[Federal Register Volume 64, Number 91 (Wednesday, May 12, 1999)]
[Notices]
[Pages 25776-25779]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-11981]
[[Page 25775]]
_______________________________________________________________________
Part VIII
Department of Health and Human Services
_______________________________________________________________________
Office of Public Health and Science; Announcement of Availability of
Grants for Adolescent Family Life Demonstration Projects; Notice
Federal Register / Vol. 64, No. 91 / Wednesday, May 12, 1999 /
Notices
[[Page 25776]]
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of Public Health and Science; Announcement of Availability
of Grants for Adolescent Family Life Demonstration Projects
AGENCY: Office of Adolescent Pregnancy Programs, Office of Population
Affairs, OPHS, HHS.
ACTION: Notice.
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SUMMARY: The Office of Adolescent Pregnancy Programs (OAPP) requests
applications for care, prevention and combination care/prevention
grants under the Adolescent Family Life (AFL) Demonstration Projects
Program. These Title XX grants are for community-based and community-
supported demonstration projects to: (1) find effective means of
preventing pregnancy by encouraging adolescents to abstain from sexual
activity through provision of age-appropriate education on sexually and
decision-making skills, and (2) establish comprehensive and integrated
approaches to the delivery of services to pregnant adolescents,
adolescent parents and their children.
The Title XX statute contains a provision limiting the amount of
AFL funding which may be used for prevention projects to not more than
one-third of the overall monies available for demonstration projects.
In the Fiscal Year (FY) 1997 and 1998 appropriations for Title XX, as
amended, Congress waived this limitation by enacting legislation which
earmarked the majority of AFL demonstration funding for prevention
grants, specifically abstinence education projects as defined in the
Personal Responsibility and Work Opportunity Reconciliation Act of
1996. Although the Senate Committee report accompanying the FY 1999
appropriations act indicates that continued funding of more prevention
projects is the intent of Congress, the FY 1999 appropriation for Title
XX does not contain a similar provision waiving the statutory limit. In
order to continue to fund a larger number of prevention projects than
is allowable under the statute, the Department has asked Congress to
amend the FY 1999 appropriation for Title XX to include a waiver of the
``not more than one-third for prevention'' restriction. The Department
expects that such a waiver will be enacted.
Thus, new care, prevention and combination care/prevention projects
under this announcement will only be funded if the amendment to the FY
1999 appropriations act does not pass. If this amendment is enacted
before the end of the fiscal year, funds will not be available to
support new projects under this announcement. In the event FY 1999
funds are not available for new care, prevention and combination care/
prevention projects, applications will be held for review and
consideration in the following fiscal year, although the availability
of funding in FY 2000 is uncertain.
To ensure that there are adequate applications which could be
funded in the event the amendment is enacted, the Department is also
publishing a separate notice in the Federal Register announcing the
availability of funds for prevention demonstration projects. Such
applications would be considered for funding in the event the amendment
described above is enacted.
If the amendment to the FY 1999 appropriation for Title XX is not
enacted, funds will be available for approximately 40 projects (25 care
projects and 15 prevention projects), which may be located in any
State, the District of Columbia, the territories of Puerto Rico, the
U.S. Virgin Islands, Guam, American Samoa, Commonwealth of the Northern
Mariana Islands, Republic of Palau, Republic of the Marshall Islands
and the Federated States of Micronesia.
DATES: The closing date for this grant announcement is June 28, 1999.
Applications will be considered as meeting the deadline if they are
postmarked on or before the closing date. A legibly dated receipt from
a commercial carrier or U.S. Postal Service will be accepted in lieu of
a postmark. Private metered postmarks will not be accepted as proof of
timely mailing. All hand delivered applications must be received
between the hours of 8:30 a.m. and 5:00 p.m. on or before the above
closing date. Applications which do not meet the deadline will be
considered late applications and will be returned to the applicant.
Applications will not be accepted by fax or e-mail. The submission
deadline will not be extended.
ADDRESSES: Application kits consisting of the appropriate forms, a copy
of the Title XX legislation, and guidance on the preparation of the
application may be downloaded from the following Internet address:
www.hhs.gov/progorg/opa/titlexx/oapp.html. If you do not have access to
the Internet, you may obtain a kit from the Grants Management Office,
Office of Population Affairs, 4350 East-West Highway, Suite 200,
Bethesda, MD 20814. Written requests for application kits may be faxed
to (301) 594-5981. All completed applications must be submitted to the
Grants Management Office at the above mailing address. In preparing the
application, it is important to follow ALL instructions contained in
the application kit.
FOR FURTHER INFORMATION CONTACT: The OAPP Program Office at (301) 594-
4004. Staff is available to answer questions and provide limited
technical assistance in the preparation of grant applications.
SUPPLEMENTARY INFORMATION: Title XX of the Public Health Service Act,
42 U.S.C. 300z. et seq., authorizes the Secretary of Health and Human
Services to award grants for demonstration projects to provide services
to pregnant and nonpregnant adolescents, adolescent parents and their
families. (Catalog of Federal Domestic Assistance Number 93.995) Title
XX authorizes grants for three types of demonstration projects: (1)
projects which provide ``care services'' only (i.e., services for the
provisions of care to pregnant adolescents, adolescent parents and
their families); (2) projects which provide ``prevention services''
only (i.e., services to prevent adolescent sexual relations); and (3)
projects which provide a combination of care and prevention services.
Under this program announcement, OAPP intends to make available
approximately $12 million to support an estimated 40 new demonstration
projects (25 care projects and 15 prevention projects). An applicant
may submit a proposal for a local care, prevention or combination care/
prevention project. The awards for care projects will range fro
$250,000 to $350,000. The awards for prevention projects will range
from $150,000 to $250,000. Funding for combination care/prevention
projects may be higher if in proportion to the effort proposed.
Grants may be approved for project periods of up to five years.
Grants are funded in annual increments (budget periods). Funding for
all approved budget periods beyond the first year of the grant is
contingent upon the availability of funds, satisfactory progress of the
project, and adequate stewardship of Federal funds. A grant award may
not exceed 70 percent of the total costs of the project for the first
and second years, 60 percent of the total costs for the third year, 50
percent for the fourth year and 40 percent for the fifty year. The non-
Federal share of the project costs may be provided in cash expenditures
or fairly evaluated in-kind contributions, including facilities,
equipment and services.
We encourage application from experienced organizations which are
currently operating programs and which
[[Page 25777]]
have the capability of expanding and enhancing these services to serve
significant numbers of adolescents according to the guidelines
specified in this announcement.
The specific services which may be funded under Title XX are listed
below under Care Programs and Prevention Programs. Applicants who
propose to provide a Combination of Care and Prevention Services
Program must meet the requirements for each type of program.
The following application requirements contain information
collections subject to OMB approval under the Paperwork Reduction Act
of 1995 (Pub. L. 104-13). These information collections have been
approved by OMB under control number 0937-0189.
Eligible Applicants
Any public or private nonprofit organization or agency is eligible
to apply for a grant. Grants are awarded only to those organizations or
agencies which are determined to demonstrate the capability of
providing the proposed services and meet the statutory requirements.
Care Programs
Under this announcement, funds are available for local care
demonstrations only. The project site must be identified in the
application rather than selected after the grant is awarded.
Under the statute the purpose of care programs is to establish
innovative, comprehensive, and integrated approaches to the delivery of
care services for pregnant adolescents and adolescent parents under 19
years of age at program entry, with primary emphasis on unmarried
adolescents who are 17 years old or younger and for their families.
This includes young fathers and their families.
The OAPP encourages the submission of care applications which
propose to do the following: (1) Add care services to supplement
existing adolescent health services in school, hospital or other
community settings, (2) provide care services to minority or other
disadvantaged population, (3) continue services to clients after the
delivery of the baby to enable them to acquire good parenting skills
and to ensure that their children are developing normally physically,
intellectually and emotionally, (4) stress self-sufficiency skills,
such as school completion (in mainstream or alternative schools and GED
programs) and/or job training preparation and placement, and (5)
involve males and promote male responsibility. Applicants should base
their approaches upon an assessment of existing programs and, where
appropriate, upon efforts to establish better coordination, integration
and linkages among such existing programs.
Applicants for care projects are required to provide, either
directly or by referral, the following 10 core services:
(1) Pregnancy testing and maternity counseling;
(2) Adoption counseling and referral services which present
adoption as an option for pregnant adolescents, including referral to
licensed adoption agencies in the community if the eligible grant
recipient is not a licensed adoption agency;
(3) Primary and preventive health services, including prenatal and
postnatal care;
(4) Nutrition information and counseling;
(5) Referral for screening and treatment of STDs;
(6) Referral to appropriate pediatric care;
(7) Educational services relating to family life problems
associated with adolescent premarital sexual relations including:
(a) Information about adoption,
(b) Education on the responsibilities of sexuality and parenting.
(c) The development of material to support the role of parents as
the providers of sex education, and
(d) Assistance to parents, schools, youth agencies and health
providers to educate adolescents and preadolescents concerning self-
discipline and responsibility in human sexuality;
(8) Appropriate educational and vocational services;
(9) Mental health services and referral to mental health services
and to other appropriate physical health services; and
(10) Counseling and referral for family planning services.
Note: Funds provided under Title XX may not be used for the
provision of family planning services other than counseling and
referral services unless appropriate family planning services are
not otherwise available in the community. In accordance with sec.
3006(a)(17) of Title XX (42 U.S.C. 300z-5(a)(17)), applicants must
make maximum use of services available under the Title X Family
Planning Program in providing this required core service.
In addition to the 10 required core services listed above,
applicants for care projects may provide any of the following
supplemental services:
(1) Referral to licensed residential care or maternity home
services;
(2) Child care sufficient to enable the adolescent parent to
continue education or to enter into employment;
(3) Consumer education and homemaking;
(4) Counseling for the immediate and extended family members of the
eligible person;
(5) Transportation; and
(6) Outreach services to families of adolescents to discourage
sexual relations among unemancipated minors.
Prevention Programs
Under this announcement, funds are available for local prevention
projects only. The project site must be identified in the application
rather than selected after the grant is awarded.
The primary purpose of prevention programs is to find effective
means of reaching adolescents, both male and female, before they become
sexually active to encourage them to abstain from sexual activity.
There is general agreement that early initiation of sexual activity
brings not only the risk of unintended pregnancy but also substantial
health risks to adolescents, primarily infection from sexually
transmitted diseases (STDs), including HIV. Accordingly, applicants
must provide services that help pre-adolescents and young adolescents
acquire knowledge and skills that will instill healthy attitudes and
encourage and support the postponement of early sexual activity. Any
information provided for adolescents who may be or become sexually
active, which relates to reducing the risk of unintended pregnancy and
disease, must be medically accurate and must be presented within the
context that abstinence is the best choice and is what the project
recommends.
Under this announcement, applicants may propose to develop and test
new and/or innovative approaches aimed at promoting and fostering
abstinence among adolescents. These approaches may consist of a variety
of activities such as health, social, cultural, educational, economic
and recreational activities, or combinations of all of these.
Applicants may also propose to develop and test new prevention
curricula and materials, update existing curricula, use existing
educational materials/curricula, or use any combination of these
materials, to implement their prevention demonstration projects.
However, all materials and activities must be within the scope of the
Title XX services listed below.
OAPP encourages the submission of prevention applications which
propose to do the following: (1) Add prevention services to supplement
existing adolescent health education programs or health service
programs in school or
[[Page 25778]]
other community settings, (2) provide prevention services to minority
or other disadvantaged populations, (3) include medically accurate
information on sexuality, contraception, sexually transmitted diseases
(STDs) and HIV/AIDS, (4) offer educational services to parents to
assist them in communicating with their children about sexuality,
contraception, STDs and HIV/AIDS, and (5) involve males and promote
male responsibility.
Under the statutory requirements of Title XX, applicants for
prevention programs are not required to provide any specific array of
services; a proposal may include any one or more of the following
services as appropriate:
(1) Educational services relating to family life and problems
associated with adolescent premarital sexual relations including:
(a) Information about adoption,
(b) Education on the responsibilities of sexuality and parenting,
(c) The development of material to support the role of parents as
the providers of sex education, and
(d) Assistance to parents, schools, youth agencies and health
providers to educate adolescents and preadolescents concerning self-
discipline and responsibility in human sexuality;
(2) Appropriate educational and vocational services;
(3) Counseling for the immediate and extended family members of the
eligible person:
(4) Transportation;
(5) Outreach services to families of adolescents to discourage
sexual relations among unemancipated minors;
(6) Referral for screening and treatment of STDs;
(7) Pregnancy testing and maternity counseling; and
(8) Nutrition information and counseling.
Combination Care and Prevention Services Programs
Applicants proposing to provide both care and prevention services
must meet the requirements for both categories as described above. They
must also propose to make a substantial effort in each of the two areas
and indicate clearly in the application and budget the proportion of
effort to be expanded in each component.
It should be noted that, in all Title XX programs, including care,
prevention and combination care/prevention programs, grantees may not
teach or promote religion in their AFL projects. Each grant project
must be accessible to the public generally, not just to those of a
particular religious affiliation. All programming activities and
program curriculum materials must contain medically accurate
information, and must remain neutral on abortion. Upon approval for
funding, all curricula and related educational materials must be
submitted to OAPP for review and approval prior to use in AFL project.
In addition, Under sec. 2011(a) of the Act, AFL projects may not
provide abortions or abortion counseling or referral either directly or
through sub-contract and may not advocate, promote or encourage
abortion. However, if both the adolescent and her parents request
abortion counseling, a project may provide referral for such
counseling.
Evaluation
Section 2006(b)(1) of Title XX requires each grantee to expend at
least one percent but not more than five percent of the Federal funds
received under Title XX on evaluation of the project. As this is a
demonstration program, all applications are required to have an
evaluation component of high quality consistent with the scope of the
proposed project and the funding level. All project evaluations should
monitor program processes to determine whether the program has been
carried out as planned and measure the program's outcomes. Waivers of
the five percent limit on evaluation may be granted in cases where a
more rigorous or comprehensive evaluation effort is proposed (see sec.
2006(b)(1)).
Section 2006(b)(2) of Title XX requires that the evaluations
required by sec. 2006(b)(1) be conducted by an organization or entity
independent of the grantee providing services. To assist in conducting
the evaluations, each grantee shall develop a working relationship with
a college or university located in the grantee's state which will
provide or assist in providing monitoring and evaluation of services.
The OAPP strongly recommends extensive collaboration between the
applicant organization and the proposed evaluator in the development of
the intervention, development of the evaluation hypothesis(es),
identification of the variables to be measured and a timetable for
initiation of the intervention, baseline measurement, and ongoing
evaluation data collection and analysis. In the preparation of the
application for Title XX funds, OAPP encourages applicants to work with
the proposed evaluator to ensure that the evaluation plan is detailed
and consistent with the project's proposed goals and objectives.
Application Requirements
Applications must be submitted on the forms supplied (PHS 516 1-1,
Revised 5/96) and in the manner prescribed in the application kits
provided by the OAPP. Applicants are required to submit an application
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.
Applicants must be familier with Title XX in its entirety to ensure
that they have complied with all applicable requirements. A copy of the
legislation is included in the application kit.
Additional Requirements
Applicants for grants must also meet both of the following
requirements (each year):
(1) Requirements for Review of an Application by the Governor.
Section 2006(e) of Title XX requires that each applicant shall provide
the Governor of the State in which the applicant is located a copy of
each application submitted to OAPP for a grant for a demonstration
project for services under this Title. The Governor has 60 days from
the receipt date in which to provide comments to the applicant.
An applicant may comply with this requirement by submitting a copy
of the application to the Governor of the State in which the appplicant
is located at the same time the application is submitted to OAPP. To
inform the Governor's office of the reason for the submission, a copy
of this notice should be attached to the application.
(2) Requirements for Review of an Application Pursuant to Executive
Order 12372 (SPOC Requirements). Applications under this announcement
are subject to the review requirements of E.O. 12372,
``Intergovernmental Review of Federal Programs,'' as implemented by 45
CFR part 100, ``Intergovernmental Review of Department of Health and
Human Services Programs and Activities.'' E.O. 12372 sets up a system
for state and local government review of proposed Federal assistance
applications. As soon as possible, the applicant (other than Federally-
recognized Indian tribal governments) should contact the State Single
Point of Contact (SPOC) for each state in the area to be served. The
application kit contains the currently available listing of the SPOCs
which have elected to be informed of the submission of applications.
For those states not represented on the listing, further inquiries
should be made by the applicant regarding submission to the relevant
SPOC. The SPOC's comment(s) should be forwarded to the Grants
Management Office, Office of Population Affairs, 4350 East-West
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Highway, Suite 200, Bethesda, MD 20814. The SPOC has 60 days from the
closing date of this announcement to submit any comments.
Application Consideration and Assessment
Applications which are judged to be late or which do not conform to
the reqirements of this program announcement will not be accepted for
review. Applicants will be so notified, and the applications will be
returned. All other applications will be reviewed by a multi-
disciplinary panel of independent reviewers and assessed according to
the following criteria:
(1) The capacity of the proposed applicant organization to provide
rapid and effective use of resources needed to conduct the project,
collect data and evaluate it. This includes personnel, time and
facilities. (30 points)
(2) The applicant's rationale for use of the proposed approach and
its worth for testing and/or replication based upon its previous
demonstration, review of the literature and/or evaluation findings. (20
points)
(3) The applicant's presentation of an appropriate project design,
consistent with the requirements of Title XX, including a clear
statement of goals and objectives, reasonable methods for achieving the
objectives, a reasonable workplan and timetable and a clear statement
of results or benefits expected. (30 points)
(4) The applicant's presentation of a detailed evaluation plan,
indicating an understanding of program evaluation methods and
reflecting a practical, technically sound approach to assessing the
project's achievement of program objectives. (20 points)
Final grant award decisions will be made by the Deputy Assistant
Secretary for Population Affairs. In making these decisions, the Deputy
Assistant Secretary for Population Affairs will take into account the
extent to which grants recommended for approval will provide an
appropriate geographic distribution of resources, the priorities in
sec. 2005(a), and the other factors in sec. 2005, including
consideration of:
(1) The applicant's capacity to administer funds responsibly;
(2) The incidence of adolescent pregnancy and the availability of
services in the geographic area to be served;
(3) The population to be served;
(4) The community commitment to and involvement in planning and
implementation of the demonstration project;
(5) The organizational model(s) for delivery of service;
(6) The usefulness for policymakers and service providers of the
proposed project and its potential for complementing existing
adolescent health models;
(7) The reasonableness of the estimated cost to the government
considering the anticipated results.
OAPP does not release information about individual applications
during the review process until final funding decisions have been made.
When these decisions have been made, applicants will be notified by
letter of the outcome of their applications. The official document
notifying an applicant that an application has been approved for
funding is the Notice of Grant Award, which specifies to the grantee
the amount of money awarded, the purpose of the grant, the terms and
conditions of the grant award, and the amount of funding to be
contributed by the grantee to project costs.
Dated: April 26, 1999.
Denese O. Shervington,
Deputy Assistant Secretary for Population Affairs.
[FR Doc. 99-11981 Filed 5-11-99; 8:45 am]
BILLING CODE 4160-17-M