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Catalog of Federal Domestic Assistance

Program Descriptions

CATALOG OF FEDERAL DOMESTIC ASSISTANCE

93.197:  Childhood Lead Poisoning Prevention Projects: State and Local Childhood Lead Poisoning Prevention and Surveillance of Blood Lead Levels in Children

Objectives:  To (1) Develop and/or enhance a surveillance system that monitors all blood lead levels; (2) Assure that children who are potentially exposed to lead receive follow-up care; (3) assure awareness and action among the general public and affected professionals in relation to preventing childhood lead poisoning; and (4) expand primary prevention of childhood lead poisoning in high risk areas in collaboration with other government and community-based organizations.

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


93.197 ELIGIBILITY REQUIREMENTS:

Applicant Eligibility:  Eligible applicants are State health departments or other State health agencies or departments deemed most appropriate by the State to direct and coordinate the State's childhood lead poisoning prevention program. This eligibility includes State health departments or other official organizational authority (agency or instrumentality) of DC, Puerto Rico, and any Territory or possession of the United States. Also eligible are federally-recognized Indian Tribal governments. If a State agency applying for grant funds is other than the official State health department, written concurrence by the State health department must be provided. Eligible applicants may enter into contracts, including consortia agreements as necessary, to meet the requirements of the program and strengthen the overall application. Applicants from eligible units of local jurisdiction must elect to either apply directly to CDC as a grantee, or to apply as part of a State-wide grant application. Applications cannot be submitted simultaneously through both mechanisms. For the required surveillance activity, eligible applicants must have regulations for reporting of PbB levels by both public and private laboratories or provide assurances that such regulations will be in place within six months of awarding the grant. Applicants other than State health departments must apply in conjunction with their State or territorial health.

Beneficiary Eligibility:  In addition to the eligible applicants, others who receive benefits from the program include infants and children from 6 months to 6 years of age who are screened for lead poisoning and family members who care for lead-poisoned children. Lead poisoning potentially affects all children, but disproportionately affects minority children and children of low-income families. Since the effects of lead poisoning can be long lasting, benefits of the program can also affect youth and adults, persons at all educational and income levels, and urban, suburban, and rural populations.

Credentials/Documentation:  Applicants should document the need for assistance, state the objectives of the project, present their approach to meeting the objectives, and outline the methods of operation. Costs will be determined in accordance with OMB Circular No. A-87 for State and local governments and federally-recognized Indian Tribal Governments.

93.197 APPLICATION AND AWARD PROCESS:

Preapplication Coordination:  Preapplication coordination is desired but not required. This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should contact the office or official designated as the single point of contact in his or her State for more information. Through this process, States are provided the opportunity to review and comment on applications for Federal financial assistance. The due date for State process recommendations is 60 days after the application deadline date for new and competing continuation awards.

Application Procedure:  Application forms are both available from and submitted to the Grants Management Branch, Centers for Disease Control and Prevention, 2920 Brandywine Road, Room 3000, Atlanta, GA 30341. Standard application forms, as furnished by 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.

Award Procedure:  Approved grants are funded based on a priority score ranking from an objective review process coordinated by the Centers for Disease Control and Prevention. Awards are made based on availability of funds and other significant factors as deemed necessary and appropriate by the agency. Funds are awarded for a one-year (12 month period). A Notice of Grant Award (Form PHS 5152-1) is provided which indicates the current award as well as support recommendations for the remainder of the project period (up to 3 years). The Notice of Grant Award indicates allocations for Federal funds by budget categories and any special conditions, if applicable.

Deadlines:  For fiscal year 2000, the due date is April 12, 2000.

Range of Approval/Disapproval Time:  From 2 to 3 months.

Appeals:  None.

Renewals:  Renewal requests cannot exceed a 3-year project period. Priority consideration will be given to noncompeting continuation applications.

Criteria for Selecting Proposals:  Applications will be evaluated based upon the applicant's ability to identify populations and communities at high risk and the overall balance of the program's design to address the childhood lead poisoning problem. This requires the development of specific and measurable objectives and a sound operational plan that includes screening of high risk populations, medical and environmental management, lead hazard remediation, and health education and risk reduction activities to appropriately address the problem. Applications also will be evaluated on the ability of the program to carry out childhood lead poisoning prevention program activities utilizing the core public health functions as well as establishing working relations or partnerships with other agencies, organizations or groups that have interest in the prevention of childhood lead poisoning.

Examples of Funded Projects:  The first projects to receive financial assistance under this grant program were made late in fiscal year 1990. The awards will continue to State and city/county agencies to develop, expand, or improve childhood lead poisoning prevention programs and statewide surveillance. The awards will be used to strengthen grantees' capacity to perform the three core public health functions (assessment, policy development, and assurance) as they relate to childhood lead poisoning prevention and surveillance. Specifically, these programs will ensure the screening of children at risk of lead exposure; facilitate appropriate referral of children with elevated blood lead levels for medical and environmental interventions; and provide for the education of parents, health care providers, and others concerned about childhood lead poisoning prevention. In addition, programs will implement jurisdiction-wide screening plans and establish childhood blood lead surveillance systems.

Range and Average of Financial Assistance:  Funding range is from $75,000 to $1,500,000; $520,000.

93.197 RELATED PROGRAMS:

  • 93.283 Centers for Disease Control and Prevention: Investigations and Technical Assistance.

93.197 PROGRAM ACCOMPLISHMENTS:

In fiscal year 1999, 48 grantees representing 32 States and 16 city or county health departments received funding to conduct childhood lead poisoning prevention programs. Eight States received funds to conduct or initiate Statewide surveillance systems. CDC program staff provided technical assistance to State and local health officials and others interested in childhood lead poisoning prevention. Emphasis was placed on carrying out lead poisoning prevention activities utilizing core public health functions (assessment, policy development and assurance). In fiscal year 1999, 13 successful applicants will perform core public health functions as they implement statewide screening plans and establish childhood blood lead surveillance systems. These programs will also utilize funds to assure screening of children at risk for lead exposure, facilitate the referral of children identified with elevated blood lead levels to both medical and environmental intervention, and provide education for parents and health professionals. Twenty-two State and local health departments will compete for continued funding support in fiscal year 2000. Another 11 State and local programs will compete for continued funding in fiscal year 2001.

93.197 FINANCIAL AND ADMINISTRATIVE INFO:

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

Type of Assistance:  Project Grants.

Obligations:  (Grants) FY 99 $26,350,478; FY 00 est $26,700,000; and FY 01 est $26,700,000.

Budget Account Number:  75-0943-0-1-550.

Authorization:  Public Health Service Act, Section 301A, 42 U.S.C. 241(a) and 317A, and 317B, 42 U.S.C. 247b-1, 247b-3 as amended; Preventive Health Amendments of 1992, Section 303, Public Law 102-531.

Regulations, Guidelines, and Literature:  Regulations for this program are published under 42 CFR 51b. PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April l, 1994. The basic grant administration policies of DHHS and PHS are also applicable.

93.197 INFO CONTACTS:

Regional or Local Office:  Not applicable.

Headquarters Office:  Program Contact: Ms. Claudette Grant-Joseph, Lead Poisoning Prevention Branch, Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention, MS E-25, 1600 Clifton Road, Atlanta, GA 30333. Phone: (404) 639-2510. Fax Number: (404) 639-2570. Email: cag4@cdc.gov. Grants Management Contact: Ms. Mattie Jackson, Grants Management Branch, Centers for Disease Control and Prevention, 2920 Brandywine Road, Room 3000, Atlanta, GA 30341. Phone: (770) 488-2710. Fax Number: (770) 488-2777.

(See Appendix IV for more contact info.)

93.197 ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements:  This program has no statutory formula and no matching requirements. However, grant funds cannot supplant existing funding for childhood lead poisoning prevention programs or activities. Applicants are encouraged to identify other funding sources to support program activities.

Length and Time Phasing of Assistance:  Financial assistance is provided for a 12-month budget period (July 1 - June 30) with project periods of up to 3 years subject to the availability of funds and satisfactory progress of the grantee.

Uses and Use Restrictions:  Awards are to be used by State and local government agencies to develop, improve, and expand their capacity to address the problem of childhood lead poisoning in communities with demonstrated high-risk populations. Recipients of awards are expected to: (1) Establish, expand, or improve services to assure that children in high risk areas are screened; (2) intensify care coordination efforts to ensure that children with elevated blood lead levels receive appropriate and timely follow-up services; (3) establish, expand, or improve environmental investigations to rapidly identify and reduce sources of lead exposure; (4) plan and develop activities for the primary prevention of childhood lead poisoning in demonstrated high-risk areas to be conducted in collaboration with other government and community-based organizations; (5) develop and implement efficient data systems compatible with CDC guidelines for monitoring and evaluation; (6) improve the actions of other appropriate agencies and organizations to facilitate the rapid remediation of identified lead hazards in high-risk communities; (7) enhance knowledge and skills of program staff through training and other methods; (8) provide information on childhood lead poisoning to the public, policy-makers, academic community, health care professionals, and other interested parties; and (9) develop state-based systems for surveillance of blood lead levels among children, and use surveillance data to assess prevention activities and target resources. Grant awards cannot supplant existing funding for childhood lead poisoning prevention programs or activities. Grant awards may not be expended for medical care and treatment, or for environmental remediation of lead sources, however, there must be an acceptable plan to ensure that these program activities are appropriately carried out. The surveillance component of this grant is intended to assist State health departments in implementing or enhancing a complete surveillance system to track all PbB levels in children. This is essential for grant recipients to target interventions to high-risk populations and to track progress toward eliminating childhood lead poisoning.

93.197 POST ASSISTANCE REQUIREMENTS:

Reports:  Quarterly progress reports are required. Financial status reports are required no later than 90 days after the end of each specified budget period. A final financial status report and final program report will be required no later than 90 days after the end of the project. Continuation applications for subsequent budget year support will include a progress/performance narrative outlining accomplishments and operations for that earlier budget period and a detailed budget narrative supporting the budget request.

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. In addition, these grants are subject to inspection and audits by DHHS and other Federal officials.

Records:  Financial records, supporting documents, statistical records, and all other records pertinent to the project must be kept readily available for review by personnel authorized to examine PHS grant accounts. Records must be maintained for a minimum of 3 years after the end of a budget period. If questions still remain, such as those raised as a result of an audit, records must be retained until completion or resolution of any audit in process or pending resolution. Property records must be retained in accordance with PHS Grants Policy Statement requirements.

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Last Updated, November, 2000             Comments or Questions?           ©Grant Community.com 2000, All Rights Reserved