[Federal Register Volume 59, Number 106 (Friday, June 3, 1994)] [Unknown Section] [Page 0] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 94-13505] [[Page Unknown]] [Federal Register: June 3, 1994] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Toxic Substances and Disease Registry [Program Announcement Number 444] Health Studies Related to the National Exposure Registry Introduction The Agency for Toxic Substances and Disease Registry (ATSDR) announces the availability of fiscal year (FY) 1994 funds for a cooperative agreement/grant program to conduct health studies of trichloroethylene (TCE)-exposed subpopulations that comprise the TCE Subregistry of the National Exposure Registry. The studies will address health conditions identified by ATSDR as potential health conditions associated with environmental exposure to TCE, with emphasis on neurotoxic disorders. The recipient will utilize the National Exposure Registry Trichloroethylene (TCE) Subregistry database in designing and executing these studies. The Public Health Service (PHS) is committed to achieving the health promotion and disease prevention objectives of ``Healthy People 2000,'' a PHS-led national activity to reduce morbidity and mortality and improve the quality of life. This announcement is related to the priority area of Environmental Health. (For ordering a copy of ``Healthy People 2000,'' see the section Where to Obtain Additional Information.) Authority: This program is authorized under sections 104(i)(1)(E),(7), and (15) of the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) of 1980 as amended by the Superfund Amendments and Reauthorization Act (SARA) of 1986, (42 U.S.C. 9604 (i)(1)(E),(7), and (15)). Smoke-Free Workplace The PHS strongly encourages all grant recipients to provide a smoke-free workplace and promote the non-use of all tobacco products. This is consistent with the PHS mission to protect and advance the physical and mental health of the American People. Eligible Applicants Eligible applicants are the official public health agencies of States or their bona fide agents. This includes the District of Columbia, American Samoa, the Commonwealth of Puerto Rico, the Virgin Islands, the Federated States of Micronesia, Guam, the Northern Mariana Islands, the Republic of the Marshall Islands, the Republic of Palau, and federally-recognized Indian tribal governments. State organizations, including State universities, State colleges, and State research institutions, must establish that they meet their respective State's legislature definition of a State entity or political subdivision to be considered an eligible applicant. Availability of Funds Approximately $1,000,000 is available in FY 1994 to fund 3-5 new and competing awards. It is expected that the average award will be $200,000, ranging from $100,000 to $300,000. It is expected that the awards will begin on or about September 30, 1994, and will be made for a 12-month budget period within a project period of up to 3 years. Continuation awards within the project period will be made on the basis of satisfactory progress and the availability of funds. Purpose The purpose of this announcement is to solicit scientific proposals designed to study the occurrence of/and risk factors for specified health outcomes for persons who have had documented environmental exposure to TCE through drinking or using contaminated water. The study population will include all, or a subset, of the TCE Subregistry registrants. These studies will increase the knowledge base, and hence improve the ability of public health programs to address potential public health problems related to exposure to hazardous substances. Several research topics were suggested based on the analysis of the TCE Subregistry baseline data. The topics are to be considered suggestions and not limitations. These topics are: --Hearing, speech impairment in subpopulation exposed at10 years of age (neurological disorders) --Cardiac problems (possibly congenital) in subpopulation exposed at 10 years of age --Diabetes --Hypertension/stroke/heart problems in adult subpopulation Program Requirements The TCE baseline data and documentation are available on CD-ROM (4.75 inch disc) which is accessed using the Statistical Export and Tabulation System (SETS), data format ISO 9660. This can be run on a fully IBM-compatible microcomputer 286/386/486 with 640K of memory, three megabytes of free space on a hard drive, an operating system of MS-DOS 3.1 or higher and a fully installed CD-Rom reader. Applicants must propose studies which will address one or more of the following areas of investigation: A. Evaluate the occurrence of adverse health effects in the identified population. This will include the evaluation of the incidence or prevalence of a disease, disease symptoms, self-reported health concerns, or biological markers of disease, susceptibility, or exposure (see Purpose section for the specific disease outcomes specified). B. Identify risk factors for adverse health effects in the identified populations. This will include hypothesis generating cohort or case-control studies on potentially impacted populations to identify linkages between exposure and adverse health effects and those risk factors which may be impacted by prevention actions. (See Purpose section for a listing of the adverse health effects of concern.) C. Develop methods to diagnose adverse health effects (see Purpose section for the adverse health effects of concern) in populations. This will include medical research to evaluate currently available biological tests (biomarkers) and disease occurrence in potentially impacted populations. ATSDR will provide financial assistance to applicants in designing and executing analytic epidemiologic studies to explore the relationship between exposure to hazardous substances and the occurrence of, and risk factors for, environmental exposure to TCE through drinking and using contaminated water, using all or a subset of the TCE Subregistry registrants. Applicants must specify the type of award for which they are applying, either grant or cooperative agreement. These two types of Federal assistance are explained below. A. Grants In a grant, the applicant will be required to conduct the proposed study without substantial programmatic involvement by ATSDR. Grantees must meet the following requirements: The application should be presented in a manner that demonstrates the applicant's ability to address the environmental health problems. The applicant's protocol should contain consent forms and questionnaires, baseline morbidity and mortality information, procedures for collecting biologic and environmental specimens and for conducting laboratory analysis and evaluation of the test results of biologic specimens, statistical and epidemiologic analysis of the study information, and a description of the safeguards for protecting the confidentiality of individuals on whom data are collected. By comparison, the activities of the recipient and the ATSDR for a cooperative agreement are described in paragraph B. B. Cooperative Agreements In a cooperative agreement, ATSDR will assist the collaborator in conducting the study. The application should be presented in a manner that demonstrates the applicant's ability to address the health problem in a collaborative manner with the funding agency. In conducting activities to achieve the purpose of this program, the recipient shall be responsible for the activities under 1., below and ATSDR shall be responsible for conducting activities under 2., below: 1. Recipient Activities a. Recipient will design, develop, and implement a protocol to conduct the necessary study of exposed individuals. b. Recipient is required to provide proof, by citation of State code or regulation or other State pronouncement given the authority of law, that medical information obtained pursuant to the agreement, which pertains to an individual and is therefore considered confidential, will be protected from disclosure when the consent of the individual to release identifying information is not obtained. c. If study requires knowledge of registrant personal identifiers, recipient will develop a mechanism, working through ATSDR, for interaction with the affected community to obtain necessary permission for the release of this information to the recipient. 2. ATSDR Activities a. ATSDR will assist in developing the study. b. ATSDR will provide epidemiologic and other technical assistance in both the planning and implementation phases of the field work called for under the study protocol. c. ATSDR will provide consultation and assist in monitoring the collection and handling of information and the sampling and testing activities. d. ATSDR will participate in the statistical and epidemiologic analysis. e. ATSDR will collaborate in interpreting the study findings. f. ATSDR will assist (act as the intermediary) in obtaining registrant permission for the release to the recipient of personal information. g. ATSDR will conduct technical and peer review. Evaluation Criteria Applications will be reviewed and evaluated for scientific and technical merit according to the following criteria: A. Scientific and Technical Review Criteria of New Applications 1. Appropriateness and Knowledge of Study Design--25% The extent to which the applicant's proposal addresses: (a) Rationale for the proposed study design; (b) the identification of a target (exposed/diseased) population; (c) the identification of an appropriate comparison group; (d) a consideration of sample size; (e) a plan for exposure assessment and/or a plan for evaluating adverse health outcomes; and (f) a detailed plan for analysis of the data. 2. Proposed Study--25% The adequacy of the proposal relevant to: (a) The study purpose, objectives, and rationale; (b) the quality of program objectives in terms of specificity, measurability, and feasibility; (c) the specificity and feasibility of the applicant's timetable for implementing program activities and timely completion of the study; and (d) the likelihood of the applicant agency completing proposed program activities and attaining proposed objectives based on the thoroughness and clarity of the overall program. 3. Relationship to Initiative--15% The extent to which the application addresses the areas of investigation outlined by ATSDR. 4. Quality of Data Collection--15% The extent to which: (a) The study ascertains the information necessary to meet the objectives, including (but not limited to) information on pathways of exposure, confounding factors, and biomedical testing; (b) the quality control and quality assurance of questionnaire data are provided, including (but not limited to) interviewer training and consistency checks of data; (c) the laboratory tests (if applicable) are sensitive and specific for the analyte or disease outcome of interest; and d) the quality control, quality assurance, precision and accuracy of information for the proposed tests are provided and acceptable. 5. Applicant Capability and Coordination Efforts--10% The extent to which the proposal has described: (a) The capability of the applicant's administrative structure to foster successful scientific and administrative management of a study; (b) the capability of the applicant to demonstrate an appropriate plan for interaction with the community; and (c) the suitability of facilities and equipment available or to be purchased for the project. 6. Program Personnel--10% The extent to which the proposed program staff is qualified and appropriate, and the time allocated for them to accomplish program activities is adequate. 7. Program Budget--(Not Scored) The extent to which the budget is reasonable, clearly justified, and consistent with intended use of cooperative agreement/grant funds. B. Review of Continuation Applications Continuation awards within the project period will be made on the basis of the following criteria: 1. Satisfactory progress has been made in meeting project objectives; 2. Objectives for the new budget period are realistic, specific, and measurable; 3. Proposed changes in described long-term objectives, methods of operation, need for grant support, and/or evaluation procedures will lead to achievement of project objectives; and 4. The budget request is clearly justified and consistent with the intended use of grant funds. Executive Order 12372 Applications are subject to the Intergovernmental Review of Federal Programs as governed by Executive Order (E.O.) 12372. E.O. 12372 sets up a system for State and local government review of proposed Federal assistance applications. Applicants (other than federally-recognized Indian tribal governments) should contact their State Single Point of Contact (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 for each affected State. A current list of SPOCs is included in the application kit. If SPOCs have any State process recommendations on applications submitted to CDC, they should forward them to Henry S. Cassell, III, Grants Management Officer, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry Road, NE., room 300, Mailstop E-13, Atlanta, GA 30305, no later than 60 days after the application deadline. (By formal agreement, the CDC Procurement and Grants Office will act on behalf of and for ATSDR on this matter.) The granting agency does not guarantee to ``accommodate or explain'' for State process recommendations it receives after that date. Indian tribes are strongly encouraged to request tribal government review of the proposed application. If tribal governments have any tribal process recommendations on applications submitted to CDC, they should forward them to Henry S. Cassell, III, Grants Management Officer, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry Road, NE., Mailstop E-13, Atlanta, GA 30305. This should be done no later than 60 days after the application deadline date. The granting agency does not guarantee to ``accommodate or explain'' for tribal process recommendations it receives after that date. Public Health System Reporting Requirements This program is not subject to the Public Health System Reporting Requirements. Catalog of Federal Domestic Assistance Number The Catalog of Federal Domestic Assistance number is 93.161. Other Requirements A. Protection of Human Subjects If the proposed project involves research on human subjects, the applicant must comply with the Department of Health and Human Services Regulation, 45 CFR part 46, regarding the protection of human subjects. Assurances must be provided to demonstrate that the project will be subject to initial and continuing review by an appropriate institutional review committee. In addition to other applicable committees, Indian Health Service (IHS) institutional review committees also must review the project if any component of IHS will be involved or will support the research. If any Native American community is involved, its tribal government must also approve that portion of the project applicable to it. The applicant will be responsible for providing assurance in accordance with the appropriate guidelines and form provided in the application kit. B. Cost Recovery The Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) of 1980, as amended by the Superfund Amendments and Reauthorization Act (SARA) of 1986, provides for the recovery of costs incurred for health assessments and health effects studies at each Superfund site from potentially responsible parties. The recipient would agree to maintain an accounting system that will keep an accurate, complete, and current accounting of all financial transactions on a site-specific basis, i.e., individual time, travel, and associated cost including indirect cost, as appropriate for the site. The recipient would also maintain documentation that describes the site-specific actions taken with respect to the site, e.g., contracts, work assignments, progress reports, and other documents that describe the work performed at a site. The recipient will retain the documents and records to support these financial transactions, for possible use in a cost recovery case, for a minimum of ten (10) years after submission of a final Financial Status Report (FSR), unless there is a litigation, claim, negotiation, audit or other action involving the specific site, then the records will be maintained until resolution of all issues on the specific site. C. Paperwork Reduction Act Projects that involve the collection of information from 10 or more individuals and that are funded by the cooperative agreement mechanism will be subject to review by the Office of Management and Budget (OMB) under the Paperwork Reduction Act. D. Disclosure Recipient is required to provide proof by way of citation to State code or regulation or other State pronouncement given the authority of law, that medical information obtained pursuant to the agreement, pertaining to an individual, and therefore considered confidential, will be protected from disclosure when the consent of the individual to release identifying information is not obtained. E. Third Party Agreements Project activities which are approved for contracting pursuant to the prior approval provisions shall be formalized in a written agreement that clearly establishes the relationship between the grantee and the third party. The written agreement shall at a minimum: 1. State or incorporate by reference all applicable requirements imposed on the contractors under the grant by the terms of the grant, including requirements concerning technical review (ATSDR selected reviewers), release of data, ownership of data, and the arrangement for copyright when publications, data or other copyrightable works are developed under or in the course of work under a PHS grant supported project or activity. 2. State that any copyrighted or copyrightable works shall be subject to a royalty-free, nonexclusive, and irrevocable license to the Government to reproduce, publish, or otherwise use them, and to authorize others to do so for Federal Government purposes. 3. State that whenever any work subject to this copyright policy may be developed in the course of a grant by a contractor under a grant, the written agreement (contract) must require the contractor to comply with these requirements and can in no way diminish the Government's right in that work. 4. State the activities to be performed, the time schedule for those activities, the policies and procedures to be followed in carrying out the agreement, and the maximum amount of money for which the grantee may become liable to the third party under the agreement. 5. The written agreement required shall not relieve the grantee of any part of its responsibility or accountability to PHS under the grant. The agreement shall, therefore, retain sufficient rights and control to the grantee to enable it to fulfill this responsibility and accountability. Application Submission and Deadline The original and two copies of the application PHS Form 5161-1 must be submitted to Henry S. Cassell, III, Grants Management Officer, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry Road, NE., room 300, Mailstop E-13, Atlanta, GA 30305, on or before July 21, 1994. (By formal agreement, the CDC Procurement and Grants Office will act on behalf of and for ATSDR on this matter.) 1. Deadline Applications shall be considered as meeting the deadline if they are either: a. Received on or before the deadline date, or b. Sent on or before the deadline date and received in time for submission to the objective review group. (Applicants must request a legibly dated U.S. Postal Service postmark or obtain a legibly dated receipt from a commercial carrier or the U.S. Postal Service. Private metered postmarks shall not be acceptable as proof of timely mailing.) 2. Late Applications Applications which do not meet the criteria in 1.a. or 1.b. above are considered late applications. Late applications will not be considered in the current competition and will be returned to the applicant. Where to Obtain Additional Information Additional information on application procedures, copies of application forms, other material, and business management assistance may be obtained from Maggie Slay, Grants Management Specialist, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry Road, NE., Mailstop E-13, Atlanta, GA 30305, telephone (404) 842-6797. Programmatic assistance may be obtained from Dr. Jeffrey A. Lybarger, Director, Division of Health Studies, Agency for Toxic Substances and Disease Registry, 1600 Clifton Road, NE., Mailstop E-31, Atlanta, GA 30333, telephone (404) 639-6200. The complete technical report ``National Exposure Registry Trichloroethylene (TCE) Subregistry Baseline Technical Report'' is available through NTIS (# PB93-209187), May 1993. A summary of the technical report, the ``Registrants Report'', and a copy of the questionnaire used to collect the data is available through ATSDR (request by calling Dr. JeAnne Burg, telephone (404) 639-6202. Please refer to Announcement Number 444 when requesting information and submitting an application. Potential Applicants may obtain a copy of ``Healthy People 2000'' (Full Report, Stock No. 017-001-00474-0) or ``Healthy People 2000'' (Summary Report, Stock No. 017-001-00473-1) through the Superintendent of Documents, Government Printing Office, Washington, DC 20402-9325, telephone (202) 783-3238. Dated: May 27, 1994. Claire V. Broome, Acting Deputy Administrator, Agency for Toxic Substances and Disease Registry. [FR Doc. 94-13505 Filed 6-2-94; 8:45 am] BILLING CODE 4163-70-P