[Federal Register Volume 62, Number 24 (Wednesday, February 5, 1997)]
[Notices]
[Pages 5420-5423]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-2800]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Program Announcement Number 717]
National Limb Loss Information Project; Notice of Availability of
Funds for Fiscal Year 1997
Introduction
The Centers for Disease Control and Prevention (CDC), the Nation's
prevention agency, announces the availability of funds in fiscal year
(FY) 1997 for a cooperative agreement program to establish a National
Limb Loss Information Center (NLLIC). Non-renewable financial
assistance will be provided to develop a National Limb Loss Information
Center which will operate as a national clearinghouse to provide
educational material and self-help rehabilitation guidance to persons
with limb loss. In addition, the NLLIC will develop a peer visitation
training initiative that will conduct peer education and training
sessions with hospitals and limb loss support groups.
The CDC is committed to achieving the health promotion and disease
prevention objectives of Healthy People 2000, a national activity to
reduce morbidity and mortality and improve the quality of life. This
announcement is related to the areas of Clinical Preventive Services
and Surveillance and Data Systems.
(For ordering a copy of Healthy People 2000, see the section
``Where to Obtain Additional Information''.)
Authority
This program is authorized by Section 301(a)(42 U.S.C. 241(a)) of
the Public Health Service Act, as amended.
Smoke-Free Workplace
The CDC strongly encourages all grant recipients to provide a
smoke-free workplace and promote the nonuse of all tobacco products,
and Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking
in certain facilities that receive Federal funds in which education,
library, day care, health care, and early childhood development
services are provided to children.
Eligible Applicants
Applications may be submitted by public and private, nonprofit
organizations, and governments and their agencies.
Note: An organization described in section 501(c)(4) of the
Internal Revenue Code of 1986 which engages in lobbying activities
shall not be eligible to receive Federal funds constituting an
award, grant, contract, loan, or any other form.
Availability of Funds
A maximum of $800,000 in FY 1997 funds will be available to award
one non-renewable cooperative agreement. The award will be made on or
before May 31, 1997, for a twelve-month budget period within a project
period of up to 3 years. Succeeding second- and third-year budget
requests should reflect the organization's increasing financial
participation indicating the ability to
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sustain the project once the cooperative agreement has expired. (Budget
period is the interval of time into which the project is divided for
funding and reporting purposes. Project period is the total time for
which a project has been programmatically approved.)
Noncompeting continuation awards for new budget years within the
approved project period will be made on the basis of satisfactory
progress in meeting project objectives and the availability of funds.
Progress will be determined by site visits by CDC, project-generated
progress reports, and the quality of continuation application requests.
Use of Funds
Funds available under this announcement must support activities
directly related to the establishment and operation of a National Limb
Loss Information Center. The award may be used for personnel services,
supplies, equipment, travel, subcontracts, and services directly
related to project activities. Project funds may not be used to
supplant the applicant's pre-existing funds, for construction costs, to
lease or purchase facilities or space, or for patient care. Although
applicants may contract with other organizations under this cooperative
agreement, applicants must perform a substantial portion of the
activities (including program management and operations and delivery of
services) for which funds are requested.
Background
Estimates of persons in the United States that were born with a
congenital limb deficiency or have sustained an amputation are
questionable. Roughly 2,000,000 respondents to the U.S. Census Bureau's
Survey of Income and Program Participation reported a deformity or loss
of a hand, foot, leg or arm as the cause of their disability. The 1983-
1985 National Health Interview Survey reported approximately 400,000
persons with a limb loss. It is estimated that approximately 60,000
surgical amputation procedures are performed a year and this number is
expected to increase. Regardless of the actual numbers of individuals
with limb loss, it is anticipated that current trends and population
growth will contribute to increasing numbers of individuals with limb
loss.
There is an ever increasing need to facilitate the timely
distribution of appropriate information regarding rehabilitation,
health promotion, and other services for persons with limb loss.
Existing information sources are not equipped to handle the increasing
demand for these services. There is a basic inability of individuals to
locate and obtain information relating to their particular situation,
care and rehabilitation. A Harris poll taken for the International
Center for the Disabled indicated that fifty-three percent of the
respondents expressed difficulty in obtaining disability-related
information, and only forty-four percent considered themselves to be
familiar with this type of information. These findings indicate a need
to establish a National Limb Loss Information Center that will collect
and/or develop state of the art rehabilitation and post-rehabilitation
materials and resources for dissemination to persons with limb loss,
their families, and providers responsible for their care.
Purpose
The purpose of this cooperative agreement is to establish a
National Limb Loss Information Center and a peer visitation training
initiative. These initiatives will significantly assist in identifying
gaps in the service network, establish opportunities to bridge the
gaps, provide appropriate and timely educational messages to affected
individuals and their support groups, and facilitate linkages between
individuals with limb loss and available rehabilitative and support
services. It is important that these initiatives provide persons with
limb loss access to resources, information and education needed to make
informed choices to attain the optimal rehabilitation outcomes, return
to productive lifestyles, and prevent related secondary conditions.
Advances in medical science and technology have been extremely
effective in returning persons with limb loss to their customary
lifestyle. Effective rehabilitation outcomes, however, are contingent
upon the ability to provide a broad range of educational and
informational resources to persons with limb loss. This project is
intended to establish a National Limb Loss Information Center that will
serve as a repository for current information on limb loss and be
responsible for operating a national clearinghouse providing guidance
to the public regarding rehabilitation, support services and training
opportunities for persons with limb loss.
Budget and Project Costs
This program has no statutory matching requirement; however,
applicants should demonstrate their capacity to support a portion of
project costs, increase cost-sharing potential over time, and identify
other potential funding sources for continuation of the project at the
conclusion of the three-year project period. Applicants must prepare
budget requests that provide line item specificity for intended
expenditures and a separate budget justification (identifying both
Federal and non-Federal funding sources).
Cooperative Activities
In conducting activities to achieve the purposes of this program,
the recipient shall be responsible for activities under A. (Recipient
Activities) and CDC shall be responsible for activities listed under B.
(CDC Activities).
A. Recipient Activities
1. Establish and maintain a resource library regarding limb loss
which includes a comprehensive electronic resource database;
2. Utilize universities, research institutions and other noted
authorities to collect and maintain a comprehensive inventory of
current educational materials regarding limb loss;
3. Use professional staff to provide appropriate information,
educational messages, and guidance to individuals with limb loss;
4. Develop and disseminate a national educational publication that
conveys the most current advances in treatment and care of persons with
limb loss;
5. Develop a peer visitation training initiative to conduct self-
help training and work with support networks;
6. Develop standardized materials to assist local organizations in
the conduct of appropriate visitation programs.
B. CDC Activities
1. Provide scientific, programmatic, and technical assistance in
the planning, operation, and evaluation of the National Limb Loss
Information Center;
2. Provide programmatic assistance in administrative and
organizational aspects of project operations;
3. Serve as a resource for sharing regional and/or national data
pertinent to limb loss; and
4. Assist in evaluating and/or studying the effectiveness of
specific activities.
Application Content
Applicants must submit a separate typed abstract/summary of their
proposal as a cover to their applications, consisting of no more than
two double-spaced pages. Applicants should also include a table of
contents for the project narrative and related attachments.
Applicants should organize their proposals in accordance with the
application contents section of this
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announcement. Applicants should be concise in preparing application
narratives. The narrative portion of the application presenting the
project functions should not exceed 30 double-spaced pages.
The application should be organized into two sections described as
the (1) Project narrative and (2) budget justification. The total
combined financial assistance request should be listed on the cover
sheet and on the budget information sheet (Budget Information, Non-
Construction Programs) on the Public Health Service Grant Application,
Form PHS-5161-1.
Supporting information related to the project should be provided as
attachments. Supporting information may include position descriptions,
organizational charts, inventories of educational materials or tools,
reports providing evidence as to need and extent of the problem,
graphic depictions of objectives and milestones, letters of commitment
noting collaborations and funding support, etc.
1. The application must document the background and need for
support, including an overview of the national limb loss problem.
Describe gaps in data, information, educational materials, program
services, educational approaches, and how this cooperative agreement
will help close those gaps and develop the capacity to establish and
continue to operate a national information center for persons with limb
loss.
2. Describe the plan and methods for initiating, facilitating,
coordinating, conducting and evaluating educational activities related
to limb loss. The applicants should describe those project resources
and staff necessary to accomplish the project objectives. The plan
should describe the future funding options beyond the three-year
project period and discuss the plans for continuation of the project.
3. Describe the plan to develop and disseminate a national
educational publication regarding limb loss.
4. Describe the plan to develop a peer visitation training
initiative that will promote the educational outreach goals and
objectives of the project and enhance the opportunities for a sustained
educational presence at the local level.
5. Furnish an organizational chart of the applicant agency and
indicate the relationships of the proposed activities to affiliates and
other organizations that will be utilized to promote the program
objectives; and describe the physical facilities available to house
project operations.
6. Describe the role of the board of directors, if applicable, and
outline its responsibilities.
7. Describe the applicant's potential to sustain the viability of
the National Limb Loss Information Center. This description should
explain how and over what time period the project will develop its plan
for financial self-sufficiency. The plan should establish benchmarks
that relate to annual increases in non-Federal sources of funding.
Indicate how the plan will be updated and marketed to ensure a timely
and orderly transition to non-Federal financial support.
8. Present specific and measurable objectives within the project
work plan to meet the purposes of the cooperative agreement. Outline
the dates that selected key events will be initiated, become
operational, and conclude. Chart long-range objectives and time frames
for the three-year project period, including methods for project
evaluation.
9. Describe what measures have been or will be taken to ensure that
all program services and facilities will be fully accessible to persons
with disabilities, and how persons with disabilities will be encouraged
to participate.
10. Describe the plans and methods to be employed or that are in
place for addressing the needs of low socioeconomic and minority
populations.
11. Provide a detailed narrative justification for all requested
budget items.
Evaluation Criteria (Total 100 Points)
1. Evidence of Need and Understanding of the Problem: (15 Points)
Evaluation will be based on:
a. The applicant's description and understanding of the national
limb loss problem as evidenced by estimates of incidence and/or
prevalence, demographic indicators, and scope of the problem;
b. The applicant's description of the gaps that exists in the
educational materials and tools that would serve to better educate and
facilitate more positive rehabilitation outcomes.
2. Technical Approach (30 Points)
Evaluation will be based on:
a. The capability of the applicant to ensure that the basic
components of the project will be promoted and implemented;
b. The proposed plan to establish and operate the National Limb
Loss Information Center, and ensure its capability to function as a
national coordinating focus for collection and dissemination of limb
loss information utilizing its affiliation with local and regional
support groups, allied disability agencies, health professionals and
service providers. These historical relationships should be documented
with the submission of memorandums of agreement and/or letters of
support that demonstrate the collaborative relationship with the
applicant;
c. A demonstrated competency in developing educational materials
regarding individuals with limb loss;
d. The functions of the established oversight entity (such as a
board of directors) including its composition, impact on policy,
planning, and oversight for educational activities, with an indication
of how it will complement existing educational programs;
e. The reasonableness, feasibility, and logic of the designated
project objectives, including the overall work plan, timetable for
accomplishment, and the strength of the proposed evaluation plan;
f. The described services and how access for persons with
disabilities to project services, opportunities, and facilities will be
achieved.
3. Evidence of Ability to Provide Educational Materials Needed to
Inform Individuals With Limb Loss Regarding Rehabilitation Resources
and Choices (25 Points)
Evaluation will be based on: a. Evidence of the applicant's
knowledge and use of current educational materials available with
regard to limb loss rehabilitation and identification of materials
needed to address specific problems associated with the rehabilitation
process;
b. Evidence of the applicant's capacity to disseminate resources,
educational materials and tools that will inform persons with limb loss
in regard to their rehabilitation options.
4. Outreach Capacity (20 Points)
Evaluation will be based on:
a. Evidence of the applicant's ability to establish a peer
visitation training program initiative;
b. Identification and description of facilities and organizations
to be visited and description of any planned follow-up to evaluate the
number of training sessions that were initiated and the results of
these activities.
5. National Education Publication (5 points)
Evaluation will be based on:
The description of the applicant's plan to develop, distribute, and
update a national educational publication that
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will provide information regarding limb loss.
6. Cost-Sharing (5 Points)
Evaluation will be based on:
The evidence of personnel and financial contributions to the
project and the specific plans for providing cost-sharing for the first
year and succeeding years within the project period.
7. Budget Justification/Adequacy of Facilities (Not Scored)
The proposed budget will be evaluated on the basis of its
reasonableness, concise and clear justification, accuracy and
consistency with the intended use of cooperative agreement funds.
Funding Priority
CDC will give priority consideration to an established national
organization with experience in providing educational and support
services to individuals with limb loss.
Reporting Requirements
Project narrative reports, submitted with an original and two
copies, will be required semi-annually. The reports shall be submitted
to CDC thirty days after the end of the report period. An original and
two copies of the Financial Status Report is required no later than 90
days after the end of each budget period.
Executive Order 12372
Applications are not subject to the Intergovernmental Review of
Federal Programs as governed by Executive Order 12372.
Public Health System Reporting Requirements
This program is subject to the Public Health System Reporting
Requirements. Under these requirements, all community-based
nongovernmental applicants must prepare and submit the items identified
below to the head of the appropriate State and/or local health
agency(s) in the program area(s) that may be impacted by the proposed
project no later than the receipt date of the Federal application. The
appropriate State and/or local health agency is determined by the
applicant. The following information must be provided:
A. A copy of the face page of the application (SF424).
B. A summary of the project that should be titled ``Public Health
System Impact Statement'' (PHSIS), not to exceed one page, and include
the following:
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 plans with the appropriate
State and/or local health agencies.
If the State and/or local health official should desire a copy of
the entire application, it may be obtained from the State Single Point
of Contact (SPOC) or directly from the applicant.
Other Requirements
Paperwork Reduction Act
Projects that involve the collection of information from 10 or more
individuals and funded by cooperative agreement will be subject to
review by the Office of Management and Budget (OMB) under the Paperwork
Reduction Act.
Catalog of Federal Domestic Assistance
The Catalog of Federal Domestic Assistance number is 93.184.
Application Submission and Deadline
The original and two copies of the application PHS Form 5161-1 (OMB
number 0937-0189) must be submitted to Mr. Ron Van Duyne, Grants
Management Officer, Grants Management Branch, Procurement and Grants
Office, Centers for Disease Control and Prevention, 255 East Paces
Ferry Road, NE., Room 300, Mailstop E-13, Atlanta, Georgia 30305, on or
before March 17, 1997.
1. Deadline:
Applications will be considered to have met 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 for the review process. 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 will not be acceptable as proof of timely mailing.
2. Late Applications:
Applications that do not meet the criteria in 1.a. or 1.b. above
are considered late. Late applications will not be considered and will
be returned to the applicant.
Where to Obtain Additional Information
A complete program description, information on application
procedures, an application package, and business management technical
assistance may be obtained from Georgia Jang, Grants Management
Specialist, Grants Management Branch, Procurement and Grants Office,
Centers for Disease Control and Prevention, 255 East Paces Ferry Road,
NE., Room 321, Mailstop E-13, Atlanta, Georgia 30305, telephone (404)
842-6814, Internet address: [email protected]. Please refer to Program
Announcement No. 717 when requesting information and submitting an
application.
Programmatic technical assistance including additional guidance may
be obtained from Jack Stubbs, Disabilities Prevention Program, National
Center for Environmental Health, Centers for Disease Control and
Prevention, 4770 Buford Highway, Building 101, Mailstop F-29, Atlanta,
Georgia 30341, telephone (404) 488-7096, Internet address:
[email protected].
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) 512-1800.
Dated: January 30, 1997.
Joseph R. Carter,
Acting Associate Director for Management and Operations, Centers for
Disease Control and Prevention (CDC).
[FR Doc. 97-2800 Filed 2-4-97; 8:45 am]
BILLING CODE 4163-18-P