 4163-18-P
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