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Federal Register / Vol. 70, No.

121 / Friday, June 24, 2005 / Notices 36605

Initiative randomized controlled trial. JAMA 32. Safford M, Eaton L, Hawley G, et al. 2010. Volume 1. College Station, Texas: The
2002;288:321–333. Disparities in use of lipid-lowering Texas A&M University System Health
18. Ridker PM, Cook NR, Lee IM, et al. A medications among people with type 2 Science Center, School of Rural Public
Randomized Trial of Low-Dose Aspirin in the diabetes mellitus. Arch Intern Med Health, Southwest Rural Health Research
Primary Prevention of Cardiovascular Disease 2003;163(8):922–8. Center. 2003.
in Women. N Engl J Med 2005 Mar 7; [Epub 33. American Heart Association. 47. Halverson JA, Barnett E, Casper M.
ahead of print]. Hispanics/Latinos and Cardiovascular Geographic disparities in heart disease and
19. Roger VL, Farkouh ME, Weston SA, et Diseases—Statistics. Dallas, Texas: American stroke mortality among African American
al. Sex differences in evaluation and outcome Heart Association; 2005. and white populations in the Appalachian
of unstable angina. JAMA 2000;283(5):646– 34. American Heart Association. American region. Ethn Dis 2002;12(4):S3–82–91.
52. Indians/Alaska Natives and Cardiovascular 48. Center for Disease Control and
20. Mosca L, Merz NB, Blumenthal RS, et Diseases—Statistics. Dallas, Texas: American Prevention (CDC). National Center for Health
al. Opportunity for intervention to achieve Heart Association; 2005. Statistics. Health, United States, 2001 With
American Heart Association guidelines for 35. American Heart Association. Asian/ Urban and Rural Health Chartbook.
optimal lipid levels in high-risk women in a Pacific Islanders and Cardiovascular Hyattsville, Maryland: 2001.
managed care setting. Circulation Diseases—Statistics. Dallas, Texas: American 49. Montgomery K. Tracking Your Way to
2005;111(4):488–93. Heart Association; 2005. Success: Women’s Heart Program Justifies Its
21. Blomkalns AL, Chen AY, Hochman JS, 36. National Institutes of Health. National Existence. The Ireland Report (From the
et al. Gender disparities in the diagnosis and Heart Lung and Blood Institute. Seventh Snowmass Institute—www.snowinst.com) on
treatment of non-ST-segment elevation acute Report of the Joint National Committee on Succeeding in Women’s Health. May/June
coronary syndromes: large-scale observations Prevention, Detection, Evaluation, and 2002.
from the CRUSADE (Can Rapid Risk Treatment of High Blood Pressure (JNC 7) Dated: June 16, 2005.
Stratification of Unstable Angina Patients Express. NIH Publication No. 03–5233.
Wanda K. Jones,
Suppress Adverse Outcomes With Early December 2003.
Implementation of the American College of 37. Jha AK, Varosy PD, Kanaya AM, et al. Deputy Assistant Secretary for Health
Cardiology/American Heart Association Differences in medical care and disease (Women’s Health).
Guidelines) National Quality Improvement outcomes among African American and [FR Doc. 05–12519 Filed 6–23–05; 8:45 am]
Initiative. J Am Coll Cardiol 2005;45(6):832– white women with heart disease. Circulation BILLING CODE 4130–33–P
7. 2003;108(9):1089–94.
22. Willingham SA, Kilpatrick. Evidence of 38. Massing MW, Foley KA, Carter-
gender bias when applying the new Edwards L, et al. Disparities in lipid DEPARTMENT OF HEALTH AND
diagnostic criteria for myocardial infarction. management for African Americans and HUMAN SERVICES
Heart 2005;91(2):237–8. Caucasians with coronary artery disease: a
23. Spencer FA, Salami B, Yarzebski J, et national cross-sectional study. BMC Request for Applications for the
al. Temporal trends and associated factors of Cardiovasc Disord 2004;4(1):15.
National Centers of Excellence in
inpatient cardiac rehabilitation in patients 39. Cromwell J, McCall NT, Burton J, Urato
with acute myocardial infarction: a C. Race/Ethnic disparities in utilization of Women’s Health (CoE) and the
community-wide perspective. J Cardiopulm lifesaving technologies by medicare ischemic National Community Centers of
Rehabil 2001;21(6):377–84. heart disease beneficiaries. Med Care Excellence in Women’s Health
24. Witt BJ, Jacobsen SJ, Weston SA, et al. 2005;43(4):330–7. (CCOE)—Ambassadors for Change
Cardiac rehabilitation after myocardial 40. Bradley EH, Herrin J, Wang Y, et al. Program
infarction in the community. J Am Coll Racial and ethnic differences in time to acute
Cardiol 2004;44(5):988–96. reperfusion therapy for patients hospitalized AGENCY: Department of Health and
25. Halm M, Penque S, Doll N, Beahrs M. with myocardial infarction. JAMA Human Services, Office of the Secretary,
Women and cardiac rehabilitation: Referral 2004;292(13):1563–72. Office of Public Health and Science.
and compliance patterns. J Cardiovasc Nurs 41. Peterson ED, Shaw LK, DeLong ER, ACTION: Notice.
1999 Apr;13(3):83–92. Pryor DB, Califf RM, Mark DB. Racial
26. Caulin-Glaser T, Blum M, Schmeizl R, variation in the use of coronary- Announcement Type: Competitive
et al. Gender differences in referral to cardiac revascularization procedures. Are the Cooperative Agreement—FY 2005 Initial
rehabilitation programs after differences real? Do they matter? N Engl J announcement.
revascularization. J Cardiopulm Rehabil Med 1997;336(7):480–6. Funding Opportunity Number: Not
2001;21(1):24–30. 42. Shen JJ. Severity of illness, treatment applicable.
27. American Heart Association. Older environments, and outcomes of treating acute
Americans and Cardiovascular Diseases— myocardial infarction for Hispanic Catalog of Federal Domestic Assistance:
Statistics. Dallas, Texas: American Heart Americans. Ethn Dis 2002;12(4):488–98. The Catalog of Federal Domestic Assistance
Association; 2005. 43. Yarzebski J, Bujor CF, Lessard D, et al. number is 93.013.
28. Federal Interagency Forum on Aging- Recent and temporal trends (1975 to 1999) in Authority: This program is authorized by
Related Statistics. Older Americans 2004: the treatment, hospital, and long-term 42 U.S.C. 300u–2(a).
Key Indicators of Well-Being. Federal outcomes of Hispanic and non-Hispanic DATES: To receive consideration
Interagency Forum on Aging-Related white patients hospitalized with acute
Statistics, Washington, DC: U.S. Government myocardial infarction: a population-based
applications must be received by the
Printing Office. November 2004. perspective. Am Heart J 2004;147(4):690–7. Office of Grants Management, Office of
29. Tran CT, Laupacis A, Mamdani MM, 44. Kressin NR, Petersen LA. Racial Public Health and Science (OPHS),
Tu JV. Effect of age on the use of evidence- differences in the use of invasive Department of Health and Human
based therapies for acute myocardial cardiovascular procedures: Review of the Services (DHHS), no later than 5 p.m.
infarction. Am Heart J 2004;148(5):834–41. literature and prescription for future eastern daylight time no later than July
30. Rathore SS, Mehta RH, Wang Y, et al. research. Ann Intern Med. 2001;135(5):352– 25, 2005.
Effects of age on the quality of care provided 66. SUMMARY: The National Centers of
to older patients with acute myocardial 45. Allen JK, Scott LB, Stewart KJ, Young Excellence in Women’s Health and the
infarction. Am J Med 2003;114(4):307–15. DR. Disparities in women’s referral to and National Community Centers of
31. McLaughlin TJ, Soumerai SB, Willison enrollment in outpatient cardiac
DJ, et al. Adherence to national guidelines for rehabilitation. J Gen Intern Med
Excellence in Women’s Health programs
drug treatment of suspected acute myocardial 2004;19(7):747–53. provide funding to academic health
infarction: Evidence for undertreatment in 46. Gamm LD, Hutchison LL, Dabney BJ, centers and community-based
women and the elderly. Arch Intern Med Dorsey, AM., eds. Rural Healthy People 2010: organizations to enhance their women’s
1996;156(7):799–805. A Companion Document to Healthy People health program through the integration

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36606 Federal Register / Vol. 70, No. 121 / Friday, June 24, 2005 / Notices

of these components: (1) Leadership and focused leadership level, and the for tracking the cost of services provided
development for women, (2) training for provision of advice and guidance to to women who receive interdisciplinary
lay, allied health, and professional other organizations interested in care through the program. Sites must be
health care providers, (3) public developing or implementing these able to differentiate the care provided to
education and outreach with special unique models of care. The success of women counted as CoE or CCOE
emphasis on outreach to minority these programs, the expertise of the patients compared to other patients.
women, (4) comprehensive health Centers’ staff, and the pool of diverse
II. Award Information
service delivery that includes gender women who may be available to
and age-appropriate preventive services participate in research, including, e.g., The CoE/CCOE—Ambassadors for
and allied health professionals as improving health education material to Change program will be supported
members of the comprehensive care their communities, behavior studies, through the cooperative agreement
team, and (5) basic science, clinical and clinical trials, make these centers a mechanism. Using this mechanism, the
community-based research. In addition, valuable resource to the OWH and other OWH anticipates making up to six new
the community centers must replicate agencies within the Department. 3-year awards in FY 2005. The
their National Community Center of The Ambassadors for Change must anticipated start date for new awards is
Excellence in Women’s Health (CCOE) continue to: (1) Develop and/or September 30, 2005, and the anticipated
model in another community. strengthen a framework to bring together period of performance is September 30,
a comprehensive array of services for 2005, through September 29, 2008.
I. Funding Opportunity Description women; (2) train a cadre of diverse Approximately $225,000 is available to
The goals of the Ambassador for health care providers that include allied make awards between $25,000–$50,000
Change program are to: health professionals and community total cost (direct and indirect) for a 12-
1. Increase the number of health health workers; (3) promote leadership/ month budget period. The total amount
professionals, including allied health career development for diverse women that may be requested by academic
professionals, trained to work with in the health professions, including health centers is $25,000 and the total
underserved and diverse women and to allied health professions and amount that may be requested by
increase their leadership and advocacy community health workers, and community-based organizations is
skills. women/girls in the community; (4) $50,000. (Note: Noncompeting
2. Increase the number of women, enhance public education and outreach continuation awards (up to the
especially American Indian or Alaska activities in women’s health with an maximum total cost allowed for each
Native, Black or African American, emphasis on gender-specific and age- type of organization per year) will be
Hispanic or Latino, Asian, or Native appropriate prevention and/or reduction made subject to satisfactory
Hawaiian or Other Pacific Islander who of illness or injuries that appear performance and availability of funds.)
pursue health careers and increase the controllable through increased CoE/CCOE—Ambassadors for Change
leadership skills and opportunities for knowledge that leads to a modification programs will continue to be recognized
women in the community and for of behavior; (5) participate in any by the OWH as National Centers of
women faculty in academic settings. national evaluation of the CoE and/or Excellence in Women’s Health and
3. Eliminate health disparities for CCOE program; (6) conduct basic, National Community Centers of
women who are underserved due to age, clinical and community-based research Excellence in Women’s Health with all
gender, race/ethnicity, education, in women’s health; (7) conduct process, the privileges granted these programs by
income, or disability. impact, and outcome evaluations of the OWH. As such, the Ambassadors for
4. Reduce the fragmentation of their program; and (8) provide advice Change will continue to attend the CoE/
women’s health services and access and guidance to other organizations CCOE Center Directors’ meetings, have
barriers by using a framework that interested in learning more about the the opportunity to participate in joint
coordinates and integrates OWH CoE and CCOE programs. projects initiated and funded by the
comprehensive health services. At a minimum, each Ambassador for OWH, remain on the list serve to
Comprehensive health services include Change awardee must maintain a continue to have access to information
gender and age-appropriate preventive physically-identifiable clinical care and funding opportunities, be a full-
services and allied health professionals center for the delivery of participating member of the CoE/CCOE
on the service delivery team. comprehensive, interdisciplinary health Research Coordinating Center (if
5. Increase the women’s health care that includes gender and age- applicable), be site visited as needed, be
knowledge base by conducting gender- appropriate preventive services for listed on the OWH Web site with links
based research and by involving the women. The clinical care center must to their CoE/CCOE Web site, and have
community in identifying and have permanent signage that identifies it their products/activities listed on the
conducting research related to and as a National Center of Excellence in virtual resource center.
responsive to the health needs and Women’s Health or a National Under previous program
issues of concern to underserved and Community Center of Excellence in announcements, the OWH funded three
minority women in the target Women’s Health supported by the U.S. new CCOE programs in FY 2000. These
community. Department of Health and Human are the CCOE programs eligible to apply
6. Empower women, especially Services. The clinical care center must for this award. The OWH also funded
underserved and minority women, as be devoted to women-friendly, women- four new CCOE programs in FY 2001,
health care consumers and decision- centered, women-relevant care five new programs in FY 2002, and two
makers. delivered from a multidisciplinary, new programs in 2004. A total of 14
The primary purpose of the CoE/ holistic, and culturally and CCOE programs have been funded to
CCOE—Ambassadors for Change linguistically appropriate perspective. date.
program is the continuation of the ‘‘one- The clinical care center must also have Under the contract mechanism, the
stop shopping’’ or ‘‘centers without a women’s health clinical intake form, OWH also funded six new CoEs in 1996.
walls’’ models of women’s health care referral and tracking system, and The three whose options years were
that have been developed by these procedures for identifying and counting renewed through September 2005 are
organizations at a new, more progressive the women served by the program and eligible to apply for this award. The

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Federal Register / Vol. 70, No. 121 / Friday, June 24, 2005 / Notices 36607

OWH also is currently funding 18 activities and programs with the DHHS • Present a plan to continue
additional CoEs: Four funded since Secretary’s four priority areas—heart integrating all components of the
1997, five funded since 1998, six funded disease, cancer, diabetes, and HIV/AIDS program. The CCOEs are not required to
since 2003 and three funded since 2004. with an increased emphasis on continue the replication component but
The OWH will provide the technical adolescents, elderly women, mental preference will be given to programs
assistance and oversight necessary for health, and violence against women— that plan to continue to provide
the implementation, conduct, and and with the Healthy People 2010: Goal technical assistance to their replication
assessment of the Ambassador for 2—eliminating health disparities due to site. Additionally, CCOEs that actively
Change program activities. age, gender, race/ethnicity, education, participate in the Research Coordinating
The applicant shall: income, disability, or living in rural Center (RCC) projects will be considered
1. Implement the program described localities. More information on the as fulfilling the requirements for the
in the application. Healthy People 2010 objectives may be research component. A statement of
2. Conduct a process, impact, and found on the Healthy People 2010 Web willingness to participate in the RCC
outcome evaluation of their program. site: http://www.health.gov/ activities must be included in the
3. Participate in and pay for healthypeople Another reference is the application, if applicable.
attendance at the two annual meetings Healthy People 2000 Review—1998–99. • Discuss a plan to continue the
of the CoE and CCOE Center Directors One free copy may be obtained from the involvement of the CoE or CCOE
and the joint CoE/CCOE Center National Center for Health Statistics advisory board and their role as it
Directors’ meetings. (NCHS), 6525 Belcrest Road, Room relates to the Ambassadors for Change
4. Participate in any national 1064, Hyattsville, MD 20782 or program.
evaluations of the CoE and CCOE telephone (301) 458–4636 (DHHS • Be a sustainable organization
programs following the guidance Publication No. (PHS) 99–1256). This capable of providing coordinated and
provided by the OWH contractor. document may also be downloaded integrated women’s health services in
5. Maintain the CoE or CCOE Web from the NCHS Web site: http:// the targeted community. The applicant
site. www.cdc.gov/nchs. Also, Steps to a will need to define the components of
6. Display permanent signage HealthierUS, a program of the comprehensive, multi-disciplinary care,
designating the facility as a National Department to help implement the demonstrate that they are culturally,
Center of Excellence in Women’s Health Healthy U.S. initiative, advances the linguistically, and gender and age
or National Community Center of goal of helping Americans live longer, appropriate, and show that they have a
Excellence in Women’s Health. better, and healthier lives. It lays out clear and sustainable framework for
7. Participate in special meetings (i.e., DHHS priorities and programs for Steps providing those services.
CoE/CCOE Working Group meetings) • Present a plan to provide support,
to a HealthierUS, focusing attention on
and projects/funding opportunities advice, and guidance to CoEs, CCOEs,
the importance of prevention and
identified and/or offered by the OWH. and the Demonstration CoEs, through a
promising approaches for promoting variety of training opportunities, such as
8. Adhere to all program requirements healthy environments.
specified in the Notice of Grant Award. the ELAM program, promotoras
9. Submit required annual technical III. Eligibility Information trainings, discussions at Center
and financial reports by the due dates Directors’ meetings, etc. These activities
1. Eligible Applicants. Eligible may be supported by outside funding or
stated in this announcement and the applicants are OWH funded National
Notice of Grant Award. The technical sponsors in keeping with the
Centers of Excellence in Women’s government partnership ethics
report must include a discussion of the Health (CoE) whose funding ends in
process, impact, and outcome guidance.
September 2005 without remaining • If applicable, detail/specify the
evaluation of their program. option years and National Community
10. Participate in the projects of the roles and resources/services that each
Centers of Excellence in Women’s partner organization bring to the
Research Coordinating Center (if
Health (CCOE) programs whose funding program, the duration and terms of
applicable).
ends in September 2005. agreement as confirmed by a signed
The Federal Government will:
1. Participate in at least two annual 2. Cost Sharing or Matching Funds. agreement between the applicant
meetings with the CoE/CCOE Center Cost sharing, matching funds, and cost organization and each partner, and
Directors and/or Program Coordinators. participation is not a requirement of this describe how the partner organizations
2. Participate in a national evaluation grant. will operate within the Ambassador for
of the CoE or CCOE programs using IV. Application and Submission Change structure. (For the CCOEs only:
guidance provided by the OWH Information The partnership agreement(s) must
contractor. name the individual who will work
3. Review and decide on requested 1. Address to Request Application with the Ambassador program, describe
project modifications. Package: Application kits may be their function, and state their
4. Site visit CoE/CCOE facilities, as requested by calling (301) 594–0758 or qualifications. The documents, specific
needed. writing to Ms. Karen Campbell, Director, to each organization (form letters are not
5. Review all reports submitted by the Office of Grants Management, Office of acceptable), must be signed by
grantees. Public Health and Science, Department individuals with the authority to
6. Facilitate review and clearance of of Health and Human Services, 1101 represent and bind the organization and
all Center publications to insure Wootten Parkway, Suite 550, Rockville, be submitted as part of the grant
adherence to DHHS policies. MD 20852. Applications must be application.)
The DHHS is committed to achieving prepared using Form OPHS–1. • Describe in detail plans for the local
the health promotion and disease 2. Content and Form of Application process, impact, and outcome
prevention Objectives of Healthy People and Submission: At a minimum, each evaluation of the program and how
2010 and the HealthyUS Initiative. application for a cooperative agreement information obtained from the
Emphasis will be placed on aligning the grant funded under this announcement evaluation will be used to enhance the
CoE/CCOE—Ambassadors for Change must: program. The applicant must also

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36608 Federal Register / Vol. 70, No. 121 / Friday, June 24, 2005 / Notices

indicate their willingness to participate least a 12 point font, and contain 1″ under certain Federal programs. The
in a national evaluation of the program margins all around. application kit to be made available
to be conducted under the leadership of Electronic submissions through the under this notice will contain a listing
the OWH contractor. Grants.gov Web site Portal provides for of States that have chosen to set up a
The Project Narrative must not exceed applications to be submitted review system and will include a State
a total of 20 double-spaced pages, electronically. Information about the Single Point of Contact (SOC) in the
excluding the appendices. The original system is available on the Grants.gov State for review. Applicants (other than
and each copy must be stapled and/or Web site. Applications submitted by federally recognized Indian tribes)
otherwise securely bound. The facsimile transmission (FAX) or any should contact their SPECS as early as
application should be organized in other electronic format will not be possible to alert them to the prospective
accordance with the format presented in accepted. OPHS will not acknowledge applications and receive any necessary
the Program Guidelines. An outline for receipt of applications. Applications instructions on the State process. For
the minimum information to be received after the exact date and time proposed projects serving more than one
included in the ‘‘Project Narrative’’ specified for receipt will not be State, the applicant is advised to contact
section is presented below. Applicants accepted. Applications which do not the SOC in each affected State. A
must pay particular attention to meet the deadline will be returned to complete list of SPECS may be found at
structuring the narrative to respond the applicant unread. the following Web site: http://
clearly and fully to each review Factor Applications will be screened upon www.whitehouse.gov/omb/grants/
and associated review criteria. receipt. Those that are judged to be spoc.html. The due date for State
incomplete or arrive after the deadline process recommendations is 60 days
I. Background
A. Overview of CoE/CCOE program
will not be reviewed. Applications that after the application deadline. The
B. Primary area(s) of expertise to be offered exceed the specified amount for a OWH does not guarantee that it will
through the Ambassadors for Change twelve-month budget period may also accommodate or explain its responses to
program not be reviewed. Applicants that are State process recommendations received
C. Goal and purpose of the program judged to be in compliance will be after that date. (See ‘‘Intergovernmental
II. Implementation Plan reviewed for technical merit in Review of Federal Programs,’’ Executive
A. Describe the level of effort to be accordance with DHHS policies.
maintained for the CoE/CCOE program Order 12372, and 45 CFR part 100 for
Applications will be evaluated by a a description of the review process and
components technical review panel composed of
B. Describe how will the components be requirements.)
experts in the fields of program
integrated with a reduced level of Community-based, non-governmental
activity management, service delivery, outreach,
applicants are required to submit, no
C. Describe plans to provide support, health education, research, and
later than the Federal due date for
advice, and guidance to the CoEs, leadership development and evaluation.
receipt of the application, the following
CCOEs, and Demonstration CoEs Consideration for award will be given to
information to the head of the
III. Management Plan applicants that best demonstrate
A. Key project staff, their resumes, and a progress and/or plausible strategies for appropriate State and local health
staffing diversity chart for budgeted staff eliminating health disparities through agencies in the area(s) to be impacted:
and those affiliated with the new CoE/ the integration of training, leadership/ (a) A copy of the face page of the
CCOE Ambassador for Change program career development, public education application (SF 424), (b) a summary of
B. Staff responsibilities
and outreach, comprehensive services the project (PHIS), not to exceed one
C. CoE or CCOE Advisory Board page, which provides: (1) A description
IV. Local CoE or CCOE Evaluation Plan that include gender and age-appropriate
preventive services, and research. of the population to be served, (2) a
A. Purpose summary of the services to be provided,
B. Design/methodology Applicants are advised to pay close
attention to the specific program and (3) a description of the coordination
C. Use of results
Appendices guidelines and general instructions in planned with the appropriate state or
A Required Forms (Assurance of the application kit. local health agencies. Copies of the
Compliance Form, etc.) 4. Intergovernmental Review: This letters forwarding the PHIS to these
B. Key Staff Resumes program is subject to the Public Health authorities must be contained in the
C. Staffing Diversity Chart Systems Reporting Requirements. Under application materials submitted to the
D. Other attachments these requirements, a community-based OWH.
3. Submission Dates and Times. To be non-governmental applicant must 5. Funding Restrictions: A majority of
considered for review, applications prepare and submit a Public Health the funds must be used to support staff
must be received by the Office of Grants System Impact Statement (PHIS). (direct labor) and efforts aimed at
Management, Office of Public Health Applicants shall submit a copy of the coordinating and integrating the
and Science, by 5 p.m. eastern daylight application face page (SF–424) and a components of the program and travel to
time on July 25, 2005. Applications will one page summary of the project, called the two Annual Center Directors’
be considered as meeting the deadline if the Public Health System Impact Meetings per year . The senior person
they are received on or before the Statement. The PHIS is intended to responsible for the program shall
deadline date. The application due date provide information to State and local continue to devote the maximum effort
requirement in this announcement health officials to keep them apprized needed to maintain program excellence.
supercedes the instructions in the on proposed health services grant Funds may also be used for program
OPHS–1. applications submitted by community- related travel.
Applicants are required to submit an based, non-governmental organizations Funds may not be used for
original ink-signed and dated within their jurisdictions. construction, building alterations,
application and photocopies. All pages This program is also subject to the equipment, printing, food, medical
must be numbered clearly and requirements of Executive Order 12372 treatment, or renovations. All budget
sequentially. The application must be that allows States the option of setting requests must be justified fully in terms
typed double-spaced on one side of up a system for reviewing applications of the proposed goals and objectives and
plain 81⁄2″ x 11″ white paper, using at from within their States for assistance include an itemized computational

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Federal Register / Vol. 70, No. 121 / Friday, June 24, 2005 / Notices 36609

explanation/breakout of how costs were Hawaiian or Other Pacific Islander technical assistance visits to other CoE/
determined. women/girls, (c) outreach and public CCOE sites, etc.
The CoE and CCOE Center Directors education, (d) comprehensive multi-
meet twice a year. A portion of these disciplinary women’s health services Factor 4: Evaluation (15%)
meetings will be devoted to the that include gender and age-appropriate The CoE or CCOE shall have in place
Ambassadors for Change program. The preventive services, (e) gender-based an ongoing program of process, impact,
budget should include a request for research originating at the institution or and outcome evaluation. In addition, a
funds to pay for the travel, lodging, and involved with the CoE/CCOE Research clear statement of agreement to
meals for the two Center Directors’ Coordinating Center. All components
meetings. The first meeting is usually participate fully in any national
shall be in place/operational and program evaluations must be included
held between mid-November and mid- integrated with one another at the time
December and the second Center in the application.
the application is submitted. The
Directors’ meeting is usually held in applicant must discuss/describe the Factor 5: Degree of Self-Sustainment at
May. This year the joint Center resources available to support each the Parent Institution (10%)
Directors’ meetings will be held component, plans for maintaining
November 7–8, 2005. CCOE Center components, and the relationship of Applicant organization’s capability to
Directors are encouraged to bring the each integrated component to the manage the project as determined by the
person with primary responsibility for overall goals and objectives of the CoE/ qualifications of the proposed staff;
the day-to-day management of the CCOE Ambassador for Change program. proposed staff level of effort; the
Ambassador for Change program to institutional commitment demonstrated
these meetings and should include their Factor 2: Partnerships (25%) in the application; management
travel cost in the budget. The CoE or CCOE shall maintain experience of the staff; and the
6. Other Submission Requirements: existing partnership and develop new experience, resources and role of each
Beginning October 1, 2003, all ones within their region and partner organization as it relates to the
applicants are required to obtain a Data neighboring regions and with needs and programs/activities of the
Universal Numbering System (DUNS) government-sponsored agencies and CoE/CCOE Ambassador for Change
number as preparation for doing organizations: program, diversity of the CoE/CCOE
business electronically with the Federal • The Regional Women’s Health staff as it relates to and reflects the
Government. The DUNS number must Coordinator in their region. The RWHCs community and populations served,
be obtained prior to applying for OWH and contact information can be found at integration of allied health professionals
funds. The DUNS number is a nine- http://www.4woman.gov/owh/reg/. into the CoE/CCOE program, and
character identification code provided • The Minority Women’s Health integration of the CoE/CCOE advisory
by the commercial company Dun & Panel of Experts (if there is one in their board into the program’s activities.
Bradstreet, and serves as a unique region). The MWHPEs and contact Detailed position descriptions, resumes
identifier of business entities. There is information can be found at http:// of key staff, a staffing diversity chart,
no charge for requesting a DUNS www.4woman.gov/owh/
and letter of support from key
number, and you may register and minority.htm#mwhpe.
• DHHS agencies (HRSA, OMH/ institutional administrator should be
obtain a DUNS number by either of the
OPHS, IHS, NIH, CDC, FDA, etc.). included in the appendix. The
following methods: telephone: 1–866–
• Other government agencies and management plan should also describe
705–5711. Web site: http://
www.dnb.com/product/eupdate/ State and local governments. succession planning for key personnel
requestOptions.html. The partnerships shall work towards: and cross training of responsibilities.
Be sure to click on the link that reads, • Improving diversity at their Thoughtful succession planning and
‘‘DUNS Number Only’’ at the right institution regarding populations cross training of responsibilities should
hand, bottom corner of the screen to served, culturally competent materials contribute to the sustainability of the
access the free registration page. Please and center staff, and program and provide promotion
note that registration via the Web site • Continuing to transform the potential.
may take up to 30 business days to programs through leadership, outreach 2. Review and Selection Process:
complete. especially to adolescents and elderly Accepted applications will be reviewed
women, prevention programs on heart for technical merit in accordance with
V. Application Review Information disease, diabetes/obesity, cancer, HIV/ DHHS policies. Applications will be
1. Criteria: The technical review of AIDS, mental health, and violence evaluated by a technical review panel
applications will consider the following against women, and underserved composed of experts in the fields of
factors: women, including the American Indian program management, academic/
population. community service delivery, outreach,
Factor 1: Level of Integration of the
Components and Gender-Based Factor 3: Agreement to Serve as a health education, research, and
Medicine at the Institution (30%) Technical Consultant to Other Sites on leadership development and evaluation.
The CoE/CCOE Ambassadors for Your Most Successful Component (20%) Consideration for award will be given to
Change Program model shall include: (a) A clear statement of willingness to applicants that meet the goals and
Training for professional, allied health, provide technical consultation to other review criteria of the CoE/CCOE
and lay health care workers serving academic health centers interest in the Ambassadors for Change programs.
underserved diverse women, (b) CoE model or other community-based Funding decisions will be made by
leadership/career development for organizations interested in the CCOE the OWH, and will take into
women providers and underserved model could include work with the consideration the recommendations and
women/girls in the community, Executive Leadership in Academic ratings of the review panel, program
including American Indian or Alaska Medicine Program, a promotoras needs, stated preferences, and the
Native, Black or African American, training program, presentations at CoE organization’s women’s health
Hispanic or Latino, Asian, and Native and CCOE Center Directors’ meetings, experience.

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36610 Federal Register / Vol. 70, No. 121 / Friday, June 24, 2005 / Notices

VI. Award Administration Information 3. Reporting: In addition to those DEPARTMENT OF HEALTH AND
1. Award Notices: Within a month of listed above, a successful applicant will HUMAN SERVICES
the review of all applications, submit an annual technical report that
applicants not scoring in the funding includes a detailed discussion of the Centers for Disease Control and
range will receive a letter stating that process, impact, outcome evaluation of Prevention
they have not been recommended for the Ambassador program and a
Financial Status Report in accordance Government-owned Inventions;
funding. Applicants selected for funding Availability for Licensing and
support will receive a Notice of Grant with provisions of the general
Cooperative Research and
Award signed by the grants officer. This regulations which apply under
Development Agreements (CRADAs)
is the authorizing document to begin ‘‘Monitoring and Reporting Program
performing grant activities and it will be Performance,’’ 45 CFR parts 74 and 92. AGENCY: Centers for Disease Control and
sent electronically and followed up with An original and two copies of the Prevention, Technology Transfer Office,
a mailed copy. Pre-award costs are not annual report must be submitted by Department of Health and Human
supported by the OWH. August 15. The annual report will serve Services.
2. Administrative and National Policy as the non-competing continuation ACTION: Notice.
Requirements: (1) In accepting this application and must cover all activities
award, the grantee stipulates that the for the entire budget year. Therefore, SUMMARY: The invention named in this
award and any activities thereunder are this report must also include the budget notice is owned by agencies of the
subject to all provisions of the 45 CFR request for the next grant year, with United States Government and is
parts 74 and 92, currently in effect or appropriate justification, and signatures, available for licensing in the United
implemented during the period of this and be submitted using Form PHS 5161. States (U.S.) in accordance with 35
grant. Requests that require prior U.S.C. 207, and is available for
approval from the awarding office (see VII. Agency Contact(s) cooperative research and development
Chapter 8, PHS Grants Policy Statement) agreements (CRADAs) in accordance
For application kits and information with 15 U.S.C. 3710, to achieve
must be submitted in writing to the on budget and business aspects of the
OPHS Grants Management Office. Only expeditious commercialization of
application, please contact: Office of results of federally funded research and
responses signed by the Grants Grants Management, Office of Public
Management Officer are to be development. A U.S. provisional patent
Health and Science, Department of application has been filed and foreign
considered valid. Grantees who take Health and Human Services, 1101
action on the basis of responses from patent applications are expected to be
Wootten Parkway, Suite 550, Rockville, filed within the year to extend market
other officials do so at their own risk. MD 20857. Telephone: (310) 594–0758.
Such responses will not be considered coverage for U.S. companies and may
binding by or upon the OWH. (2) Questions regarding programmatic also be available for licensing.
Responses to reporting requirements, information and/or requests for ADDRESSES: Licensing and CRADA
conditions, and requests for post-award technical assistance in the preparation information, and information related to
amendments must be mailed to the of the grant application by CCOEs the technology listed below, may be
Office of Grants Management at the should be directed in writing to Ms. obtained by writing to Suzanne Seavello
address indicated below in ‘‘Agency Barbara James, Director, National Shope, J.D., Technology Licensing and
Contacts.’’ All correspondence requires Community Centers of Excellence in Marketing Scientist, Technology
the signature of an authorized business Women’s Health Program, 5600 Fishers Transfer Office, Centers for Disease
official and/or the project director. Lane, Room 16A–55, Rockville, MD Control and Prevention (CDC), Mailstop
Failure to follow this guidance will 20859. Telephone: (301) 443–1402. E- K–79, 4770 Buford Highway, Atlanta,
result in a delay in responding to your mail: bjames1@osophs.dhhs.gov. GA 30341, telephone (770) 488–8613;
correspondence. (3) The DHHS Questions from the CoEs should be facsimile (770) 488–8615; or e-mail
Appropriations Act requires that, when directed to Ms. Eileen Newman, Public sshope@cdc.gov. A signed Confidential
issuing statements, press releases, Health Analyst at the same address. Her Disclosure Agreement (available under
requests for proposals, bid solicitations, e-mail is enewman@osophs.dhhs.gov. Forms at http://www.cdc.gov/tto) will be
and other documents describing projects required to receive copies of
VIII. Other Information unpublished patent applications and
or programs funded in whole or in part
with Federal money, the issuance shall Fourteen (14) CCOE programs are other information.
clearly state the percentage and dollar currently funded by the OWH. SOFTWARE—Family Healthware TM
amount of the total costs of the program Information about these programs may
or project that will be financed with Familial Risk Analysis for Determining
be found at the following Web site:
Federal money and the percentage and a Disease Prevention Plan
http://www.4woman.gov/owh/CCOE/
dollar amount of the total costs of the index.htm. Twenty-one (21) CoE Family health history reflects the
project or program that will be financed programs are currently funded by the interactions of genetic, environmental,
by nongovernmental sources. (4) A OWH. Information about these programs and behavioral risk factors and has been
notice in response to the President’s may be found at the following Web site: shown to help predict disease risk for a
Welfare-to-Work Initiative was http://www.4woman.gov/COE/ variety of disorders including
published in the Federal Register on index.htm. cardiovascular disease, cancer, and
May 16, 1997. This initiative is designed diabetes. The Centers for Disease
Dated: June 15, 2005.
to facilitate and encourage grantees to Control and Prevention has an ongoing
hire welfare recipients and to provide Wanda K. Jones, initiative to evaluate the use of family
additional training and/or mentoring as Deputy Assistant Secretary for Health history information for assessing risk for
needed. The text of the notice is (Women’s Health), Office of Public Health common diseases and influencing early
available electronically on the OMB and Science. detection and prevention strategies. The
home page at http:// [FR Doc. 05–12518 Filed 6–23–05; 8:45 am] tools and methods currently used for
www.whitehouse.gov/wh/eop/omb. BILLING CODE 4150–33–P taking family histories, however, are

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