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