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Catalog of Federal Domestic Assistance

Program Descriptions

93.946:  Cooperative Agreements to Support State-Based Infant Health Initiative Programs

Popular Name:  Infant Health Initiative; PRAMS; MCHEP

Objectives:  PRAMS: To work with official public health agencies of States to: (1) establish and maintain State-specific, population-based surveillance of selected maternal behaviors that occur during pregnancy and the child's early infancy; and (2) generate State-specific data for planning and assessing perinatal health programs. MCHEP: To work with official public health agencies of States and localities to develop a multidisciplinary team of individuals dedicated to building the recipient's analytic capacity to use epidemiologic and surveillance data to address the health problems that affect its women, infants, and children.

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

93.946 ELIGIBILITY REQUIREMENTS:

Applicant Eligibility:  PRAMS and MCHEP: Eligible Category A, maintenance of existing PRAMS surveillance system: eligible applicants are the official State public health agencies designated as vital statistics registration areas in the United States, the District of Columbia, Puerto Rico and for PRAMS are the jurisdictions that received direct funding from CDC for PRAMS activities. Also eligible is the public health agency of the City of New York, the only city public health agency designated as a Category A applicant. For PRAMS and MCHEP: Category B eligible applicants are the official State and territorial public health agencies designated as registration areas for vital statistics, American Samoa, the Commonwealth of Puerto Rico, the Virgin Islands, the Federated States of Micronesia, Guam, the Northern Mariana Islands, the Republic of the Marshall Islands, Palau, and Federally-recognized Indian tribal governments.

Beneficiary Eligibility:  Official State and Territorial public health agencies. City of New York public health agency and District of Columbia.

Credentials/Documentation:  Applicants should document the need for assistance, state the objectives of the project, outline the method of operation, describe evaluation procedures, and provide a budget with justification for funds requested. Costs will be determined in accordance with the OMB Circular No. A-87 for State and local governments.

93.946 APPLICATION AND AWARD PROCESS:

Preapplication Coordination:  Preapplication coordination is not required. These programs are eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Application Procedure:  Information on the submission of applications may be obtained from the Grants Management Officer, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention, 2920 Brandywine Road, Room 3000, Atlanta, GA 30341. This program is subject to the provisions of 45 CFR 92. The standard application forms, as furnished by CDC and required by 45 CFR 92 for State and local governments, must be used for this program.

Award Procedure:  After review and approval, a notice of award is prepared and processed, along with appropriate notification to the public.

Deadlines:  Contact Headquarters Office listed below for application deadlines. Grants Management Officer, Ms. Mildred Garner, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention, 2920 Brandywine Road, Room 3000, Atlanta, GA 30341. Phone: (770) 488-2730.

Range of Approval/Disapproval Time:  From 3 to 4 months.

Appeals:  Not applicable.

Renewals:  Information on renewals may be obtained from the Grants Management Officer, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention, 2920 Brandywine Road, Room 3000, Atlanta, GA 30341. This program is subject to the provisions of 45 CFR 92. The standard application forms, as furnished by CDC and required by 45 CFR 92 for State and local governments, must be used for this program.

Criteria for Selecting Proposals:  All programs: (1) The extent to which the application describes and presents appropriate data indicating an understanding of the problem, the program for which assistance is requested, and the purpose of the cooperative agreement; (2) the degree to which the workplan addresses the stated needs, is likely to achieve the purposes of the cooperative agreement, and describes the specific roles and responsibilities of participating personnel; (3) the degree to which the application provides a complete and achievable timetable of appropriate events; (4) the adequacy of the plan to monitor progress toward the stated objectives; (5) the extent to which the budget is reasonable, consistent with the problems identified and the scope of the program proposed to address these problems, and the intended use of cooperative agreement funds, and clearly reflects the applicant's intent to commit nonfederal resources to support the operational costs of these programs. PRAMS only: The degree to which the application describes the process for registering births in the State.

Examples of Funded Projects:  MCHEP provides epidemiologic and surveillance technical assistance to participating States. Many States participating in PRAMS have developed and implemented an ongoing population-based surveillance of State residents who have recently delivered a live-born infant. Questionnaires have been developed to collect information from new mothers on selected experiences occurring before, during, and after their pregnancies. Using birth certificates, a sample of mothers is selected monthly and they are mailed a self-administered questionnaire. Non-responders are contacted by phone.

Range and Average of Financial Assistance:  PRAMS: $60,000 to 120,000; $100,000. MCHEP: $31,918 to $146,783; $85,708.

93.946 RELATED PROGRAMS:

93.946 PROGRAM ACCOMPLISHMENTS:

93.946 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) PRAMS: FY 99 $2,211,622; FY 00 est $2,200,000; and FY 01 est $2,200,000. MCHEP: FY 99 $610,965; FY 00 est 600,000; and FY 01 est $600,000.

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

Authorization:  Public Health Service Act, as amended, Section 301(a) and Section 317(k)(3), 42 U.S.C. 241(a); 42 U.S.C. 2476(k)(3).

Regulations, Guidelines, and Literature:  PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994, applies to cooperative agreements.

93.946 INFO CONTACTS:

Regional or Local Office:  Not applicable.

Headquarters Office:  PRAMS Contact: Mary Rogers, PRAMS Project Officer, Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Public Health Service, Department of Health and Human Services; 4770 Buford Highway, NE., Mailstop K22, Atlanta, GA 30341. Phone: (770) 488-5613. MCHEP Contact: Terry Bolden, Assistant Chief, Pregnancy and Infant Health Branch, Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 1600 Clifton Road, NE., Mailstop K23, Atlanta, GA 30333. Phone: (770) 488-5157. Grants Management Contact: Ms. Mildred Garner, Grants Management Officer, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention, 2920 Brandywine Road, Room 3000, Atlanta, GA 30341. Phone: (770) 488-2730.

(See Appendix IV for more contact info.)

93.946 ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements:  Not applicable.

Length and Time Phasing of Assistance:  Project Period: 5 years. Budget Period: All programs: For 12 months. Assistance is awarded through the SMARTLINK II System.

Uses and Use Restrictions:  PRAMS: Cooperative Agreement funds may be used to develop a surveillance system that will identify behavioral risk factors during pregnancy and early infancy, and will identify problems in health care delivery. Funds may be used to support the following activities: (1) Obtaining a commitment of participation from the Maternal and Child Health, Vital Statistics, and Data Processing units; (2) assuring that the State PRAMS program will have access to needed vital records information; (3) forming a Steering Committee to promote user involvement; (4) developing a surveillance protocol; (5) preparing a questionnaire, including State-specific questions; (6) obtaining Institutional Review Board review and approval; (7) implementing surveillance operations, such as sampling, data collection, data management, database development, and data analysis; and (8) planning for data dissemination and use. MCHEP: Cooperative agreement funds may be used by grantees to build their analytic capacity to use epidemiologic and surveillance data to address health problems affecting women, infants and children. Grantees in States, D.C., cities, and U.S. territories will develop a multidisciplinary team to identify populations at increased risk of infant mortality and to help direct programs to reduce this risk. Funds may be used to: (1) Establish a risk-oriented approach to the reduction of infant mortality; (2) substantially build State and local surveillance and epidemiologic capabilities; (3) enhance capacity in States to use surveillance and epidemiologic findings in program and policy development, implementation, and evaluation; (4) disseminate such analytic capabilities to other States by providing information, direct technical assistance, and a pool of knowledgeable and experienced individuals for collaboration; (5) coordinate State programs in database development and intervention research; and (6) develop stronger interactive partnerships among State, territorial, and Federal.

93.946 POST ASSISTANCE REQUIREMENTS:

Reports:  Progress reports for PRAMS and MCHEP are required annually.

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, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.

Records:  Financial records, supporting documents, statistical records, and all other records pertinent to the cooperative agreements program shall be retained for a minimum of 3 years, or until completion and resolution of any audit in process or pending resolution. In all cases, records must be retained in accordance with PHS Grants Policy Statement requirements.