[Federal Register: June 10, 2004 (Volume 69, Number 112)]
[Notices]
[Page 32561-32565]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr10jn04-99]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
American Indian and Alaskan Native STD
Announcement Type: New.
Funding Opportunity Number: 04202.
Catalog of Federal Domestic Assistance Number: 93.977.
Key Dates:
Application Deadline: July 12, 2004.
Executive Summary: American Indian and Alaska Native (AI/AN)
populations experience disproportionately high rates of sexually
transmitted diseases (STDs). Compared to Caucasians, in 2002, AI/ANs
were almost six times as likely to have chlamydia, four times as likely
to have gonorrhea, and twice as likely to have syphilis; rates are
higher among certain tribes (CDC Sexually Transmitted Disease
Surveillance 2002). Chlamydia and gonorrhea can result in pelvic
inflammatory disease, ectopic pregnancy, and infertility in women.
Additionally, these diseases can result in pneumonia, eye infections
and other complications in newborns. Syphilis can result in fetal death
and stillbirths.
CDC currently provides Comprehensive STD Prevention Services grants
to fund 65 project areas (50 States, seven cities, and eight
territories) to carry out essential functions in the prevention of
STDs. Additionally, a Memorandum of Agreement (MOA) with the Indian
Health Service provides for disease surveillance and other STD
programmatic support. Currently there is no direct STD funding for
Indian communities. This program announcement will enable CDC to build
new programs in a traditionally underserved area.
I. Funding Opportunity Description
Authority: This program is authorized under sub-Section 318
(a)(b)(c) of the Public Health Service Act [42 U.S.C. 247c (a), (b) and
(c)], as amended. Regulations governing the implementation of this
legislation are covered under 42 CFR Part 51b, subparts A and D.
Purpose: The purpose of the program is to strengthen local capacity
of AI/AN communities on Native American reservations to screen and
arrange for the treatment of sexually transmitted diseases; and to
educate local populations about such diseases, the consequences
thereof, and how the transmission of such diseases can be prevented.
This program addresses the ``Healthy People 2010'' focus area of
Sexually Transmitted Diseases, which is aimed at addressing health
disparities among racial and ethnic minority populations.
Measurable outcomes of the program will be in alignment with the
following performance goals for the National Center for HIV, STD and TB
Prevention (NCHSTP): (1) To reduce STD rates by providing Chlamydia and
gonorrhea screening, treatment, and partner treatment to 50 percent of
women in publicly funded clinics; (2) To reduce the incidence of
primary and secondary syphilis; and (3) To reduce the incidence of
congenital syphilis.
Activities: Awardee activities for this program are as follows:
1. Determine and describe the area's STD morbidity; identify
available STD and related health programs; identify resources for STD
prevention programs, including community partners that
[[Page 32562]]
serve the target population; and identify gaps in STD prevention
programs.
2. Develop a three-year action plan, which includes objectives that
are specific, measurable, achievable, relevant, and time-phased.
Objectives should address the following: (a) Creating awareness among
tribal or reservation councils about STD problems in their communities
and how to prevent STDs; (b) working closely with CDC's Prevention
Training Centers and developing collaborations with state and local
health departments, regional infertility prevention programs, Indian
Health Service, tribal epidemiological centers, and other relevant
partners to share resources and information that could strengthen an
STD program; (c) ensuring screening and treatment for STD either
directly or by partnership with clinics that could provide screening
and treatment; and (d) educating the local population about STDs, the
consequences thereof, and how the transmission of such diseases can be
prevented. The plan should consider culturally appropriate behavioral,
policy, and community approaches to prevention of STDs.
3. Develop an evaluation plan to: (a) Monitor and measure the
progress toward achieving each objective; and (b) determine how program
activities affect the target population.
In a cooperative agreement, CDC staff is substantially involved in
the program activities, above and beyond routine grant monitoring.
CDC activities for this program are as follows:
1. In collaboration with the recipient, provide training on
developing prevention strategies (e.g., building scientific capacity,
collaboration and partnerships, implementing guidelines and modeling
programs on disease prevention, etc.) that prepare tribes to mobilize
and engage in STD prevention activities.
2. Provide technical assistance through site visits, conference
calls, resource materials, strategic planning and updated information,
as needed. Facilitate communications locally, regionally, and
nationally regarding resources and other opportunities involving the
implementation of the action plan activities.
3. Provide technical assistance and participate in the evaluation
of the action plan objectives.
4. Facilitate linkages with State and Local STD Programs, Indian
Health Service, STD/HIV Prevention Training Centers, and Tribal
Epidemiological Centers.
II. Award Information
Type of Award: Cooperative Agreement.
CDC involvement in this program is listed in the Activities Section
above.
Fiscal Year Funds: 2004.
Approximate Total Funding: $463,836.
Approximate Number of Awards: One to three awards.
Approximate Average Award: $154,612.
Floor of Award Range: $150,000.
Ceiling of Award Range: $463,836.
Anticipated Award Date: September 1, 2004.
Budget Period Length: Twelve months.
Project Period Length: Three years.
Throughout the project period, CDC's commitment to continuation of
awards will be conditioned on the availability of funds, evidence of
satisfactory progress by the recipient (as documented in required
reports), and the determination that continued funding is in the best
interest of the Federal Government.
III. Eligibility Information
III.1. Eligible Applicants
Eligible applicants are federally recognized AI/AN tribal
governments and corporations; non-federally recognized tribes and other
organizations that qualify under the Indian Civil Rights Act, State
Charter Tribes, Urban Indian Health Programs, Indian Health Boards,
Inter-Tribal Councils; and other tribal organizations, including urban
and eligible inter-tribal consortia.
Tribal organizations, inter-tribal consortia, and urban
organizations are eligible if incorporated for the primary purpose of
improving AI/AN health and representing such interests for the tribes,
Alaska Native Villages and corporations, or urban Indian communities
located in its region. AI/AN tribes or urban communities represented
may be located in one state or in multiple states. An urban
organization is defined as a non-profit corporate body situated in an
urban center eligible for services under Title V of the Indian Health
Care Improvement Act, PL 94-437, as amended.
Eligibility is limited to the aforementioned applicants because
they have the necessary knowledge of, experience with, and capacity to
work within the AI/AN communities to perform the required activities,
and have the experience needed to successfully perform the required
activities.
III.2. Cost Sharing or Matching
Matching funds are not required for this program.
III.3. Other
CDC will accept and review applications with budgets greater than
the ceiling of the award range.
If your application is incomplete or non-responsive to the
requirements listed in this section, it will not be entered into the
review process. You will be notified that your application did not meet
submission requirements.
CDC may choose to schedule pre-decisional site visits prior to the
awarding of funds.
Note: Title 2 of the United States Code Section 1611 states that
an organization described in section 501(c)(4) of the Internal
Revenue Code that engages in lobbying activities is not eligible to
receive Federal funds constituting an award, grant, or loan.
IV. Application and Submission Information
IV.1. Address to Request Application Package
To apply for this funding opportunity use application form PHS
5161-1. Application forms and instructions are available on the CDC web
site, at the following Internet address: http://www.cdc.gov/od/pgo/forminfo.htm
.
If you do not have access to the Internet, or if you have
difficulty accessing the forms on-line, you may contact the CDC
Procurement and Grants Office Technical Information Management Section
(PGO-TIM) staff at: (770) 488-2700. Application forms can be mailed to
you.
IV.2. Content and Form of Submission
Application: You must submit a project narrative with your
application forms. The narrative must be submitted in the following
format:
Maximum number of pages: 40
If your narrative exceeds the page limit, only the first pages,
which are within the page limit, will be reviewed.
Font size: 12 point unreduced
Single spaced
Paper size: 8.5 by 11 inches
Page margin size: One inch
Printed only on one side of page
Held together only by rubber bands or metal clips; not
bound in any other way.
Your narrative should address activities to be conducted over the
entire project period, and must include the following items in the
order listed:
1. Background
The applicant should describe:
a. The tribe, organization, or consortia including purpose or
mission (if
[[Page 32563]]
applicable), years of existence (if applicable), and experience in
representing the health-related interests of the represented tribe(s).
b. The total population size of the tribe(s) represented,
geographic location(s) and proximity to the applicant.
c. How affected community members will be included in the
development and implementation of the Action Plan.
d. The applicant's capacity and ability to conduct the activities
as evidenced by current and past experience in:
i. Providing leadership in the development of health-related
programs, training programs or health promotion campaigns.
ii. Networking and building partnerships and alliances with other
organizations.
iii. Providing STD or other public health disease prevention and
control programs including descriptions of activities and initiatives
developed and implemented.
2. Need
The applicant should document:
a. The need for building capacity to address STDs for the
identified AI/AN population, including the impact of STDs on the
community, discussion of morbidity rates (incidence, prevalence or
positivity data) and any variations in rates among represented
tribe(s), or other evidence of health disparity.
b. The need to strengthen existing data and add new data about STD
in the community. Since reporting authority resides in the State Health
Departments or Authorities, the recipient will be required to work with
the States to ensure accuracy, and completeness of reporting.
c. The need for STD prevention and control strategies that are
culturally appropriate including discussion of the challenges,
limitations, and other opportunities for implementing effective STD
prevention programs.
d. The need to develop a comprehensive and sustainable community
action plan among the represented tribe(s), and community partners that
serve the target population.
3. Action Plan and Implementation
The applicant should clearly describe how it will:
a. Work with the tribe(s) to ensure that leaders are committed to
the need for strengthening local capacity.
b. Collaborate with appropriate partners (e.g., Indian Health
Service, tribal, state, local health departments, Tribal
Epidemiological Centers, STD/HIV Prevention Training Centers,
Infertility Prevention Programs, HIV, Drug and Alcohol programs,
Community Health Representative Programs, and other relevant public or
private organizations in carrying out the activities.
c. Provide screening and treatment for STD directly or through
referral.
d. Develop and disseminate STD prevention education that meets the
educational and cultural needs of the target population;
e. Provide culturally competent training and technical assistance
programs to increase the skill-level of tribes and partners in areas
such as surveillance, health education, and other relevant topics.
f. Communicate with and disseminate information and guidance to the
represented tribe(s) and their memberships (e.g., newsletters,
conferences, and meeting minutes).
g. The applicant should provide time lines for initiation and
completion of all proposed activities for the three-year project
period. This should include who will be the target population and how
each proposed activity will be achieved.
4. Evaluation Plan
a. Design and develop an evaluation plan that will monitor and
measure the progress toward achieving each objective and determine how
program activities affect the target population. Specifically, the
applicant should describe:
i. How the applicant plans to measure the implementation and
progress of the activities in achieving the objectives during the
three-year project period (e.g., commitment of leaders to strengthen
STD prevention programs, development of partnerships with relevant
partners, identification of resources to gather STD data,
identification of clinics that could provide screening and treatment
for STD, development of educational STD prevention campaigns, etc.);
ii. How the applicant will document success in developing an STD
prevention program for the tribe(s) (e.g., number of persons screened
and treated for STD, number of providers attending culturally competent
STD trainings, number of target community attending educational
presentations, etc.); and
iii. How the applicant will assess the quantity and quality of
networking efforts (e.g., number of planning meetings, degree of
collaboration with leadership and other STD prevention programs, degree
of collaboration with other organizations, etc.).
5. Management Plan
The applicant should describe how the project will be managed to
accomplish all proposed activities. Specifically, the applicant should:
a. Include a description of proposed staffing for the project,
provide job descriptions, and indicate if the positions currently exist
or are proposed. Staffing should include the commitment of at least one
full-time staff member to provide direction for the proposed
activities. Information should be provided that demonstrates that the
staff has the professional background, experience, and organizational
support needed to fulfill the proposed responsibilities. Where
possible, the applicant should identify staff responsible for
completing each activity.
b. Provide letters of commitment from represented tribe(s)
leadership which indicates the tribe's willingness to participate in
the program, as well as letters of collaboration describing specific
activities to be provided for this effort with other public and private
health entities including State Health Departments, State Laboratories,
Indian Health Service, and Tribal Epidemiological Center. Signed
originals should be provided in the Appendix.
c. Submit a copy of its organizational chart, and describe existing
structure and how it supports the development of the proposed plan for
STD prevention.
6. Performance Measures (Included in Page Limit)
The applicant is required to:
a. Provide measures of effectiveness that will demonstrate the
accomplishment of the various identified objectives of the cooperative
agreement. Measures of effectiveness must relate to the performance
goals stated in the ``Purpose'' section of this announcement.
b. Measures must be objective and quantitative, and must measure
the intended outcome.
c. These measures of effectiveness must be submitted with the
application and will be an element of the evaluation process.
7. Budget Justification
a. The applicant should provide a one year detailed budget, with
accompanying justification of all operating expenses that is consistent
with the stated objectives and planned activities of the project.
b. Page limits will not apply to the budget justification.
Additional information may be included in the application
appendices. The appendices will not be counted toward the narrative
page limit. This additional information includes:
[[Page 32564]]
Curriculum Vitaes and resumes of staff
Organizational Charts
Letters of collaboration with Prevention Training Centers
and other partners
You are required to have a Dun and Bradstreet Data Universal
Numbering System (DUNS) number to apply for a grant or cooperative
agreement from the Federal government. The DUNS number is a nine-digit
identification number, which uniquely identifies business entities.
Obtaining a DUNS number is easy and there is no charge. To obtain a
DUNS number, access http.http://www.dunandbradstreet.com or call 1-866-705-
5711.
For more information, see the CDC Web site at: http://www.cdc.gov/od/pgo/funding/pubcommt.htm.
If your application form does not have a
DUNS number field, please write your DUNS number at the top of the
first page of your application, and/or include your DUNS number in your
application cover letter.
Additional requirements that may require you to submit additional
documentation with your application are listed in section ``VI.2.
Administrative and National Policy Requirements.''
IV.3. Submission Dates and Times
Application Deadline Date: July 12, 2004.
Explanation of Deadlines: Applications must be received in the CDC
Procurement and Grants Office by 4 p.m. Eastern Time on the deadline
date. If you send your application by the United States Postal Service
or commercial delivery service, you must ensure that the carrier will
be able to guarantee delivery of the application by the closing date
and time. If CDC receives your application after closing due to: (1)
Carrier error, when the carrier accepted the package with a guarantee
for delivery by the closing date and time, or (2) significant weather
delays or natural disasters, you will be given the opportunity to
submit documentation of the carriers guarantee. If the documentation
verifies a carrier problem, CDC will consider the application as having
been received by the deadline.
This announcement is the definitive guide on application submission
address and deadline. It supersedes information provided in the
application instructions. If your application does not meet the
deadline above, it will not be eligible for review, and will be
discarded. You will be notified that your application did not meet the
submission requirements.
CDC will not notify you upon receipt of your application. If you
have a question about the receipt of your application, first contact
your courier. If you still have a question, contact the PGO-TIM staff
at: 770-488-2700. Before calling, please wait two to three days after
the application deadline. This will allow time for applications to be
processed and logged.
IV.4. Intergovernmental Review of Applications
Executive Order 12372 does not apply to this program.
IV.5. Funding Restrictions
Restrictions, which must be taken into account while writing your
budget, are as follows:
Funds may be spent for reasonable program purposes,
including personnel, travel, supplies, and services. Equipment may be
purchased if deemed necessary to accomplish program objectives;
however, prior approval by CDC officials must be requested in writing.
The applicant may contract with other organizations under
this program; however the applicant must perform a substantial portion
of the activities (including program management and operations, and
delivery of prevention services for which funds are required).
If you are requesting indirect costs in your budget, you must
include a copy of your indirect cost rate agreement. If your indirect
cost rate is a provisional rate, the agreement should be less than 12
months of age.
For all contracts, provide: (1) Name of contractor; (2) period of
performance; (3) method of selection (e.g., competitive or sole
source); (4) description of activities; (5) reason for contracting
activities; and (6) itemized budget.
Awards will not allow reimbursement of pre-award costs.
Guidance for completing your budget can be found on the CDC Web
site, at the following Internet address: http://www.cdc.gov/od/pgo/funding/budgetguide.htm
.
IV.6. Other Submission Requirements
Application Submission Address: Submit the original and two hard
copies of your application by mail or express delivery service to:
Technical Information Management-PA 04202, CDC Procurement and Grants
Office, 2920 Brandywine Road, Atlanta, GA 30341.
Applications may not be submitted electronically at this time.
V. Application Review Information
V.1. Criteria
You are required to provide measures of effectiveness that will
demonstrate the accomplishment of the various identified objectives of
the cooperative agreement. Measures of effectiveness must relate to the
performance goals stated in the ``Purpose'' section of this
announcement. Measures must be objective and quantitative, and must
measure the intended outcome. These measures of effectiveness must be
submitted with the application and will be an element of evaluation.
Your application will be evaluated against the following criteria:
Action Plan and Implementation (30 Points)
Does the plan address: (1) How the applicant will work with
tribe(s) to assure leaders are committed to strengthening local
capacity? (2) Appropriate collaborations with relevant partners to
carry out activities? (3) How screening and treatment for STD will be
provided? (4) The development and dissemination of STD-prevention
education that meets the needs of the target population? (5) Training
and technical assistance that is culturally competent for relevant
topics identified? (6) Communication and dissemination of information
and guidance to tribes and membership? (8) Time lines for initiation
and completion of all proposed activities for the three-year project
period that identifies the target population and how each proposed
activity will be achieved?
Is the plan realistic and are its objectives specific, measurable,
achievable, relevant, time-phased, and likely to be accomplished during
the three-year project period?
Evaluation Plan (20)
Does the evaluation plan describe how the applicant plans to
measure the implementation and progress of the activities in achieving
the objectives during the three-year project period? Does the applicant
describe how it will document success in developing an STD prevention
program for the tribe(s)? Does the applicant describe how it will
assess the quantity and quality of networking efforts?
Management Plan (20 points)
Does the applicant include a description of proposed staffing for
the project, provide job descriptions and indicate if the positions
exist or are proposed? Does the applicant include the commitment of at
least one full-time staff member to provide direction for
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proposed activities? Does the applicant provide staffing information
including adequate background information to show qualifications of
staff? Does the applicant identify staff responsible for completing
each activity?
Does the application provide letters of commitment from represented
tribal leadership indicating the tribe's willingness to participate in
the program, as well as letters of collaboration with prevention
training centers, other public health entities including state health
departments, state laboratories, Indian health services, and tribal
epidemiological centers? Signed originals should be provided in the
Appendix.
Does the application include a copy of its organizational chart,
and describe existing structure and how it supports the development of
the proposed Capacity Building Plan for STD prevention?
Background (15 points)
Does the applicant describe the tribe, organization, or consortia,
including purpose or mission (if applicable), years of existence (if
applicable), and experience in representing the health-related
interests of the represented tribe(s)? Does the applicant describe the
total population size of the tribe(s) represented, geographic
location(s) and proximity to the applicant? Does the applicant explain
how affected community members will be included in the development and
implementation of the Action Plan? Does the applicant describe its
capacity and ability to conduct the activities as evidenced by current
and past experience in providing leadership in the development of
health-related programs, training programs or health promotion
campaigns; networking and building partnerships and alliances with
other organizations; and, providing STD or other public health disease
prevention and control programs including descriptions of activities
and initiatives developed and implemented?
Need (15 points)
Does the applicant document the need: (1) For building capacity to
address STDs? (2) To strengthen existing data and add new data about
STD, including a commitment to work with states to ensure accuracy and
completeness of reporting? (3) For STD prevention and control
strategies that are culturally appropriate including discussion of the
challenges, limitations, and other opportunities for implementing
effective STD prevention programs? (4) To develop a comprehensive and
sustainable community action plan among represented tribes and
community partners that serve the target population?
V.2. Review and Selection Process
Applications will be reviewed for completeness by the Procurement
and Grants Office (PGO) staff, and for responsiveness by staff in the
NCHSTP. Incomplete applications and applications that are non-
responsive to the eligibility criteria will not advance through the
review process. Applicants will be notified that their application did
not meet submission requirements.
An objective review panel will evaluate complete and responsive
applications according to the criteria listed in the ``V.1. Criteria''
section above.
V.3. Anticipated Announcement and Award Dates
September 1, 2004
VI. Award Administration Information
VI.1. Award Notices
Successful applicants will receive a Notice of Grant Award (NGA)
from the CDC Procurement and Grants Office. The NGA shall be the only
binding, authorizing document between the recipient and CDC. The NGA
will be signed by an authorized Grants Management Officer, and mailed
to the recipient fiscal officer identified in the application.
Unsuccessful applicants will receive notification of the results of
the application review by mail.
VI.2. Administrative and National Policy Requirements
45 CFR Part 74 and Part 92
For more information on the Code of Federal Regulations, see the
National Archives and Records Administration at the following Internet
address: http://www.access.gpo.gov/nara/cfr/cfr-table-search.html.
The following additional requirements apply to this project:
AR-4 HIV/AIDS Confidentiality Provisions
AR-5 HIV Program Review Panel Requirements
AR-6 Patient Care
AR-8 Public Health System Reporting Requirements
AR-11 Healthy People 2010
AR-14 Accounting System Requirements
AR-15 Proof of Non-Profit Status
AR-16 Security Clearance Requirement
AR-21 Small, Minority, and Women-Owned Business
AR-22 Research Integrity
AR-24 Health Insurance Portability and Accountability Act
Requirements
Additional information on these requirements can be found on the
CDC Web site at the following Internet address: http://www.cdc.gov/od/pgo/funding/ARs.htm
.
VI.3. Reporting Requirements
You must provide CDC with an original, plus two hard copies of the
following reports:
1. Interim progress report, no less than 90 days before the end of
the budget period. The progress report will serve as your non-competing
continuation application, and must contain the following elements:
a. Current Budget Period Activities Objectives.
b. Current Budget Period Financial Progress.
c. New Budget Period Program Proposed Activity Objectives.
d. Budget.
e. Additional Requested Information.
f. Measures of Effectiveness.
2. Financial status report is required no more than 90 days after
the end of the budget period.
3. Final financial and performance reports, no more than 90 days
after the end of the project period.
These reports must be mailed to the Grants Management or Contract
Specialist listed in the ``Agency Contacts'' section of this
announcement.
VII. Agency Contacts
For general questions about this announcement, contact: Technical
Information Management Section, CDC Procurement and Grants Office, 2920
Brandywine Road, Atlanta, GA 30341, Telephone: 770-488-2700.
For program technical assistance, contact:
Kim Seechuk, Deputy Chief, Program Development and Support Branch,
Division of STD Prevention, 1600 Clifton Road, NE, MS E-27, Atlanta, GA
30333, Telephone: 404-639-8339, E-mail: kgs0@cdc.gov.
For financial, grants management, or budget assistance, contact:
Gladys T. Gissentanna, Contract Specialist, CDC Procurement and
Grants Office, 2920 Brandywine Road, Atlanta, GA 30341, Telephone: 770-
488-2753, E-mail: gcg4@cdc.gov.
Dated: June 4, 2004.
William P. Nichols,
Acting Director, Procurement and Grants Office, Centers for Disease
Control and Prevention.
[FR Doc. 04-13138 Filed 6-9-04; 8:45 am]
BILLING CODE 4163-18-P