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) fund and support
a national limb loss information center and a limb loss epidemiology
research facility; 6) fund and support a national information center
on physical activity for persons with disabilities; and 7) fund
and support a national paralysis and quality of life/health promotion
information and resource center.
TYPES
OF ASSISTANCE:
Project Grants. Place Cursor Here for Definition
USES
AND USE RESTRICTIONS:
CDC issued competitive
awards in fiscal year 2002 for 16 State disability and health cooperative
agreements and will issue continuation awards to 12 research project
grants and three information/resource centers to address the prevention
of secondary conditions and health promotion for persons with disabilities.
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) establish
and implement university partnerships to support and complement
State project activities; 5) 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;
6) provide technical assistance to communities; and 7) 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; 3) measure the effectiveness and
costs of preventive interventions; and 4) develop measurements of
the environment that can facilitate or hinder access to participation
for persons with a disability. National Limb Loss Information Center
Cooperative Agreements: 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. The National Center on Physical
Activity and Disability provides multiple sources of information
and references on a vast array of inquiries on exercise, fitness
and health promotion activities. In these 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. In
late FY 2001, CDC provided funds to establish and operate a national
resource center for persons with paralysis which will receive continuation
funding in FY 2002.
ELIGIBILITY REQUIREMENTS:
Applicant Eligibility:
Based on available funding for fiscal year 2002, CDC issued a competitive
program announcement for new State projects resulting in 16 awards.
All other projects listed in this notice will be eligible for non-competing
continuation awards in fiscal year 2002. These include the 12 noted
research grants and the three national information centers on limb
loss, physical activity, and paralysis. Eligibility for this program
in the future when new competitive announcements are announced in
future fiscal years will continue to include State health departments
or other official organizational authority (agency or instrumentality)
of States, including the District of Columbia, the Commonwealth
of Puerto Rico, and any territory or possession of the United States.
Research Grants: Eligible applicants for competing applications
was in fiscal year 2000 through the issuance of a competitive program
announcement which include public and private nonprofit 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. For the limb loss information and the
limb loss epidemiology projects, the physical activity, and the
paralysis resource center projects; new applications will not be
solicited for these programs as they are still within their respective
project periods. No new competitive applications are expected to
be solicited from States, research institutions and information
centers during the balance of FY 2002.
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, senior citizens, women, all educational levels,
all income levels, urban, suburban, and rural populations, health/rehabilitation
professionals, scientists, educators, and researchers.
Credentials/Documentation:
State disability and health applicants documented in their fiscal
year 2002 competitive applications the need for assistance, indicated
the objectives of their projects, presented their approaches to
meet set objectives, and outlined the method of operation. Current
research project grants and information centers will request continuation
funding to meet original protocols and research objectives. 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.
Pre-application
Coordination: As new competitive funding becomes
available for this program, preapplication 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 fiscal
year 2002, application forms for State capacity projects will
be available from, and be submitted to the Procurement and Grants
Office, Grants Management Branch, Centers for Disease Control
and Prevention (CDC), 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 nonprofit
organizations.
Award Procedure:
State disability and health cooperative agreement competitive
awards and Research project grant competitive awards are determined
by an internal objective committee review process at CDC. At such
times, 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 awards in subsequent fiscal years for State disability
and health projects will be issued for expected project periods
of 3-5 years. Future awards for Research project grants and information/resource
centers are not are expected to be issued until fiscal year 2003
given the funding cycles for those projects. 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: Between 65 to 95 days from the deadline
date for submission of applications.
Appeals:
None.
Renewals:
All State disability and health projects were subject to competitive
renewal and new awards were made in March 2002 for new project
periods to begin on April 1. No new competition for State awards
is expected for the next three fiscal years. However, should additional
funds become available in the interim, such awards would be publicized
through an issued Program Announcement. Competition for new or
additional State projects will be based on future appropriations.
The current research project grants will conclude their respective
project periods during the period in September 2003, and no new
Research grants are expected to be announced until fiscal year
2003. The National Limb Loss Information Center, the National
Center on Physical Activity and Disability, the National Paralysis
Resource Center, and the Limb Loss Epidemiology Research project
are expected to be receive noncompeting continuation funding in
fiscal year 2002 within their respective project periods.
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 disability and health
projects are receiving financial assistance in fiscal year 2002
for 3-5 year project periods depending on their level of award.
The competitive research grants funded in fiscal year 2000 will
have three year project periods through September 2003. Other
future solicitations (when announced) will indicate the length
of the project periods and program requirements for each of these
programs.
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 these projects. Non-competing
continuation applications will include a progress/performance narrative
which outline program accomplishments and operations for that earlier
budget period, an upcoming budget year work plan with a detailed
narrative and budget justifying the new financial request.
Audits:
In accordance with the provisions of OMB Circular No. A- 133 (Revised,
June 24, 1997), "Audits of States, Local Governments, and Nonprofit
Organizations," nonfederal entities that expend financial assistance
of $300,000 or more in Federal awards will have a single or a
program-specific audit conducted for that year. Non-federal 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.
FINANCIAL INFORMATION:
Account Identification:
75-0943-0-1-550.
Obligations:
State capacity projects: FY 01 $3,900,000; FY 02 est $5,300,000;
and FY 03 est $5,300,000. Research Projects: FY 01 $3,640,000;
FY 02 est $3,550,000; and FY 03 est $0. National Limb Loss Epidemiology
Project: FY 01 $500,000; FY 02 est $500,000; and FY 03 est $0.
National Limb Loss Information Center: FY 01 $1,400,000; FY 02
est $1,400,000; and FY 03 est $0. National Center on Physical
Activity and Disability: FY 01 $750,000; FY 02 est $750,000, and
FY 03 est $0. National Paralysis Resource Center: FY 01 $2,000,000;
FY 02 est $2,000,000; and FY 03 est $0. The $0 indicated for FY
03 represents either that funding levels beyond the current fiscal
year (FY 2002) are not yet established, or that some of these
projects may be reannounced in FY 03 as new competitive awards.
Range
and Average of Financial Assistance:
The competitive awards using fiscal year 2002 funds for the 16
State capacity projects under the three distinct funding levels
awards ranged from $130,000 to $460,000; Average: $310,000.
In fiscal year 2001, CDC
supported 14 State projects, 12 research grants, and 3 national
information centers as noted below. For fiscal year 2002, CDC is
now funding 16 States under new 3 to 5 year project periods. These
16 States and the 12 continuing research projects funded in fiscal
year 2002 emphasize the prevention of secondary conditions and health
promotion for persons with disabilities and assessing environmental
barriers and facilitators to access community programs and services
for people with disabilities. The national limb loss information
center, the national center on physical activity and disability,
and the national paralysis resource center are providing information
and referral regarding these issues. The State projects are expanding
program visibility and prominence by building their emphasis on
disability and health. This is being accomplished through strategic
plans addressing Healthy People 2010 objectives, advisory council
and advocacy input, policy development, university and voluntary
organization partnerships, data access and analysis, client preventive
services and access to care, surveys for determining physical limitations
among the population, professional and public education, and the
inclusion of program evaluation measures. For fiscal year 2002,
the Research grantees will fully implement their respective protocols
and studies. In fiscal year 2002, the currently funded National
Limb Loss Information Center, National Center on Physical Activity
and Disability, and National Paralysis Resource Center will continue
expansion of their outreach and response capacity to directly support
and refer identified needs of persons, providers, and organizations
inquiring about these issues of concern. It is expected that all
Research grants and the noted information/resource centers will
be subject to re-competition in fiscal year 2003 based on the availability
of funds. The number of such awards will be dependent on that appropriation
process.
REGULATIONS, GUIDELINES, AND
LITERATURE:
None.
INFORMATION CONTACTS:
Regional or Local
Office: Not applicable.
Headquarters Office:
Program Contact: Joseph B. Smith, Sr. Project Officer, Division
of Human Development and Disability, National Center on Birth
Defects and Developmental Disabilities, Centers for Disease Control
and Prevention (CDC), 4770 Buford Highway, Mailstop (F-35), Atlanta,
Georgia 30341. Tel: (770) 488-7082. E-Mail: jos4@cdc.gov. Grants
Management Contact: Ms. Sheryl Heard, Grants Management Branch,
Procurement and Grants Office, Centers for Disease Control and
Prevention (CDC), 2920 Brandywine Road, Room 3000, Atlanta, Georgia
30341. Tel: (770) 488-2723. E-Mail: slh3@cdc.gov.
Web Site Address: http://www.cdc.gov
EXAMPLES OF FUNDED PROJECTS:
The majority of awards
for State capacity projects in the past have been made to State
health departments and universities with State collaboration 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 and Epidemiology
project includes both a disability service organization and a leading
research university. The National Center on Physical Activity and
Disability is based at a major research university with key collaborating
partners in rehabilitation, education, web site development and
linkages, library capacity, and physical accessibility. The new
National Resource Center on Paralysis is also developing a comprehensive
program to address a wide range of service and referral systems.
CRITERIA FOR SELECTING PROPOSALS:
Given the recent competition
for State awards in February 2002, it is expected that another competitive
announcement will not be issued for State projects for at least
3 years unless additional funds become available in fiscal year
2003. New Research and Information Center projects will not be re-announced
and awarded until fiscal year 2003. In these cases, applications
are reviewed based on evaluation criteria explicit in the respective
Program Announcements. Applications must address demonstrated program
need, the magnitude of the problem, the management work plan, collaborative
associations, and the approach toward setting and meeting overall
project objectives and time frames. These future 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 outlined targeted disability activities.
