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Catalog of Federal Domestic Assistance

Program Descriptions

CATALOG OF FEDERAL DOMESTIC ASSISTANCE

93.184:  Disabilities Prevention

Objectives:  To (1) Provide a national focus for the prevention of secondary conditions in persons within selected disability domains including mobility, personal care, communication, and learning; (2) build State capacity to coordinate program activities and assess the magnitude of disability in States; (3) employ epidemiological methods to set priorities and direct health promotion interventions for persons with disabilities; (4) conduct research projects to understand secondary conditions and measure the impact of the environment on the lives of persons with disabilities, and conduct studies on the effectiveness of interventions in targeted groups of persons with disabilities; 5) support a national limb loss information center and limb loss research; and 6) support a national information center on physical activity for persons with disabilities.

PROGRAM AND AWARD FINANCIAL AND INFORMATION CONTACTS
ELIGIBILITY REQUIREMENTS FINANCIAL AND ADMINISTRATIVE INFO.
APPLICATION AND AWARD PROCESS INFORMATION CONTACTS
RELATED PROGRAMS ASSISTANCE CONSIDERATIONS
PROGRAM ACCOMPLISHMENTS POST ASSISTANCE REQUIREMENTS


93.184 ELIGIBILITY REQUIREMENTS:

Applicant Eligibility:  Based on these fiscal year 1999 awards and available funding for fiscal year 2000, CDC plans to issue additional competitive program announcements only for research grants in fiscal year 2000. All other projects listed in this notice will be eligible for non-competing continuation awards. Requests for non-competing fourth budget year continuation applications will be solicited from the established state capacity projects within their respective project periods. State capacity cooperative agreements: Eligible applicants for these non-competing continuation awards will be the currently funded States. These recipients include the official public health departments of States or other State agencies and departments that are determined by senior State officials to lead and coordinate this program. Eligibility for this program in the future when and if new competitive announcements are announced will continue to include State health departments or other official organizational authority (agency or instrumentality) of States, including DC, Puerto Rico, and any territory or possession of the United States. Research Grants: Eligible applicants for competing applications in fiscal year 2000 will be the through the issuance of a competitive program announcement which would likely include public and private non-profit entities, including universities, university-affiliated systems including not-for-profit medical centers, research institutions and rehabilitation hospitals, disability service groups such as advocacy and voluntary organizations and independent living centers, and federally recognized Indian Tribal Governments. National Limb Loss Information Center: This project will be completing its third budget year in fiscal year 2000. For the new limb loss research and physical activity projects, new applications will not be solicited for these programs they are in the first years of their respective four year project periods.

Beneficiary Eligibility:  In addition to the eligible applicants, other groups who will receive benefits from the program include persons with disabilities and family members of persons with disabilities, persons with limb loss, minority populations, refugees, infants, children, youth, adults, women, all educational levels, all income levels, urban, suburban, and rural populations, health/rehabilitation professionals, scientists, educators, and researchers.

Credentials/Documentation:  State capacity applicants will document in their fiscal year 1999 continuation applications the need for assistance, indicate the objectives of the project, present their approach to meet objectives, and outline the method of operation. Research project grants and the national limb loss information center project will similarly present their capacity to address and be responsive to the requirements of their respective continuation application guidelines. Costs will be determined in accordance with OMB Circular No. A-87 for State and local governments and federally-recognized Indian Tribal Governments. For nonprofit recipients, costs will be determined in accordance with HHS Regulation 45 CFR 74.

93.184 APPLICATION AND AWARD PROCESS:

Preapplication Coordination:  As new competitive funding becomes available for this program, pre-application coordination will not be required, however applicants will be encouraged to submit a non-binding letter of intent 30 days before the deadline date. State capacity projects are subject to E.O. 12372, "Intergovernmental Review of Federal Programs." Applicants should consult the office or officials designated as the single point of contact in their State for more information on the process the State requires in applying for financial assistance, if the State has selected the program for review. Research grant projects applicants in future years will not be subject to E.O. 12372.

Application Procedure:  When this program is re-announced for competition in the future, application forms for State capacity projects and Research grants will be available from, and be submitted to the Procurement and Grants Office, Grants Management Branch, Centers for Disease Control and Prevention, 2920 Brandywine Road, Room 3000, Atlanta, GA 30341. The standard application forms as furnished by the CDC and required by 45 CFR 92, must be used for this program. This program is subject to the provisions set forth in 45 CFR 92, for State and local governments and OMB Circular No. A-110 for non-profit organizations.

Award Procedure:  In the future, State capacity cooperative agreement competitive awards and Research project grant competitive awards will be determined by an internal objective committee review process at CDC. At such time, awards will be based on evaluation criteria set forth in the respective Program Announcements, the availability of funds, and such other significant factors as deemed necessary and appropriate by CDC. Future possible awards for State capacity projects will be issued for an expected project period of four years. Future possible awards for Research project grants are expected to be issued for a project period of three years. Additional awards for the national limb loss information center are not expected to be announced given the current legislation. The Notices of Grant Award (PHS Form 5152-1) will indicate financial support for the first budget year, allocations of Federal funds by budget category, and special conditions, if any.

Deadlines:  Contact the Headquarters Office for application deadline information.

Range of Approval/Disapproval Time:  From two to three months from the deadline date for submission of applications.

Appeals:  None.

Renewals:  All current State capacity projects will complete their respective project periods in June, 2001. It is anticipated at before that time a new competition for State capacity awards will be conducted. In the interim, these States will prepare final annual non-competing continuation applications. Competition for new or additional State projects will be based on future appropriations. The Research project grants will conclude their respective project periods during the period between August and September, 2000. It is expected that in fiscal year 2000, a re-competition for funding under the Research grant program will occur. A new program announcements to be issued by CDC will be the basis for competitive awards for new research project periods to successful eligible applicants. The National Limb Loss Information Center is being supported under appropriations based on specific Congressional legislation. The award to the World Health Organization is funded for a two year project period, ending in September 2000, and no renewal award is anticipated. The two new program announcements on Limb Loss Research and the Prevention of Secondary Conditions; and the National Information Center on Physical Activity for Persons with Disabilities were both funded for four year project periods ending in 2003.

Criteria for Selecting Proposals:  It is expected that that competitive announcements will be again issued for State capacity projects in fiscal year 2001 and for Research grant projects in fiscal year 2000. In such cases, applications would be reviewed based on evaluation criteria explicit in the respective Program Announcements. Applications must address demonstrated program need, the magnitude of the problem, the project management work plan, collaborative associations, and the approach toward setting and meeting overall project objectives and time frames. These competitive applications would also be evaluated on the capacity of the applicant to demonstrate effective collaborations with other agencies and data sources critical to preventing secondary conditions, identifying and addressing health promotion needs for persons with disabilities, denoting the capability of the project to address minority and low-income populations in the prevention of secondary conditions, promoting accessibility to all program services for persons with disabilities, and offering sound proposals toward development of surveys and surveillance for useful data bases within selected disability domains. It is expected that this review process will be implemented in the expected events that new competitive program announcements are available for issuance in fiscal years 2000 and 2001.

Examples of Funded Projects:  The majority of awards for State capacity projects in the past have been made to State health departments to develop a Statewide focus for the prevention of secondary disabilities and health promotion for persons with disabilities within a structured State office, to establish an advisory body to guide the development of planning and make recommendations to fill gaps in prevention, to establish and build partnerships with universities and advocacy/voluntary organizations for public health surveillance and health promotion delivery programs for persons with disabilities. and to conduct surveillance and implement community projects in the targeted disability domains. Research grantees have accessed data and service programs to identify persons with disabilities, conducted surveillance, and implemented studies and interventions designed to prevent selected or a range of secondary conditions related to cost effectiveness, measurement of participation in the environment of persons with disabilities, women, minorities, and adolescents and older citizens with disabilities. Current Research grantees include universities and rehabilitation hospitals. The National Limb Loss Information Center has worked to build, expand, and utilize a national network for providing information, referral, and peer counseling programs for persons with limb loss. The limb loss research project includes both a disability service organization and a leading research university. The physical activity national information center is based at a major research university with key collaborating partners in rehabilitation, education, library capacity, and physical accessibility.

Range and Average of Financial Assistance:  The average of awards using fiscal year 1999 funds for the 14 State capacity projects that received continuation awards was $321,200. The average award for the 11 research project grants funded in fiscal year 1999 was $264,500. The National Limb Loss Information Center continuation award in fiscal year 1999 was $720,000. The fiscal year 1999 continuation award to the World Health Organization was $220,000.

93.184 RELATED PROGRAMS:

  • 10.551 Food Stamps;
  • 64.109 Veterans Compensation for Service-Connected Disability;
  • 64.116 Vocational Rehabilitation for Disabled Veterans;
  • 93.135 Centers for Research and Demonstration for Health Promotion and Disease Prevention;
  • 93.136 Injury Prevention and Control Research and State and Community Based Programs;
  • 93.224 Community Health Centers;
  • 93.667 Social Services Block Grant (SSBG);
  • 93.988 Cooperative Agreements for State-Based Diabetes Control Programs and Evaluation of Surveillance Systems;
  • 96.001 Social Security: Disability Insurance.

93.184 PROGRAM ACCOMPLISHMENTS:

The program announcements and the fiscal year 1999 continuation awards recognized a shift in program focus as to the purpose and prescribed activities for both State capacity cooperative agreements and research project grants within their respective project periods. These projects emphasize the prevention of secondary conditions and health promotion for persons with disabilities. The national limb loss information center continues to provide information and referral regarding these issues. For fiscal years 1999 and 2000, the 14 State capacity projects expanded program visibility and prominence by building the State emphasis on promoting health and wellness for persons with disabilities and the prevention of secondary conditions. This will be accomplished through strategic planning, advisory and advocacy input, policy development, enhancing university and voluntary organization partnerships for data access and client service opportunities, data analysis, conducting State-level surveys for determining physical limitations among its population, delivering professional and public education, and the inclusion of program evaluation measures. For fiscal years 2000, the 11 Research grantees will complete their respective protocols and studies and report their conclusions and recommendations. In fiscal years 1999 and 2000, the National Limb Loss Information Center expanded its outreach capacity to directly support the identified needs of persons with limb loss and their families.

93.184 FINANCIAL AND ADMINISTRATIVE INFO:

Federal Agency:  CENTERS FOR DISEASE CONTROL AND PREVENTION, DEPARTMENT OF HEALTH AND HUMAN SERVICES

Type of Assistance:  Project Grants.

Obligations:  (Cooperative Agreements) State capacity projects: FY 99 $4,497,000; FY 00 est $4,950,000; and FY 01 est $5,000,000. (Grants) Research Projects: FY 99 $2,910,000; FY 00 est $3,400,000; and FY 01 est $3,400,000. (Cooperative Agreement) National Limb Loss Information Center: FY 99 $720,000; FY 00 est not identifiable; and FY 01 est not identifiable. (Cooperative Agreement) World Health Organization: FY 99 $220,000; FY 00 est $0 - project concludes; and FY 01 est $0. (Cooperative Agreements) Limb Loss Research: FY 99 $500,000; FY 00 est $500,000; and FY 01 est $500,000. (Cooperative Agreement) National Information Center on Physical Activity for Persons with Disabilities: FY 99 $750,000, FY 00 est $750,000; and FY 01 est $750,000.

Budget Account Number:  75-0943-0-1-551.

Authorization:  Public Health Service Act, Section 301(a) and Section 317, as amended, 42 U.S.C. 241(a); 42 U.S.C. 247(b).

Regulations, Guidelines, and Literature:  Regulations for this program are published under 42 CFR 52 and 42 CFR 74. The basic grant administration policies of HHS and PHS are also applicable including the PHS Grants Policy Statement, HHS Publication No. (OASH 94-50,000, (Rev April l, 1994)).

93.184 INFO CONTACTS:

Regional or Local Office:  Not applicable.

Headquarters Office:  Program Contact: Joseph B. Smith, Disability and Health Branch, National Center for Environmental Health, Centers for Disease Control and Prevention, 4770 Buford Highway, Building 101, Mailstop (F-29), Atlanta, GA 30341. Phone: (770) 488-7082. Fax: (770) 488-7075. E-Mail: jos4@cdc.gov. Grants Management Contact: Mr. Bill Paradies, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention, 2920 Brandywine Road (Colgate Building), Room 3000, Atlanta, GA 30341. Phone: (770) 488-2721.

(See Appendix IV for more contact info.)

93.184 ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements:  These programs have no statutory matching requirements, however applicants are encouraged to assume and document part of project costs.

Length and Time Phasing of Assistance:  State capacity project applicants received financial assistance in fiscal year 1999 for the third year of a four year project period. Research grant project applicants received financial assistance in fiscal year 1999 for their third (and final) years. Future solicitations (when announced) will indicate the length of the project periods for each of these programs. As noted earlier, the World Health Organization was first funded in fiscal year 1998 for a two year project period. The new fiscal year 1999 projects on Limb Loss Research and the National Information Center on Physical Activity for Persons with Disabilities have been be awarded four year projects.

Uses and Use Restrictions:  In fiscal year 1999, CDC issued continuation awards for 14 State capacity cooperative agreements and 11 research project grants to address the prevention of secondary conditions and health promotion for persons with disabilities. In addition, CDC issued a continuation award for the existing cooperative agreement with the National Limb Loss Information Center. State capacity cooperative agreements: These awards are providing financial assistance to: (1) Establish and/or sustain State offices of disability and health to promote the visibility of preventing secondary conditions as a State public health priority, and serve as a technical assistance resource and statewide focus for the prevention of secondary conditions; (2) support an advisory function to coordinate and provide policy and program direction guidance in the State; (3) develop and/or implement a State strategic plan or policy instrument for health promotion for persons with disabilities; (4) maintain and refine prescribed public health surveillance or survey activities for disability domains of mobility, personal care, communications, and learning in order to implement prevention efforts and program evaluation activities; 5) provide technical assistance to communities; and 6) promote education and health promotion programs for persons with disabilities, conduct training of health professionals, and facilitate access to services for persons with disabilities. Research project grants: Financial assistance under this program is being used to: 1) Implement and evaluate programs to identify and quantify preventable secondary conditions within disability domains which include physical, medical, cognitive, emotional, and/or psychosocial conditions and their prevention; 2) determine the risk and protective factors in specified populations of persons who have a disability; and 3) measure the effectiveness and costs of preventive interventions. National Limb Loss Information Center Cooperative Agreement: Financial assistance has been awarded to operate a national clearinghouse to provide educational material and self-help guidance to persons with limb loss and their families, and develop a peer visitation training initiative for the conduct of education and training sessions in hospitals, rehabilitation facilities, and support groups. In all cases, project funds may not be used to supplant state, local, or institutional funds available for these activities, or for construction costs, or to purchase facilities or space. Grantees may enter into contracts as necessary to help achieve the objectives of their respective programs. As new projects in 1999, CDC funded a limb loss research project and a national information center on promoting physical activity among persons with disabilities.

93.184 POST ASSISTANCE REQUIREMENTS:

Reports:  Semi-annual progress reports are required. Financial status reports are required no later than 90 days after the end of each specified budget period. Final financial status reports and a final program report is required 90 days after the end of the project. Continuation applications for subsequent budget year financial assistance within these project periods will be submitted by State capacity cooperative agreement recipients. These non-competing applications included a progress/performance narrative which outlined program accomplishments and operations for that earlier budget period, an upcoming budget year work plan, and a detailed narrative and budget justifying the new financial request. Progress reports are required for submission semi-annually to CDC from the limb loss research project, the national information center on physical activity for persons with disabilities and the World Health Organization.

Audits:  In accordance with the provisions of OMB Circular No. A-133 (Revised, June 24, 1997), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that receive financial assistance of $300,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $300,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.

Records:  Financial records, supporting documents, statistical records, and all other records pertinent to the program shall be retained for a minimum of three years, or until completion and resolution of any audit in process or pending resolution. In all cases, records must be retained until resolution of any audit questions. Property records must be retained in accordance with PHS Grants Policy Statement requirements.

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