Advancing System Improvements to Support Targets for Healthy People 2010 (ASIST2010), 19512-19521 [E7-7371]

Agencies

• DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Federal Register Volume 72, Number 74 (Wednesday, April 18, 2007)]
[Notices]
[Pages 19512-19521]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-7371]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES


Advancing System Improvements to Support Targets for Healthy 
People 2010 (ASIST2010)

AGENCY: Office on Women's Health, Office of Public Health and Science, 
Office of the Secretary, Department of Health and Human Services.

ACTION: Notice.

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    Announcement Type: Competitive Cooperative Agreement FY 2007 
Initial Announcement.
    Funding Opportunity Number: Not applicable.
    Catalog of Federal Domestic Assistance: The Catalog of Federal 
Domestic Assistance number is 93.088.

DATES: Proposals are due no later than 5 p.m. Eastern Time on June 18, 
2007. The application due date requirement in this announcement 
supersedes the instructions in Form OPHS-1.

ADDRESSES: To receive consideration, applications must be received by 
the Office of Grants Management (OGM), Office of Public Health and 
Science (OPHS), Department of Health and Human Services (DHHS) c/o 
WilDon Solutions, Office of Grants Management Operations Center, 1515 
Wilson Boulevard, Third Floor, Suite 310, Arlington, VA 22209, 
Attention Office on Women's Health, ASIST2010.

    Authority: This program is authorized by 42 U.S.C. 300u-2(a).

    Purpose and Eligibility: The purpose of this Request for 
Applications (RFA) is to use a public health systems approach to 
improve performance on two or more Healthy People 2010 (HP 2010) 
objectives that target women and/or men in the Focus Areas specified in 
this RFA. There must already be an existing source for baseline data 
for the objectives selected by the applicant and the applicant must 
already be a participant in an existing public health system/
collaborative partnership. Eligible applicants are public and private 
organizations (public and private academic institutions and hospitals); 
community-based and faith-based organizations; medical groups/
practices, and organizations with women's and men's health experience 
with funding lasting through September 30, 2010, that will help support 
the proposed program activities. State, county, and local health 
departments and tribes and tribal organizations are also eligible to 
apply.

SUMMARY: The DHHS Office on Women's Health (OWH) was established in 
1991 to improve the health and well being of all women and girls in the 
United States (US). To achieve this long-term goal, the OWH focuses on 
reducing the health differences (disparities) between women and men, 
between girls and boys, and among populations of women by supporting 
programs such as the 48 Multidisciplinary Health Models for Women sites 
throughout the U.S. Each site has implemented its own paradigm and 
blend of services to fit the needs of its community. The National 
Centers of Excellence in Women's Health (CoEs), National Community 
Centers of Excellence in Women's Health (CCOEs), and the CoE- and CCOE-
Ambassadors for Change (AFCs), in particular, have served as leaders 
and change agents in the area of women's health. Their pioneering 
efforts have led to changes in the way women's health services are 
delivered, changes in women's health curricula, acceptance of community 
health workers and allied health professionals as key members of the 
care delivery team, development of leadership and empowerment programs 
for women, and much more. These programs have also demonstrated that, 
on a local level, the formation of collaborative partnerships across 
schools, clinics, and disciplines within the academic community, and 
among community-based organizations with similar missions, leads to 
broader outreach, the delivery of more counseling and preventive 
services, improved access to more comprehensive services, and greater 
patient satisfaction. More information about these programs can be 
found at https://www.womenshealth.gov/owh/multidisciplinary/.
    A recent literature review commissioned by the OWH (Literature 
Review on Effective Sex- and Gender-Based Systems/Models of Care, 2007, 
also available at (https://www.womenshealth.gov/owh/multidisciplinary/
reports/GenderBasedMedicine/) to help guide the development of this 
RFA, reports that the comprehensive, integrated, multidisciplinary 
models of women's health care, first implemented by OWH about a decade 
ago, have helped to raise awareness of women's health issues and have 
helped to establish women's health as a discipline. A recommendation 
made was that it is time for OWH to move to a broader sex- and gender-
based approach to health care, building on the success of its 
comprehensive, integrated, multidisciplinary models programs. The 
literature review addressed several broad questions and contains 
interesting and useful information on a variety of topics relevant to 
this RFA. The information on sex and gender \1\ differences in the 
current healthcare system, the effectiveness of sex- and gender-based 
healthcare practices, the effectiveness of a sex- and gender-based 
focus on clinical care, and the effectiveness of patient advocates/
navigators in getting men into the healthcare system and to needed care 
may be useful background information for applicants.
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    \1\ The definition of sex and gender used in this RFA is based 
on the Institute of Medicine report titled Exploring the Biological 
Contributions to Human Health. Does Sex Matter? It defines sex as a 
classification generally of male and female according to 
reproductive organs and function that derive from the chromosomal 
complement. The term gender is defined as a person's self 
representation as a male or female and how that person is responded 
to by social institutions on the basis of individual gender 
presentations.
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Healthy People 2010

    Healthy People 2010 is a comprehensive, national disease prevention 
and health promotion agenda designed to improve the health of all 
people in the U.S. during the first decade of the 21st century. Healthy 
People 2010 build on initiatives implemented over the past 20 years 
including:
    1. Healthy People: The Surgeon General's Report on Health Promotion 
and Disease Prevention (1979),
    2. Promoting Health/Preventing Disease: Objectives for the Nation 
(1980), and
    3. Healthy People 2000: National Health Promotion and Disease 
Prevention Objectives (1960).
    The two overarching goals of Healthy People 2010 are to increase 
years and quality of healthy life and to eliminate health disparities. 
These two goals are supported by specific objectives in 28 Focus Areas. 
Healthy People 2010 documents are available online at the Healthy 
People Web site: https://www.healthypeople.gov/. A midcourse review of 
HP 2010 objectives was completed recently. The current list of Healthy 
People 2010 objectives assessed at the midcourse review and the results 
are available at: https://www.healthypeople.gov/Data/midcourse.
    The OWH believes in the value of a public health systems approach 
to improve health outcomes. Therefore, the OWH is planning to provide 
three years of funding to support public health systems and/or 
collaborative partnerships with baseline data available that put a 
gender focus on the following HP 2010 Focus Areas:
     3--Cancer,
     5--Diabetes, and/or

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     12--Heart Disease and Stroke, leading causes of death 
among women and men, and their objectives, crosscut with Focus Areas:
     1--Access to Quality Health Services,
     7--Educational and Community-Based Programs,
     19--Nutrition and Overweight, and
     20--Physical Activity and Fitness, and their objectives.
    For example, an applicant may have as their program goal the 
reduction of the proportion of adults with high blood pressure (Focus 
Area 12/Objective 9) and an increase in the proportion of adults with 
high blood pressure whose blood pressure is under control (Focus Area 
12/Objective 10) by increasing the proportion of adults with a usual 
primary care provider (Focus Area 1/Objective 5). The applicant may 
choose to focus on a subpopulation of the adult population. The OWH 
believes that a gender-focused approach will help improve the health of 
U.S. women and girls as well as men and boys; improve the quality of 
care provided; reduce disparities among women, among men, and between 
women and men; and potentially, reduce overall health care costs by 
reducing duplication of services.
    Therefore, the OWH is implementing a new program titled: Advancing 
System Improvements to Support Targets for Healthy People 2010 
(ASIST2010). The goals of ASIST2010 are: (1) To provide additional 
support to existing public health systems/collaborative partnerships to 
enable them to add a gender focus to HP 2010 objectives that track the 
health status of women and/or men, to help improve gender outcomes in 
the targeted population and/or geographic area, (2) improve 
surveillance/information systems that allow tracking of program 
progress on HP 2010 objectives at the grantee level, and (3) develop 
and implement a plan to sustain the program after OWH funding ends.

Purpose

    The purpose of this new initiative is to use a public health 
systems approach to improve performance on two or more HP 2010 
objectives that target women and/or men in the Focus Areas specified 
above. To enhance an applicant's chance of meeting its goal(s) and 
objective(s), in addition to the OWH program goals, within the grant's 
three-year project period, applicants are encouraged to use evidence-
based strategies to implement their program. A brief summary of the 
evidence-based strategy(ies) and references must be included in the 
program narrative.
    There are over 300 measurable HP 2010 objectives in the 28 HP 2010 
Focus Areas tracking data specific for women and men. To be responsive 
to the RFA, applicants must select at least one of the objectives in 
the OWH specified disease Focus Areas 3-Cancer, 5-Diabetes, and/or 12-
Heart Disease and Stroke, and at least one of the objectives in the 
four cross-cutting areas specified by OWH-1-Access to Quality Health 
Services and 7-Educational Community-Based Programs, 19-Nutrition and 
Overweight, and/or Physical Activity and Fitness. Applicants may focus 
on data collection among groups of women, among groups of men, or 
between groups of women and men. For example, an applicant may decide 
to select the following HP 2010 objectives:
     Reduce the proportion of adults with high blood pressure 
(Objective 12-9 under Focus Area 12),
     increase the proportion of persons with high blood 
pressure with their blood pressure under control (Objective 12-10 under 
Focus Area 12), and
     increase the proportion of persons with a usual primary 
care provider (Objective 1-5 under Focus Area 1), provided that 
regional, State, tribal, and/or county baseline data are available for 
these objectives.
    Applicants should describe activities in their targeted area that 
are addressing the objectives selected and how their approach will help 
move the objectives toward its national, State, or county target. The 
applicant must also describe the evidence-based strategy(ies) that will 
be used to achieve the desired outcome--a reduction in the proportion 
of adults with high blood pressure, an increase in the proportion of 
people with high blood pressure with their blood pressure under 
control, and an increase in the proportion of persons with a usual 
primary care provider in State X. The applicant must identify specific 
short-term outcomes that will support the achievement of the HP 2010 
objectives selected and describe how the outcomes will be achieved and 
measured. Additionally, all applicants must:
    (1) Establish a surveillance/information system to track 
information on clients served to measure progress toward targets,
    (2) Implement a gender-based program focus, and
    (3) Develop and implement a plan to sustain the program after OWH 
funding ends. Applicants proposing to perform only these three 
activities will not be considered responsive to the RFA.
    The applicant must also report which HP 2010 objectives will be 
targeted in Table 1, baseline data in Table 2, target population data 
in Table 3, and implementation strategies in Table 4. All tables 
referenced in this RFA are included in the Application Kit which may be 
obtained by accessing https://www.grants.gov or the eGrants system at 
https://www.GrantSolutions.gov. A hard copy of the Application Kit may 
be obtained by contacting WilDon Solutions at 1-888-203-6161. See 
Section IV for more instructions on how to obtain an Application Kit. 
The information provided in the tables must support the narrative.

Public Health Systems Definition

    For the purpose of this RFA, a public health system is defined as 
an established, collaborative partnership between governmental and non-
governmental partners such as public and private academic institutions 
and hospitals, medical groups/practices, community-based and faith-
based organizations, tribes and tribal organizations, organizations 
with expertise relevant to the HP 2010 objectives selected by the 
applicant, State Women's Health Coordinators (SWHCs), and organizations 
with women's and men's health and gender-focused programs and 
experience. A list of SWHCs is available at: https://
www.womenshealth.gov/owh/about/swhc.cfm. Through collaboration on 
identified HP 2010 Focus Areas and objectives, the public health system 
works to create positive change that leads to improved outcomes for 
women and girls and/or men and boys. The public health system may be 
enhanced with additional partners in order to be responsive to the 
requirements of this RFA. Using the funds provided by OWH to add a 
gender focus to two or more of the seven Focus Areas listed below, the 
system will implement evidence-based strategies to achieve the Focus 
Area objectives identified by the applicant. The public health system 
must also address gender health issues across the lifespan using a 
comprehensive, integrated, multidisciplinary approach and be 
sustainable after OWH funding ends. At least a third of the partners 
within the public health system should have experience with gender 
focused programs.
    The primary goal of the public health systems-level change 
envisioned by OWH is improvements in performance on one or more of the 
HP 2010 objectives selected by the applicant, specifically related to 
the seven HP 2010 Focus Areas identified by OWH:
     1--Access to Quality Health Services,
     3--Cancer,
     5--Diabetes,

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     7--Educational and Community-Based Programs,
     12--Heart Disease and Stroke,
     19--Nutrition and Overweight, and
     20--Physical Activity and Fitness.
    Systems change has been used to extend cultural competence; to 
deliver more comprehensive, integrated, multidisciplinary care; to 
accommodate women in various environments; and to improve performance 
management in health care, to cite a few examples.

SMART Outcomes

    Program outcomes must be specific, measurable, achievable, 
relevant, and timely (SMART). SMART objectives are clear and leave no 
room for interpretation. At a minimum, outcomes must be inclusive of 
sex, gender, age and race/ethnicity. If available, information on 
education level, insurance coverage, income level, disability status, 
and other socio-demographic variables should also be reported. The 
outcomes should be consistent with the tribal, county, State, or 
regional HP 2010 baseline and/or target data available. Although 
tribal, county, State, or regional targets may not match the National 
targets, they should be consistent with the HP 2010 plan in the State 
or area where the grant program will be implemented. If a State plan 
and/or State HP 2010 Midcourse Review is not available, applicants may 
use another source to provide the baseline data and to justify the need 
to focus the objectives selected for its community. Applicants are 
encouraged to contact their State Health Department to obtain a copy of 
their State HP 2010 Midcourse Review. Some targets may have been 
revised as a result of the review.

I. Funding Opportunity Description

    Many programs operate with little or no attention to women and 
gender issues and, thus, may have a limited positive impact on 
achieving the HP 2010 targets or on catalyzing progress toward the HP 
2010 targets. The purpose of the ASIST2010 program is for the OWH to 
provide three years of funding to existing public health systems/
collaborative partnerships to add a gender focus to two or more of the 
Focus Areas and objectives targeted by this RFA. To enhance an 
applicant's chance of meeting its objectives within the grant's three-
year project period, applicants must use evidence-based strategies to 
implement their program.
    Public and private organizations with current funding through 
August 31, 2010, that supports proposed ASIST2010 activities; tribes; 
and, county, State, and local health departments are encouraged to 
expand existing partnerships, if necessary, to address at least two of 
the seven HP 2010 Focus Areas targeted by this RFA. As these public 
health systems/collaborative partnerships work to achieve ASIST2010's 
purpose, they should strive to create a system change similar to the 
efforts of the:
    (1) Evidence Based Disease and Disability Prevention Programs 
funded by the Administration on Aging (https://www.aoa.gov/prof/
evidence/aoa_ahrq_2006_overview.pdf);
    (2) Racial and Ethnic Approaches to Community Health (REACH) 2010 
funded by the Centers for Disease Control and Prevention (https://
www.cdc.gov/reach2010);
    (3) the Health Resources and Services Administration Disparities 
Collaboratives (https://www.healthdisparities.net/hdc/html/
library.aspx?documentID=9-12-2006.2610&folderopen=yes);
    (4) Mental Health System Transformation Grants funded by the 
Substance Abuse and Mental Health Services Administration (https://
www.samhsa.gov/pubs/mhc/MHC_Transformation.htm);
    (5) Accelerating Change and Transformation in Organizations and 
Networks funded by the Agency for Healthcare Research and Quality 
(https://www.ahrq.gov/research/action.htm);
    (6) Clinical and Translational Science Awards funded by the 
National Institutes of Health (https://www.ncrr.nih.gov/
clinicaldiscipline.CTSA_FactSheet.pdf); and
    At a minimum each ASIST2010 applicant must:
    (1) Have in place, at the time the application is submitted, a 
public health system/collaborative partnership that includes a mix of 
the following types of organizations--public and private academic 
institutions and hospitals, medical groups/practices, community-based 
and faith-based organizations, tribes and tribal organizations, 
organizations with expertise relevant to the HP 2010 objectives 
selected, State Women's Health Coordinators (SWHCs), and organizations 
with demonstrated experience addressing gender issues through 
appropriate interventions/ programs;
    (2) describe how the current public health system/collaborative 
partnership operates (provides comprehensive, integrated, 
interdisciplinary care; primary care; education and outreach; community 
health planning; etc.), whether it has addressed one or more HP 2010 
objectives, and whether any health or social issues addressed by the 
system have a gender focus;
    (3) List the funding sources already available to the applicant and 
the partners that will last at least through August 31, 2010, that 
could be used to help support the proposed ASIST2010 program 
activities;
    (4) Describe how the public health system/collaborative partnership 
and target area will be enhanced with the addition of a gender focus;
    (5) State clearly the HP 2010 focus areas and objectives that will 
shape the grant activity and why these objectives are important to the 
tribe, county, region, or State;
    (6) Have demonstrated experience in the objectives selected and in 
women's and men's health and gender-focused programs;
    (7) Describe in detail how objectives will be achieved over the 
funding period and how progress toward the selected objectives will be 
tracked and measured annually;
    (8) Demonstrate that the objectives of the grant are SMART 
(assistance writing SMART objectives are available at https://
www.cdc.gov/nchstp/tb/Program_Evaluation/Guide/AppB_Writing_Smart_
Objectives.htm;
    (9) Provide the baseline and target data for the selected 
objectives-- tribal-, county,- State,- or regional-level data related 
to the objectives are required with a discussion of how the tribal, 
local, county, or State targets cascade from the HP 2010 targets;
    (10) State target(s) and short- and long-term outcome measure(s) 
for the next 3 years and the applicant's plan/strategy for reaching the 
targets;
    (11) State the total population to be reached by the initiative and 
describe activities to reach the population;
    (12) Establish a Steering Committee that includes, at a minimum, a 
representative from each partner organization and a lay community 
person to help oversee and monitor the implementation of the proposed 
program--Also use Table 6 in the Application Kit to provide a complete 
list of Steering Committee members;
    (13) Provide a comprehensive description of how the program will be 
evaluated;
    (14) Provide a partnership plan that describes in detail the role 
of each partner, the service(s) to be provided, the individual 
responsible for coordinating the services at the partner organization, 
how resources will be distributed among the partners (Table 5), and a 
signed Memorandum of Agreement (MOA) for each partner (A sample MOA is 
provided in the Application Kit.);

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    (15) Demonstrate relevant involvement of partners in the 
development of the application and plans to carry out the proposed 
activities--Applicants must also complete Tables 5, 6, and 7 included 
in the Application Kit and provide all information requested; and
    (16) Provide a clear plan to continue the proposed activity(ies) 
after OWH funding has ended.

II. Award Information

    The ASIST2010 program will be supported through the cooperative 
agreement mechanism. The OWH anticipates making these 3-year awards in 
FY 2007. The anticipated start date is September 1, 2007, and the 
anticipated period of performance is September 1, 2007, through August 
31, 2010. Approximately $4,000,000 is available to make awards between 
$150,000-$500,000 total cost (direct and indirect costs) each year for 
the three-year project period. The number of awards made is contingent 
upon the quality and type of applications received, the amount of funds 
requested, and the availability of Federal funds. The total amount 
requested by an applicant must be based on the scope of the proposed 
program activity(ies) and justified clearly. At a minimum, all 
applicants will address at least two HP 2010 Focus Areas and at least 
one objective within each Focus Area and target a specific geographic 
area (region, State, or county) and/or a specific population. Normally, 
applicants proposing to perform the minimum activities allowed by the 
RFA, as described above, would request funding at the lower end of the 
$150,000-$500,000 funding range. However, for this announcement, if an 
applicant proposes to serve a county with a population of over one 
million people or a county with a metropolitan area with over one 
million people, serve a rural area where outreach may be more costly, 
or have a unique situation, they may need to request funding at the 
upper end of the funding range. Therefore, it is crucial that 
applicants provide detailed justification for every aspect of their 
budget requests.
    The OWH will provide the technical assistance and oversight 
necessary for the implementation, conduct, and assessment of ASIST2010 
program activities.
    The applicant shall:
    1. Implement the program described in the application according to 
the timeline that should be included in the Management Plan.
    2. Participate in and pay for attendance at two annual meetings of 
ASIST2010 grantees in the Washington, DC Metropolitan Area. The cost of 
these meetings (including travel, lodging and meals) should be included 
in the applicant's budget.
    3. Participate in a full-day orientation meeting in the Washington, 
DC Metropolitan Area within two months after the award of the grant. In 
Year 1 of the grant, this orientation meeting will count as one of the 
two meetings budgeted in the grant application. It is up to the 
applicant to decide and budget for the number of people that will 
participate in the orientation meeting.
    4. Participate in additional ASIST2010 working groups, special 
interest meetings, or other opportunities. The OWH will pay for the 
travel and lodging for these meetings.
    5. Adhere to all program requirements specified in the RFA and the 
Notice of Grant Award.
    6. Submit required quarterly reports and an annual progress and 
Financial Status reports by the due dates stated in this announcement 
and the Notice of Grant Award, following the format for the quarterly 
report that will be distributed at the orientation meeting.
    7. Ensure that appropriate staff is available to meet with the site 
visit team and provide a comprehensive report on the status of all 
grant activities.
    8. Identify clearly the HP 2010 objectives to be addressed by the 
proposed program.
    9. Describe in detail the evidence-based program(s) to be 
implemented to achieve the program objectives.
    The Federal Government will:
    1. Conduct a pre-award site visit to applicants that score in the 
funding range.
    2. Organize and participate in all grantee meetings held in the 
Washington Metropolitan Area.
    3. Review and decide upon requested project modifications.
    4. Site visit ASIST2010 grantees at least once a year to provide 
advice and guidance on implementing the program and to help monitor 
progress toward goals.
    5. Review all reports submitted by the grantees.
    6. Monitor all grant activity and provide advice and guidance on 
the implementation of the grant program.

III. Eligibility Information

    1. Eligible Applicants. Eligible applicants are public and private 
organizations (public and private academic institutions and hospitals); 
community-based and faith-based organizations; and medical groups/
practices with existing funding lasting through September 30, 2010, 
that will help support the proposed ASIST2010 activities, and State, 
county, or local health departments and tribes and tribal organizations 
with expertise and experience in the proposed objectives.
    Applicant organizations must already participate in an existing 
public health system/collaborative partnership. List the funding 
available for the applicant and the partners using Tables 7 and 8 in 
the Application Kit. Although one organization should be the lead 
applicant, the applicant must demonstrate involvement of the partners 
in the development of the application and in the planning and execution 
of the grant activities. At least one third of the partners should have 
demonstrated experience addressing gender differences through 
appropriate interventions, programs, or research related to the 
selected objectives. Single-site efforts are not eligible for this 
award.
    2. Cost Sharing or Matching Funds. Cost sharing or matching funds 
are not required for this program.

IV. Application and Submission Information

    1. Address to Request an Application Kit: Application Kits may be 
obtained by accessing Grants.gov at https://www.grants.gov or the 
GrantSolutions system at https://www.GrantSolutions.gov. To obtain a 
hard copy of the Application Kit, contact WilDon Solutions at 1-888-
203-6161. Applicants may fax a written request to WilDon Solutions at 
(240) 453-8823 or email the request to OPHSgrantinfo@teamwildon.com. 
Applications must be prepared using Form OPHS-1, which can be obtained 
at the websites noted above.
    2. Content and Form of Application and Submission: At a minimum, 
each application for a cooperative agreement grant funded under this 
announcement must include the information listed below to be considered 
for funding:
    (a) A collaborative partnership that includes a mix of the 
following types of organizations--public and private academic 
institutions and hospitals, medical groups/practices, community-based 
and faith-based organizations, tribes and tribal organizations, and 
organizations with expertise relevant to the HP 2010 objectives 
selected, SWHCs, and organizations with women's health and gender-
focused programs and experience;
    (b) A description of the present system, its accomplishments to 
date as related to HP 2010 objectives or gender-based activities, and a 
description of how a gender focus and increased funding will enhance 
the effectiveness

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and efficiency of the public health system/collaborative partnership;
    (c) The type, source, purpose, and duration of funding the 
applicant and the partners have to help support the activities proposed 
for this initiative as well as the contact information for the 
Principal Investigator/Program Director;
    (d) A clear statement of HP 2010 Focus Areas and objectives that 
will be addressed by the grant and how they will benefit the community, 
county, region, State or tribe;
    (e) A description demonstrating experience with the objectives 
selected and in women and men's health/gender health and gender-focused 
programs;
    (f) A comprehensive implementation plan that describes how 
objectives and outcomes will be achieved over the funding period and 
how progress towards objectives' targets and program outcomes will be 
tracked and measured annually;
    (g) Baseline and target data for the objectives and the population 
that will be the focus of the selected objectives, the targets for the 
next three years, and the plan/strategy of reaching the targets;
    (h) A description of the total population to be reached by the 
proposed grant program and a description of activities to reach the 
population;
    (i) A clear statement of the applicant's targets and short- and 
long-term outcome measures for the three years and the applicant's 
plan/strategy for reaching the targets;
    (j) A Steering Committee to oversee and monitor the implementation 
of the work plan that includes, at a minimum, a representative from 
each partner organization and a lay community person;
    (k) A comprehensive description of the program evaluation plan;
    (l) A partnership plan that describes in detail the role of each 
partner, the service(s) to be provided, the individual responsible for 
coordinating the services at the partner organization, how resources 
will be distributed among the partners, and a signed Memorandum of 
Agreement (MOA) for each partner;
    (m) A discussion demonstrating relevant involvement of the partners 
in the development of the application and plans to carry out the 
proposed program activities; and
    (n) A clear plan to continue the proposed activity(ies) after OWH 
funding has ended.
    The Project Narrative must not exceed a total of 30 double-spaced 
pages, excluding the appendices. All pages must be numbered clearly and 
sequentially. The application must be typed double-spaced on one side 
of plain 8'' x 11'' white paper, using at least a 12 point font, and 
1'' margins all around. The application should be organized in 
accordance with the format presented below. The information to be 
included in the ``Project Narrative'' section is also presented below.
    Applications submitted via hard copy must be stapled and/or 
otherwise securely bound. Applicants are required to submit an original 
ink-signed and dated application and two photocopies. Applications not 
adhering to this guidance may not be reviewed. All applicants must pay 
particular attention to structuring the narrative to respond clearly 
and fully to each Review Factor and associated review criteria.

Background

    A. Describe the current public health system/collaborative 
partnership and why the public health system/collaborative partnership 
was formed.
    B. Describe the population and geographic area served by the 
current public health system/collaborative partnership and the services 
provided.
    C. Provide an overview of the applicant's organization and 
experience related to the selected HP 2010 Focus Areas and objectives 
and with other HP 2010-related programs and/or activities.
    D. Describe experience/involvement with women's and/or men's health 
and gender-focused programs.
    E. Describe experience implementing and managing comprehensive, 
integrated, multidisciplinary programs.
    F. Describe the public health system/collaborative partnership's 
experience with the HP 2010 initiative.
    G. State goal and purpose of the proposed program. Include the 
number and demographics of the population to be served by the program. 
Use Table 6 to provide the demographic information on the targeted 
population.
    H. Describe changes to the public health system/collaborative 
partnership to fulfill the proposed program's purpose.
    I. Describe how the public health system/collaborative partnership 
will be enhanced with a gender focus.

Implementation Plan

    A. State the disease Focus Area and objective(s) and the cross-
cutting Focus Area and objective(s) to be addressed by the system using 
Table 1 in the Application Kit.
    B. Provide baseline data for HP 2010 objectives and targets for the 
program in Table 2.
    C. Describe the evidence-based strategy(ies) to be implemented to 
reach the objectives within the 3-year funding period and plans for 
implementing it. Also use Table 4 to present this information.
    D. Describe the program outcomes and tasks to be accomplished 
during the 3-year funding period. List the tasks, the individual or 
organization with the lead responsibility for completion of the task, 
and the period of time required to complete the tasks (Table 5).
    E. Describe programs and activities already in place to help 
support the selected Healthy People 2010 objectives. Include partners' 
programs and activities (Table 7).
    F. Describe the role each partner will play in the implementation 
of the proposed program tasks to ensure that the tasks are accomplished 
by the dates reported in the timeline.
    G. Describe the resources already available and/or the resources 
that will be made available to support each task. Use Tables 7 and 8 to 
report this information in detail.
    H. Describe the composition of the Steering Committee, their role, 
and how their advice and guidance will be conveyed, implemented, and 
monitored. Use Table 6 to provide more detailed information about each 
member of the Steering Committee.

Partnership Plan

    A. Provide a complete list of partners using Table 5, their primary 
area(s) of expertise, and their role/responsibility to ensure that the 
proposed program's goals and the HP 2010 selected objectives' targets 
are met (Table 5).
    B. Describe partners' role in the development of the application.
    C. Include in the appendix of the application signed MOAs that 
specify the services the partners will provide and the contact 
information for the person serving as the main liaison for the 
partnering organizations. A sample MOA is provided in the Application 
Kit. Letters of support are not required for this proposal.
    D. Describe how resources will be distributed among the partners.
    E. Describe how partner activities will be factored into 
measurements of progress toward achieving selected HP 2010 targets.
    F. Describe the role of the State Women's Health Coordinator.

Management Plan

    A. List key program staff and provide resumes for all budgeted and 
in-kind staff.
    B. Describe staff experience and how it relates to their project 
responsibilities.
    C. Describe the relationship of the Steering Committee, partners, 
and the applicant organization.

[[Page 19517]]

    D. Provide an organizational chart depicting the grant 
administration structure.
    E. Provide a task chart/timeline with projected start and end dates 
for all program activities. This timeline should depict all program 
activities including reports, meetings, etc. and is in addition to the 
timeline for program tasks presented in Table 4.
    F. Discuss how the program's progress will be monitored and 
strategies for keeping tasks on track.
    G. Describe how partner activities will be monitored and assessed.

Evaluation Plan

    A. Describe the program evaluation methodology.
    B. Describe the surveillance system implemented for the program.
    C. List the program objectives using SMART style and how these 
objectives will be met.
    D. Describe the data sources and how the data will be obtained.
    E. Describe how progress towards objectives and targets will be 
tracked and measured.
    F. Describe short- and long-term program outcomes and how they will 
be tracked and measured.
    G. Include a timeline for the evaluation.

Sustainability Plan

    A. Provide a clear, detailed plan to sustain the public health 
system/collaborative partnership and program activities after OWH 
funding ends.
    B. Describe the goal and purpose of sustaining the program beyond 
2010.
    C. Describe the benefits of sustaining the program (e.g., 
maintenance of the health benefits achieved through the initial 
program).
    D. Describe how the program will be sustained/institutionalized.
    E. Describe experience sustaining past programs.
    F. Describe any factors in the program design and implementation 
plan or with the applicant and partners' organizational settings that 
may facilitate sustainability.

Appendices

    A. Required Forms (Assurance of Compliance Form, list of funding 
sources, etc.)
    B. Key Staff Resumes
    C. Signed Partnership MOAs
    D. Program Timeline
    E. Organization Chart
    F. State Women's Health Coordinator Letter
    G. Tables 1-9 in the Application Kit, if not included in the 
program narrative
    H. Other Attachments
    3. Submission Dates and Times. To be considered for review, 
applications must be received by the Office of Public Health and 
Science, Office of Grants Management, c/o WilDon Solutions, by 5 p.m. 
Eastern Time on the due date published in Dates section of the Federal 
Register. Applications will be considered as meeting the deadline if 
they are received on or before the deadline date. The application due 
date requirement in this announcement supersedes the instructions in 
Form OPHS-1.

Submission Mechanisms

    The Office of Public Health and Science (OPHS) provides multiple 
mechanisms for the submission of applications, as described in the 
following sections. Applicants will receive notification via mail from 
the OPHS Office of Grants Management confirming the receipt of 
applications submitted using any of these mechanisms. Applications 
submitted to the OPHS Office of Grants Management after the deadlines 
described below will not be accepted for review. Applications which do 
not conform to the requirements of the grant announcement will not be 
accepted for review and will be returned to the applicant.
    While applications are accepted in hard copy, the use of the 
electronic application submission capabilities provided by the 
GrantSolutions system or the Grants.gov Web site Portal is encouraged. 
Applications may only be submitted electronically via the electronic 
submission mechanisms specified below. Any applications submitted via 
any other means of electronic communication, including facsimile or 
electronic mail, will not be accepted for review.
    Electronic grant application submissions must be submitted no later 
than 5 p.m. Eastern Time on the deadline date specified in the DATES 
section of the announcement using one of the electronic submission 
mechanisms specified below. All required hardcopy original signatures 
and mail-in items must be received by the OPHS Office of Grants 
Management, c/o WilDon Solutions no later than 5 p.m. Eastern Time on 
the next business day after the deadline date specified in the DATES 
section of the announcement.
    Applications will not be considered valid until all electronic 
application components, hardcopy original signatures, and mail-in items 
are received by the OPHS Office of Grants Management according to the 
deadlines specified above. Application submissions that do not adhere 
to the due date requirements will be considered late and will be deemed 
ineligible.
    Applicants are encouraged to initiate electronic applications early 
in the application development process, and to submit early on the due 
date or before. This will aid in addressing any problems with 
submissions prior to the application deadline.

Electronic Submissions Via the Grants.gov Web Site Portal

    The Grants.gov Web site Portal provides organizations with the 
ability to submit applications for OPHS grant opportunities. 
Organizations must successfully complete the necessary registration 
processes in order to submit an application. Information about this 
system is available on the Grants.gov Web site: https://www.grants.gov.
    In addition to electronically submitted materials, applicants may 
be required to submit hard copy signatures for certain Program related 
forms, or original materials as required by the announcement. It is 
imperative that the applicant review both the grant announcement, as 
well as the application guidance provided within the Grants.gov 
application package, to determine such requirements. Any required hard 
copy materials, or documents that require a signature, must be 
submitted separately via mail to the OPHS Office of Grants Management, 
c/o WilDon Solutions, and if required, must contain the original 
signature of an individual authorized to act for the applicant agency 
and the obligations imposed by the terms and conditions of the grant 
award. When submitting the required forms, do not send the entire 
application. Complete hard copy applications submitted after the 
electronic submission will not be considered for review.
    Electronic applications submitted via the Grants.gov Website Portal 
must contain all completed online forms required by the application 
kit, the Program Narrative, Budget Narrative and any appendices or 
exhibits. All required mail-in items must be received by the due date 
requirements specified above. Mail-in items may only include 
publications, resumes, or organizational documentation. When submitting 
the required forms, do not send the entire application. Complete hard 
copy applications submitted after the electronic submission will not be 
considered for review.
    Upon completion of a successful electronic application submission 
via the Grants.gov Website Portal, the applicant will be provided with 
a confirmation page from Grants.gov indicating the date and time 
(Eastern

[[Page 19518]]

Time) of the electronic application submission, as well as the 
Grants.gov Receipt Number. It is critical that the applicant print and 
retain this confirmation for their records, as well as a copy of the 
entire application package.
    All applications submitted via the Grants.gov Web site Portal will 
be validated by Grants.gov. Any applications deemed ``Invalid'' by the 
Grants.gov Web site Portal will not be transferred to the 
GrantSolutions system, and OPHS has no responsibility for any 
application that is not validated and transferred to OPHS from the 
Grants.gov Website Portal. Grants.gov will notify the applicant 
regarding the application validation status. Once the application is 
successfully validated by the Grants.gov Web site Portal, applicants 
should immediately mail all required hard copy materials to the OPHS 
Office of Grants Management, c/o WilDon Solutions, to be received by 
the deadlines specified above. It is critical that the applicant 
clearly identify the Organization name and Grants.gov Application 
Receipt Number on all hard copy materials.
    Once the application is validated by Grants.gov, it will be 
electronically transferred to the GrantSolutions system for processing. 
Upon receipt of both the electronic application from the Grants.gov Web 
site Portal, and the required hardcopy mail-in items, applicants will 
receive notification via mail from the OPHS Office of Grants Management 
confirming the receipt of the application submitted using the 
Grants.gov Web site Portal.
    Applicants should contact Grants.gov regarding any questions or 
concerns regarding the electronic application process conducted through 
the Grants.gov Web site Portal.

Electronic Submissions Via the GrantSolutions System

    The electronic grants management system, https://
www.GrantSolutions.gov, provides for applications to be submitted 
electronically. When submitting applications via the GrantSolutions 
system, applicants are required to submit a hard copy of the 
application face page (Standard Form 424 included in Form OPHS-1) with 
the original signature of an individual authorized to act for the 
applicant agency and assume the obligations imposed by the terms and 
conditions of the grant award. If required, applicants will also need 
to submit a hard copy of the Standard Form LLL and/or certain Program 
related forms (e.g., Program Certifications) with the original 
signature of an individual authorized to act for the applicant agency. 
When submitting the required forms, do not send the entire application. 
Complete hard copy applications submitted after the electronic 
submission will not be considered for review.
    Electronic applications submitted via the GrantSolutions system 
must contain all completed online forms required by the application 
kit, the Program Narrative, Budget Narrative and any appendices or 
exhibits. The applicant may identify specific mail-in items to be sent 
to the Office of Grants Management separate from the electronic 
submission; however these mail-in items must be entered on the 
GrantSolutions Application Checklist at the time of electronic 
submission, and must be received by the due date requirements specified 
above. Mail-in items may only include publications, resumes, or 
organizational documentation. When submitting the required forms, do 
not send the entire application. Complete hard copy applications 
submitted after the electronic submission will not be considered for 
review.
    Upon completion of a successful electronic application submission, 
the GrantSolutions system will provide the applicant with a 
confirmation page indicating the date and time (Eastern Time) of the 
electronic application submission. This confirmation page will also 
provide a listing of all items that constitute the final application 
submission including all electronic application components, required 
hardcopy original signatures, and mail-in items, as well as the mailing 
address of the OPHS Office of Grants Management where all required hard 
copy materials must be submitted.
    As items are received by the OPHS Office of Grants Management, the 
electronic application status will be updated to reflect the receipt of 
mail-in items. It is recommended that the applicant monitor the status 
of their application in the GrantSolutions system to ensure that all 
signatures and mail-in items are received.

Mailed or Hand-Delivered Hard Copy Applications

    Applicants who submit applications in hard copy (via mail or hand-
delivered) are required to submit an original and two copies of the 
application. The original application must be signed by an individual 
authorized to act for the applicant agency or organization and to 
assume for the organization the obligations imposed by the terms and 
conditions of the grant award.
    Mailed or hand-delivered applications will be considered as meeting 
the deadline if they are received by the OPHS Office of Grant 
Management, c/o WilDon Solutions, on or before 5 p.m. Eastern Time on 
the deadline date specified in the DATES section of the announcement. 
The application deadline date requirement specified in this 
announcement supersedes the instructions in the Form OPHS-1. 
Applications that do not meet the deadline will be returned to the 
applicant unread.
    4. Intergovernmental Review: This program is subject to the Public 
Health Systems Reporting Requirements. Under these requirements, a 
community-based non-governmental applicant must prepare and submit a 
Public Health System Impact Statement (PHSIS). Applicants shall submit 
a copy of the application face page (SF-424) and a one page summary of 
the project, called the Public Health System Impact Statement. The 
PHSIS is intended to provide information to State and local health 
officials to keep them apprised of proposed health services grant 
applications submitted by community-based, non-governmental 
organizations within their jurisdictions.
    Community-based, non-governmental applicants are required to 
submit, no later than the Federal due date for receipt of the 
application, the following information to the head of the appropriate 
State and local health agencies in the area(s) to be impacted: (a) A 
copy of the face page of the application (SF 424), (b) a summary of the 
project (PHSIS), not to exceed one page, which provides: (1) A 
description of the population to be served, (2) a summary of the 
services to be provided, and (3) a description of the coordination 
planned with the appropriate state or local health agencies. Copies of 
the letters forwarding the PHSIS to these authorities must be contained 
in the application materials submitted to the OWH.
    This program is also subject to the requirements of Executive Order 
12372 that allows States the option of setting up a system for 
reviewing applications from within their States for assistance under 
certain Federal programs. The application kit to be made available 
under this notice will contain a listing of States that have chosen to 
set up a review system and will include a State Single Point of Contact 
(SPOC) in the State for review. Applicants (other than federally 
recognized Indian tribes) should contact their SPOC as early as 
possible to alert them to the prospective applications and receive any 
necessary instructions on the State process. For proposed projects 
serving more than one State, the applicant is advised to contact the 
SPOC in each affected State. A

[[Page 19519]]

complete list of SPOC may be found at the following Web site: https://
www.whitehouse.gov/omb/grants/spoc.html. The due date for State process 
recommendations is 60 days after the application deadline. The OWH does 
not guarantee that it will accommodate or explain its responses to 
State process recommendations received after that date. (See 
``Intergovernmental Review of Federal Programs,'' Executive Order 
12372, and 45 CFR part 100 for a description of the review process and 
requirements.)
    5. Funding Restrictions: Funds may not be used for construction, 
building alterations, equipment, printing, food, and medical treatment. 
All budget requests must be justified fully in terms of the proposed 
goals and objectives of the program and include an itemized 
computational explanation/breakout of how costs were determined.
    6. Other Submission Requirements: As of October 1, 2003, all 
applicants are required to obtain a Data Universal Numbering System 
(DUNS) number as preparation for doing business electronically with the 
Federal Government. The DUNS number must be obtained prior to applying 
for OWH funds. The DUNS number is a nine-character identification code 
provided by the commercial company Dun & Bradstreet, and serves as a 
unique identifier of business entities. There is no charge for 
requesting a DUNS number, and you may register and obtain a DUNS number 
by either of the following methods:
    Telephone: 1-866-705-5711.
    Web site: https://eupdate.dnb.com/requestOptions.html.
    Please note that registration via the Web site may take up to 30 
business days to complete.

V. Application Review Information

    Applications will be screened upon receipt. Those that are judged 
to be incomplete or arrive after the deadline will not be reviewed. 
Applications that are judged to be in compliance will be reviewed for 
technical merit by a technical review panel composed of experts with 
experience with sex and gender programs, program management, service 
delivery, outreach, health education, Healthy People 2000 and/or 
Healthy People 2010, leadership development, and program assessment in 
accordance with DHHS policies. Consideration for award will be given to 
applicants that best demonstrate progress and/or plausible strategies 
for eliminating health disparities through sex and gender targeted HP 
2010 objectives. Applicants are also advised to pay close attention to 
the specific program guidelines and general instructions in the 
Application Kit.
    1. Criteria: The technical review of applications will consider the 
following factors:

Factor 1: Background and Implementation Plan (30 Points)

    To receive the maximum points for this Factor, the applicant must 
address all the items listed in the Background and Implementation Plan 
in Section IV. Application and Submission Information. At a minimum, 
the HP 2010 objectives selected must be stated clearly with baseline 
and target data for the objectives and for the population to be served. 
In addition, the overall program objectives must also be stated in 
SMART format. Using the example stated earlier, a SMART objective for 
Focus Area 12--Heart Disease and Stroke may be: In State X, the 
applicant will increase the number of Hispanic men age 35-50 who have 
their high blood pressure under control from x% to y% in three years by 
increasing the percent of Hispanic men with a usual primary care 
provider. The rationale for the selection of the objectives and the 
anticipated impact on the community, if the target is reached, must 
also be described. The rationale may be that several studies (provide 
references) show that uninsured people are less likely to have a 
regular source of care, less likely to receive preventive and primary 
care, less likely to receive required preventive services, and more 
likely to delay needed medical care than insured people. One activity 
of the evidence-based strategy (provide references) may be to use an 
Eligibility Specialist to help enroll these men in all social services 
programs for which they are eligible to assist them in receiving 
insurance coverage, or other financial support, to pay for needed care, 
thus increasing their chance of receiving the services needed to help 
control their blood pressure.
    All applicants must achieve, at a minimum, the following three 
outcomes: establish a gender focus within the public health system/
collaborative partnership, implement a surveillance/tracking system, 
and develop and implement a sustainability plan. Plans for achieving 
each of the overall program outcomes that should be included in the 
Implementation Plan, not just those listed above, must be described. 
Outcome measures, beyond process measures, must also be described along 
with plans to track and report HP 2010 and overall program outcomes. 
Applicants should also address their resources and ability to meet the 
tribal, county, State, or national HP 2010 targets. The baseline data 
for the individual HP 2010 objectives have been published by the 
National Center for Health Statistics and are available on the DATA2010 
Web site located at https://wonder.cdc.gov/data2010/. States may have 
published their own HP 2010 data. The HP 2010 Midcourse Review assesses 
progress toward the Healthy People 2010 objectives at the mid-point of 
the decade and is available at https://www.healthypeople.gov/Data/
midcourse. These data, along with the tribal, State, local, or county 
data should be used to develop a plan to measure the impact of 
additional resources on the applicant's ability to meet the HP 2010 
targets. Applicants must provide a projection of their success (percent 
of targeted change achieved) without the additional support and a 
projection of their success with the additional support. A plan to 
objectively track and quantify progress toward target(s) annually must 
be included in the evaluation section of the grant application Factor 
4.

Factor 2: Strength of the Public Health System/Collaborative 
Partnerships (Partnership Plan) (20 Points)

    To receive the maximum points for this Factor, the applicant must 
address all the items listed in the Partnership Plan in Section IV. 
Application and Submission Information. At a minimum, the applicants 
must include a statement of the program goal(s) and objectives. The 
public health system/collaborative partnership, as a collective, must 
have demonstrated knowledge, experience, and resources to enhance their 
chance of reaching the national, State, county, or tribal HP 2010 
targets for the objectives selected. The applicant must include a 
comprehensive description of the current public health system/
collaborative partnership and describe how the public health system/
collaborative partnership is presently addressing HP 2010 objectives 
and gender issues. A partnership plan that lists each partner, 
describes in detail the role of each partner, their strengths/expertise 
as it relates to the selected HP 2010 objectives, the experience of the 
person assigned as the liaison to the project, and the percent effort 
for the liaison to work on project activities must also be included in 
this section. The length of the formal relationship between the 
partners and applicant should be described. The partnership tables 
(Tables 5 and 8) must be used to present this information. The length 
of the collaboration may date back to a non-HP 2010 activity. 
Applicants are encouraged to include the State

[[Page 19520]]

Women's Health Coordinators (SWHCs) among their partners. A letter from 
the SWHC stating her willingness to participate in the system/
collaborative partnership and her role on the project should be 
included in the Appendix.

Factor 3: Management Plan (20 Points)

    To receive the maximum points for this Factor, the applicant must 
address all the items listed in the Management Plan in Section IV. 
Application and Submission Information. At a minimum, applicant 
organizations must describe their capability to manage the project as 
determined by the qualifications of the proposed staff; proposed staff 
level of effort; management experience of the staff; and the 
experience, resources, and role of each partner organization as it 
relates to program needs and activities. Resumes of key staff and 
partners should be included in the Appendix. Include the name, degrees 
earned, position, and FTE equivalent for each person/partner working on 
the program and listed in the Key Staff table. This table should 
provide enough information to identify the number of key personnel 
(salaried and in-kind) involved in the program (Table 9). Partners' 
liaison information should also be included in this chart. If the 
partners' liaison is different from the person serving on the Steering 
Committee, that individual's information should be included in this 
section. The Management Plan should also describe succession planning 
for key personnel and cross training of responsibilities. It should 
also include a description detailing how the resources of the partners 
and the applicant organization will be integrated to develop a 
comprehensive, integrated, multidisciplinary strategy to address the 
selected program and HP 2010 objectives.

Factor 4: Evaluation Plan (20 Points)

    To receive the maximum points for this Factor, the applicant must 
address all the items listed in the Evaluation Plan in Section IV. 
Application and Submission Information. At a minimum, the applicant 
must provide a comprehensive description of how the program will be 
evaluated, especially as it relates to outcomes. This description 
should include a timeline, a discussion of data sources and how the 
data will be obtained and used. The OWH is particularly interested in 
tracking progress towards target(s). In addition, describe the impact 
of the additional resources on the public health system/collaborative 
partnership's ability to meet tribal, local, State, or national HP 2010 
target(s) and how progress towards target(s) will be measured.

Factor 5: Sustainability Plan (10 Points)

    To receive the maximum points for this Factor, the applicant must 
address all the items listed in the Sustainability Plan in Section IV. 
Application and Submission Information. The goals of sustaining the 
program may be: (1) To maintain the benefits achieved through the 
program, (2) to institutionalize the program within the parent-grant 
organization and among the partners, (3) to keep component(s) of the 
program operational after the OWH funding ends, or (4) others. At a 
minimum, the sustainability plan should describe how the program will 
be maintained after OWH funding ends and the benefit of the sustained 
program to the target population. The plan should also address 
anticipated long-range benefits to the community, tribe, region, State, 
and/or county. Thoughtful succession planning and cross training of 
responsibilities could contribute to the sustainability of the program. 
Describe succession planning and plans to cross train within individual 
organizations and across the public health system/collaborative 
partnership.
    2. Review and Selection Process: Accepted applications will be 
reviewed for technical merit in accordance with DHHS policies. 
Applications will be evaluated by an objective/technical review panel 
composed of experts in the fields of public health systems, program 
management, academic/community service delivery, outreach, health 
education, women's health, men's health, Healthy People 2000/2010, and 
evaluation. Consideration for award will be given to applicants that 
meet the goals and review criteria of the ASIST2010 programs.
    Funding decisions will be made by the OWH, and will take into 
consideration the recommendations and ratings of the review panel, 
program needs, stated preferences, the recommendations made based on 
the pre-award site visit, and the availability of Federal funds.

VI. Award Administration Information

    1. Award Notices: Within a month of the review of all applications, 
applicants not scoring in the funding range will receive a letter 
stating that they have not been recommended for funding. Applicants 
scoring in the funding range will be contacted to schedule a pre-award 
site visit. Applicants selected for funding support will receive a 
Notice of Grant Award in September signed by the Grants Management 
Officer. This is the authorizing document to begin performing grant 
activities and it will be sent electronically and followed up with a 
mailed copy. Pre-award costs are not supported by the OWH.